团队模拟训练在规培住院医师高级生命支持培训中的效果

The effect of team simulation training method on advanced life support training in standardized training residents

目的:探讨对规培住院医师进行团队模拟训练在急诊高级生命支持培训中的效果。方法:所有住院医师均通过心肺复苏、电除颤、气管插管等培训。将60名住院医师规范化培训的学员随机分为实验组和对照组,实验组采用5人1组进行团队模拟训练,对照组采用传统的培训模式,培训结束后应用高仿真模拟人再次进行考核,统计分析2组考核成绩。结果:两次考核中其单项操作人工气道建立、除颤操作、以及静脉通路的建立成绩均无显著差异。2组在第1次考核结果中显示胸外按压单项操作的差异无统计学意义。均存在按压的频率过快、按压深度过浅、回弹不够、按压分数过低。2组学员经过操作训练后平均按压频率、平均按压深度、胸廓回弹速率、平均按压分数以及胸外按压合格率均较操作训练前有显著改善。实验组在胸外按压中断时间、人工气道建立时间、第1次除颤实施时间以及静脉通道建立时间上均短于对照组,学员对课程反馈评价实验组均优于对照组。结论:团队模拟训练能显著提高住院医师的高级生命支持培训效果。

Objective：To explore the effect of team simulation training method on advanced life support training in standardized training resident.Method：All residents were trained through cardiopulmonary resuscitation,defibrillation,tracheal intubation.Sixty residents were randomly divided into experimental group and control group.The experimental group consisted of five members for team simulation training.The control group adopts the traditional training mode.After the training,the high simulation simulator is used to carry on the examination again,and the two groups are analyzed statistically.Result：There were no significant differences in the establishment of single operation airway establishment,defibrillation operation and the establishment of venous pathway in the two examinations.There was no significant difference between the two groups in the first assessment of the results of the chest compression.The results show that the frequency of compression is too fast,the depth of the compression is too shallow,rebound is not enough,the compression score is too low.The average compression frequency,average compression depth,thoracic rebound rate,average compression score and chest compression rate were significantly improved after operation training.In the experimental group,the time of interruption of thoracic compression,the time of artificial airway establishment,the time of first defibrillation and the establishment of venous channel were shorter than those of the control group.The evaluation of the course feed-back in the experiment group were better than the control group.Conclusion：Team simulation training can significantly improve the advanced life support training effect of standardized training residents.