模拟演练在围产医务人员新生儿复苏培训中的应用评价

Evaluation of neonatal resuscitation simulation exercise for perinatal medical personnel

目的采用模拟演练对围产医务人员进行新生儿复苏技术培训,并评价其培训效果。方法本研究为单中心前瞻性研究,选择2020年8月至2021年7月在贵州医科大学附属医院分批接受新生儿复苏模拟演练的围产医务人员为研究对象,培训内容为新生儿复苏流程和对案例的模拟演练。收集受训人员职业背景并对其在模拟演练中的表现进行知识技能(包括复苏前准备、初步复苏、正压通气、气管插管、胸外心脏按压、脐静脉置管)和行为技能(包括情景意识、解决问题、资源利用、沟通、领导力)进行评分,应用SPSS 26.0统计软件进行数据分析。结果参与培训的200人中,新生儿科/儿科医护人员127人(63.5%),产科医生及助产士65人(32.5%),麻醉科医生8人(4.0%),医护比为1.74∶1。模拟演练开始和结束时知识技能评分分别为(19.52±2.92)分、(27.02±2.72)分,其中复苏前准备、初步复苏、正压通气评分提高更为显著,差异有统计学意义(P<0.05);行为技能评分开始和结束时分别为(16.60±2.34)分、(20.58±1.77)分,其中资源利用、沟通、领导力评分提高更为显著,差异有统计学意义(P<0.05)。结论模拟演练为围产医务人员提供多学科团队协作训练,可显著提高医务人员新生儿复苏技能,值得推广。

Objective To evaluate the efficacy of neonatal resuscitation simulation exercise for perinatal medical personnel.Methods From August 2020 to July 2021,perinatal medical personnel receiving simulated training of neonatal resuscitation in our hospital were prospectively enrolled.The professional backgrounds of the trainees were collected and their performances on both knowledge skills and behavioral skills were scored.The knowledge skills included pre-resuscitation preparation,initial resuscitation,positive pressure ventilation,tracheal intubation,chest compression and umbilical vein catheterization.The behavioral skills included situational awareness,problem solving,resource utilization,communication and leadership.SPSS 26.0 was used for data analysis.Results Among the 200 participants,127(63.5%)were neonatal/pediatric doctors and nurses,65(32.5%)were obstetricians and midwives,8(4.0%)were anesthesiologists and the ratio of doctors to nurses was 1.74∶1.The score of knowledge skills was(19.52±2.92)at the beginning of the simulation exercise and(27.02±2.72)at the end.The scores on preparation before resuscitation,initial resuscitation and positive pressure ventilation were significantly improved(P<0.05).The score of behavioral skills was(16.60±2.34)at the beginning and(20.58±1.77)at the end.The scores of resource utilization,communication and leadership were significantly improved(P<0.05).Conclusions The simulation exercise provides multidisciplinary teamwork training for perinatal medical personnel,may significantly improve neonatal resuscitation skills and is worth promoting.