引导性反馈在基层医院医护急救综合技能模拟训练中的应用研究

Study on the application of debriefing in the simulation training of comprehensive skills of first aid in primary hospital

目的比较引导性反馈在基层医院急诊岗位的医护人员急救综合技能模拟训练中的应用效果。方法选择在杭州市富阳区第一人民医院急诊轮转的医护人员为研究对象,将其随机分成对照组(50名)和实验组(50名),在急救综合技能训练后分别采用传统反馈和引导性反馈。反馈结束后,比较两组医护人员的急救理论、技能成绩,以及问卷调查两组对各自反馈的满意度评分和急诊科带教老师对两组医护人员临床工作能力的测评。结果实验组医护人员的急救理论和技能成绩均高于对照组,差异均有统计学意义(t分别=5.27、6.39,P均<0.05)。实验组对提高思维能力、增加学习自信心、帮助正确认识行为、愿意积极改变行为的满意度评分均高于对照组,差异均有统计学意义(t分别=14.33、12.11、16.49、15.22,P均<0.05)。带教老师对实验组医护人员临床思维能力、临床决策能力、团队协作能力、急救安全意识等临床能力评分均高于对照组,差异均有统计学意义(t分别=14.43、11.16、15.26、15.28,P均<0.05)。结论引导性反馈更有利于提高基层医院医护人员急救综合能力,使其更能胜任临床岗位工作。

Objective To compare the application effect of debriefing and feedback in the simulation training of first aid comprehensive skills of medical staff in emergency positions of primary hospital.Methods The medical staff who ro⁃tated in the emergency department of the First People's Hospital of Fuyang District,Hangzhou City were selected as the research objects,and they were randomly divided into the control group(50 people)and the experimental group(50 peo⁃ple).After the first aid comprehensive skills training,feedback and debriefing were used.After the feedback,the first aid theory and skill scores of the two groups of medical staff were compared,as well as the satisfaction scores of the two groups on their respective feedbacks and the evaluation of the clinical work ability.Results The scores of first aid theo⁃ry and skills of medical staff in the experimental group were higher than those in the control group,and the differences were statistically significant(t=5.27,6.39,P<0.05).The satisfaction scores of the experimental group in improving thinking ability,increasing learning self-confidence,helping to correctly understand behavior,and being willing to active⁃ly change behavior were higher than those of the control group,and the differences were statistically significant(t=14.33,12.11,16.49,15.22,P<0.05).The scores of clinical thinking ability,clinical decision-making ability,teamwork ability and first aid safety awareness of medical staff in the experimental group were higher than those in the control group,and the differences were statistically significant(t=14.43,11.16,15.26,15.28,P<0.05).Conclusion Debriefing is more conducive to improving the comprehensive ability of first aid of medical staff in primary hospitals and making them more competent for clinical work.It is a teaching feedback method worthy of promotion.