生理驱动高仿真模拟人在全科医生急救非技术技能培训中的应用

目的探讨生理驱动高仿真模拟人在全科医生急救非技术技能培训中的应用效果。方法选择在首都医科大学宣武医院进行急救技能培训的59名全科医生,随机分成对照组29名和观察组30名。对照组采用传统理论授课和简单演练的教学模式进行急救技能培训。观察组设计全科医生临床常见的过敏性休克、心衰及心脏骤停等急救病例,把这些病例的抢救流程输入生理驱动高仿真模拟人,在生理驱动高仿真模拟人上运行这些病例程序,应用生理驱动高仿真模拟人进行急救培训。培训结束后应用麻醉医师的非技术技能(anesthetists’non-technical skills,ANTS)系统分别对2组全科医生进行技能考核,比较2组全科医生的非技术技能和抢救成功率的差异。发放调查问卷,分析全科医生对急救技能培训效果的评价。结果经过培训后观察组全科医生的任务管理分数为10. 29±4. 53,高于对照组的分数7. 65±4. 67(P=0. 031),判断决策能力分数为8. 42±3. 82,高于对照组的分数6. 12±3. 73(P=0. 023),团队协作能力分数为13. 01±4. 69,高于对照组的分数9. 17±4. 72(P=0. 003),情景意识的分数为8. 62±3. 48,高于对照组的分数6. 57±3. 92(P=0. 038);调查问卷显示观察组在提高学习兴趣、提高综合能力和团队精神培养方面分数均高于对照组(均P <0. 05)。结论应用生理驱动高仿真模拟人进行急救技能培训可以显著提高全科医生的非技术技能,提高抢救成功率,增加学习兴趣,促进团队精神的培养。

Application of physiological driving fidelity human patient simulator in non technical skills training of first aid in general practitioner

Objective To explore the application effect of the physiological driving fidelity human patient simulator in the training of non-technical skills of general practitioner first aid. Methods The 59 general practitioners were selected to carry out first-aid skills training at Xuanwu Hospital of Capital Medical University, who were randomly divided into control group including 29 cases and observation group including 30 cases. The teaching model of traditional theory and simple drill were used in the control group. First aid cases, such as anaphylactic shock, heart failure and cardiac arrest, were designed for general practitioner in the observation group, and the rescue process of these cases were put into the physiological driving fidelity human patient simulator, and the case program was run on the physiological driving fidelity human patient simulator, and the physiological driving fidelity human patient simulator was used to carry out first aid training in the observation group. After training, the anesthesiologist' non-technical skills system (ANTS) were used to evaluate the non-technical skills of 2 groups, the differences of non-technical ability and rescue success rate were compared between the 2 groups. The questionnaire was issued to analyze the evaluation of the effect of the general practitioner on first-aid skills training. Results After training, the score of the task management of the general practitioner in the observation group was 10.29 ±4.53, which was larger than that of the control group 7.65 ±4.67 (P=0.031). The score of decision making ability was 8.42 ±3.82, which was larger than that of the control group 6.12 ±3.73 (P=0.023), and the team cooperation ability score was 13.01 ±4.69, which was higher than that of the control group 9.17 ±4.72 (P=0.003), The score of situational awareness was 8.62 ±3.48, which was higher than that of the control group 6.57 ±3.92 (P=0.038). The questionnaire showed that the scores of the observation group in improving learning interest, improving comprehensive ability and team spirit training were higher than those in the control group (P < 0.05). Conclusion The application of physiological driving fidelity human patient simulator in first-aid skills training could significantly improve the non-technical skills of general practitioners, improve the success rate of rescue, and increase interest in learning and promote team spirit.