情景模拟演练教学法在骨科创伤救护中的应用

Application of scene simulation practice teaching method in the trauma care of department of orthopedics

目的:探讨情景模拟演练教学法对提高护理人员创伤救治能力的临床意义。方法:选择医院骨科44名护士,按病区不同将其分为A组与B组,每组22名。东病区为A组,采用情景模拟法培训创伤救护知识;西病区为B组,采用传统示教法培训。在培训内容和时间相同的情况下,比较两组护士在培训后模拟考核成绩和操作时间。结果:两组护士经情景模拟教学法培训后平均操作考核成绩比较有所提高,差异有统计学意义(t=2.507,P<0.05);所用平均救护操作时间A组少于B组,两组比较差异显著(t=2.276,P<0.05),在一定程度上提高了在应急环境下的分析判断、果断决策能力。结论:情景模拟在提高护理人员战创伤救护能力方面存在一定的优势,也是对操作教学的一种创新,值得进一步推广和应用。

Objective：To explore the clinical significance of the teaching method of scene simulation exercises to improve the ability of nursing staff in the treatment of trauma.Methods：44 nurses were taken as the research objectives in the department of orthopedics of our hospital. They were divided into A group and B group according to the area. Each group had 22 nurses. A group was in the East ward and they trained trauma care knowledge by scenario simulation. B group was in the West ward and they used traditional teaching methods to train trauma care. In the same training content and the same time, the differences were compared in training simulation examination and operation time between two groups of nurses.Results：Two groups of nurses’ average examination results have improved after the scene simulation teaching method and the differences were considered to be statistically significant （t=2.507, P〈0.05）. The average rescue operation time of the A group was less than that of the B group and the differences were considered to be statistically significant （t=2.276,P〈0.05）. To a certain extent, it improves the analysis judgment and decision making ability in the emergency situation.Conclusion： Scene simulation has certain advantages in improving the ability of nursing staff of battle trauma, and it is also an innovation of the operation teaching. It is worth for further promotion and application.