AirwayEx@软件在住院医师纤支镜教学中的应用

Application of AirwayEx@ software in fiberoptic bronchoscopy training of residents

目的探讨AirwayEx@软件在住院医师规范化培训纤维支气管镜操作教学中的应用效果。方法选择在中山大学孙逸仙纪念医院住院医师培训基地进行住院医师培训的麻醉专业的学生36名,随机分为AirwayEx@软件学习组(A组,n=18名)和对照组(C组,n=18名)。两组学生在进入纤维支气管镜操作实践之前,均已经完成了纤维支气管镜的传统演示、课堂理论讲授课程。A组采用AirwayEx@软件学习法,C组采用视频教学。两组教学时间均为两周,对比其教学效果。应用SPSS 19.0统计软件进行t检验和Pearson卡方检验。结果①学习后,A组学生纤支镜成功插管所需时间减少62.76%,考核成绩提高30.03%,一次性插管成功率提高61.11%。C组学生纤支镜成功插管所需时间减少27.96%,考核成绩提高10.51%,一次性插管成功率没有明显进步。A组学习效果优于C组,差异有统计学意义(P<0.05)。②A组实践模式在教学趣味性评分和学习有效性评分均高于C组,差异有统计学意义(P<0.05)。结论与视频教学相比,Airway Ex@软件纤支镜模拟操作教学,更有趣,效果优于C组。

Objective To investigate the validity of AirwayEx@software in fiberoptic bronchoscopy teaching of standardized residency training.Methods A total of 36 residents from Department of Anesthesiology,Sun Yat-sen Memorial Hospital,Sun Yat-sen University were selected as objects and randomized into AirwayEx@software teaching group(group A,n=18)and control group(group C,n=18).All residents had completed traditional learning course of fiberoptic bronchoscopy before training.Group A adopted AirwayEx@software teaching method and group C took the traditional video teaching method.The training course lasted for two weeks in both groups,and the learning effects of two groups were compared.SPSS 19.0 was used to conduct t-test and Pearson chi-square test.Results①After the training,the time required for successful tracheal intubation in group A was significantly reduced by 62.76%,the assessment results increased by 30.03%,and the success rate of one-time tracheal intubation was significantly increased by 61.11%.While,the time required for successful tracheal intubation in group C was significantly reduced by 27.96%,the assessment results increased by 10.51%,and the success rate of one-time tracheal intubation did not change obviously.The learning effect in group A was significantly superior to that in group C(P<0.05).②Compared with the group C,the group A teaching mode was significantly more interesting and effective(P<0.05).Conclusion Compared with the traditional video teaching,the application of AirwayEx@software in simulating the operational teaching of fiberoptic bronchoscopy show more interest and has better effect.