团队式情景模拟在心肺复苏培训中的应用效果

Application effect of team-based scenarios simulation in cardiopulmonary resuscitation(CPR)training

[目的]探讨团队式情景模拟在心肺复苏培训中的应用效果。[方法]将南京医科大学第一附属医院急诊科54名护士按能级及专科技能分为A、B、C3个层级,不同层级护士各1人与1名医生共4人组成抢救小组,按组进行CPR培训,比较培训前后抢救小组开始CPR到建立静脉通道、建立人工气道、首次电除颤和首次给入复苏药物时间,以及医生对护士抢救配合满意度等的变化。[结果]培训后建立静脉通道、建立人工气道、首次给入复苏药物时间均明显缩短,与培训前比较差异有统计学意义(P<0.05),医生对护士满意度提高。[结论]采用团队式情景模拟进行心肺复苏培训,可以提高抢救效率。

Obj ective：To probe into the application effect of team based scenarios simulation in cardiopulmonary resuscitation （CPR ） training. Methods：54 nurses in the emergency department in affiliated first hospi-tal of Nanj ing Medical University were divided into A,B,C three levels according to level and specialist skills.One nurse in every level and a doc-tor a total of four people consisted of a rescue group,according to the group to carry out the CPR training.Before and after the rescue team be-gan CPR training to establish intravenous access,the establishment of ar-tificial airway,the first defibrillation and resuscitation drugs for the first time to enter the time,as well as nurses,doctors and other rescue satis-faction with changes.Results：After the training,the time of establish-ment of intravenous access,the time o establishment of artificial airway, the first drug to enter the recovery time were significantly shortened（P〈0.05 ）,and satisfaction of doctors to nurse increased.Conclusion：The team based scenarios simulated CPR training can improve the efficiency of rescue and worthy of promotion.