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Application of In Situ Scenario Simulation in Advanced Cardiac Life Support Training for Eight-year Medicinal Students
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摘要:
目的 探讨原位情境模拟(in situ scenario simulation，ISS)在临床医学八年制专业学生高级生命支持(advanced cardiac life support，ACLS)培训中的应用效果。 方法 以2021年9月—2022年9月于北京协和医院急诊科见习的临床医学八年制学生为研究对象，随机分为ISS教学组与传统教学组进行ACLS培训。培训结束后，分别对两组学员进行理论知识及实践操作考核，对比分析两组考核成绩。以调查问卷形式收集ISS教学组对培训课程的满意度及建议。 结果 共89名学员参与ACLS培训并完成考核，其中ISS教学组44名，传统教学组45名，两组学员性别差异无统计学意义(P=0.462)；ISS教学组理论知识、实践操作考核平均成绩均显著高于传统教学组[(80.36±6.46)比(65.33±10.43)分，P=0.000；(67.84±11.27)比(46.33±18.75)分，P=0.000]。ISS教学组所有学员均表示ISS教学对于提高理论知识掌握程度、实践操作能力及团队协作能力有效并希望下次继续开展，90.9%的学员对教学环境及设施满意。 结论 ISS法较传统教学法可有效提高临床医学八年制学生对ACLS理论知识的掌握程度及运用，学员满意度较高，具有一定的应用价值。 Abstract:Objective To explore the application effect of in situ scenario simulation(ISS) method in advanced cardiac life support (ACLS) training for eight-year clinical medicine students. Methods Eight-year clinical medicine students who underwent clinical internship in Peking Union Medical College Hospital from September 2021 to September 2022 were randomly divided into ISS group and traditional training group. After the training, assessment on the theoretical knowledge and practical operation was conducted. The training effect of the ISS group was evaluated by comparing and analyzing the results of theoretical knowledge and operation skill of ACLS. Results A total of 89 trainees participated in ACLS training and completed the assessment, including 44 in the ISS group and 45 in the traditional training group, with no statistically significant difference in gender between the two groups (P=0.462). The theoretical and operation skill test scores of ISS group were better than those of the traditional training group [(80.36±6.46) vs.(65.33±10.43), (67.84±11.27)vs.(46.33±18.75)], both with significant statistical differences (both P=0.000). According to the students of the ISS group, through ISS training, the identification of critically ill patients, the mastery of ACLS process, and the awareness of teamwork significantly improved. Conclusion The teaching method of ISS can effectively improve the skill operation ability of ACLS and crisis response, and enhance the quality of recovery to some extent. 作者贡献：梅琦敏、张挺负责查阅文献、分析数据、撰写论文；刘安雷、柴晶晶负责教学、资料收集；刘业成负责组织选题及论文审校；朱华栋负责论文审核。利益冲突：所有作者均声明不存在利益冲突 -
表 1 两组考核成绩比较(x±s，分)
考核成绩 ISS教学组(n=44) 传统教学组(n=45) t值 P值 理论知识 80.36±6.46 65.33±10.43 8.194 0.000 实践操作 67.84±11.27 46.33±18.75 6.576 0.000 急救操作流程 57.09±9.18 38.47±15.69 6.855 0.000 团队合作能力 10.84±3.26 7.87±4.14 3.760 0.000 ISS: 原位情境模拟 
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