医学模拟教学对重症医学生临床教学效果的meta分析

Effect of medical simulation teaching on clinical education of critical care medical students:a meta-ccanalysis

目的评价医学模拟教学对重症医学生临床知识掌握和技能提升的效果,明确模拟教学在现代重症医学教育中的实际价值和应用前景。方法系统检索中国知网、万方医学网、PubMed、EMBASE、MEDLINE、Education Resources Information Centre、British Education Index、Australian Education Index等数据库建库至2023年12月所有公开发表的关于重症医学生临床教学中比较医学模拟教学与传统教学方法的随机对照研究。通过对纳入文献进行严格的研究质量评估、数据提取和荟萃分析,对医学模拟教学与传统教学在重症医学领域中的效益进行全面量化评价。结果与传统教学方法比较,医学模拟教学在提升重症医学生临床知识和技能方面具有明显优势,特别是高保真模拟教学效果更为明显,差异均有统计学意义(标准化均数差=0.83、0.94,95%可信区间0.42~1.24、0.48~1.40,P<0.001)。结论在重症医学生的临床教学中应用模拟教学较传统教学方法更具有优势,能有效促进重症医学生临床知识和技能的掌握,高保真模拟教学更有效。

Objective To evaluate the effect of medical simulation teaching on the clinical knowledge acquisition and skills improvement of critical care medical students,and to clarify the practical value and application prospects of simulation teaching in modern critical care medical education.Methods A systematic search was conducted in databases including China National Knowledge Infrastructure(CNKI),Wanfang Data,PubMed,EMBASE,MEDLINE,Education Resources Information Centre(ERIC),British Education Index,and Australian Education Index,for all randomized controlled trials comparing medical simulation teaching with traditional teaching methods in critical care medical education from inception to December 2023.Through rigorous quality assessment,data extraction,and meta-analysis of the included literature to comprehensively quantify the benefits of medical simulation teaching versus traditional teaching methods in the field of critical care medicine.Results Compared with traditional teaching methods,medical simulation teaching showed significant advantages in enhancing the clinical knowledge and skills of critical care medical students,especially high fidelity simulation teaching effect is more apparent,with statistically significant differences(standardized mean difference=0.83,0.94,95%CI 0.42-1.24,0.48-1.40,P<0.001).Conclusion The application of simulation teaching in the clinical education of critical care medical students has more advantageous than traditional teaching methods,which can effectively promoting the acquisition of clinical knowledge and skills,and high-fidelity simulation teaching is particularly effective.