摘要
目的探讨构思(conceive)、设计(design)、实现(implement)和运作(operate)(CDIO)结合集束化培训模式应用于临床心肺复苏教学的价值研究。方法将南部战区总医院2019年1月至2020年11月108例实习生纳入研究对象,按照简单随机数字表法分为对照组(n=54)和观察组(n=54)。对照组采用集束化培训模式进行心肺复苏教学,观察组采用CDIO结合集束化培训模式进行心肺复苏教学。比较两组实习生的理论成绩、操作成绩、综合能力、胸外按压质量及心肺复苏时间,并评估两组实习生岗位胜任力得分情况及满意度。采用SPSS 22.0软件进行t检验和卡方检验。结果观察组理论成绩、操作成绩、综合能力得分均高于对照组;与培训前比较,观察组按压深度、按压频率、胸廓回弹速率均高于对照组;观察组发现患者无意识到判断无脉时间、出现室颤至启动自动体外除颤器(automated external defibrillator,AED)时间、完成AED时间均低于对照组;观察组实践能力、评判性思维能力、协调能力、职业发展能力、心理特质5个维度评分及岗位胜任力总分均高于对照组(P<0.05);观察组对带教教师、实习内容、实习形式、实习效果等满意度均高于对照组(P<0.05)。结论CDIO结合集束化培训应用于临床心肺复苏教学可提高实习生的理论成绩、操作成绩以及综合能力,改善胸外按压质量、心肺复苏时间,使实习生具备良好的沟通能力和岗位胜任力,提升实习生的满意度。
Objective To explore the value of"conceive,design,implement,and operation"(CDIO)combined with cluster training mode in clinical teaching of cardiopulmonary resuscitation(CPR).Methods A total of 108 interns of General Hospital of Southern Theater Command from January 2019 to November 2020 were included in the study,and they were randomly divided into control group(n=54)and observation group(n=54).The control group used the cluster training mode for CPR teaching,and the observation group used CDIO combined with the cluster training mode for CPR teaching.The theoretical performance,operation performance,comprehensive ability,chest compression quality and CPR time of the two groups of interns were compared,and the scores of post competency and satisfaction of the two groups of interns were evaluated.SPSS 22.0 was used for t test and chi-square test.Results The scores of theory,operation and comprehensive ability in the observation group were higher than those in the control group.Compared with those before training,the compression depth,compression frequency and chest rebound rate of the observation group were higher than those of the control group.The observation group found that the patients'unconscious judgment of pulse free time,the time from the occurrence of ventricular fibrillation to the start of automated external defibrillator(AED),and the time to complete AED were lower than those in the control group.The five dimensions of practical ability,critical thinking ability,coordination ability,career development ability,psychological characteristics and the total score of post competency in the observation group were higher than those in the control group(P<0.05).The satisfaction of the observation group with the teaching teacher,practice content,practice form and practice effect was higher than that of the control group(P<0.05).Conclusion The application of CDIO combined with cluster training in clinical CPR teaching can improve the interns'theoretical performance,operational performance and comprehensive ability,improve the quality of external chest compression and CPR time,make the interns have good communication ability and post competency,and finally improve the interns'satisfaction.
作者
钟瑛
李桂兰
周爱明
聂亚丽
汪丽丽
Zhong Ying;Li Guilan;Zhou Aiming;Nie Yali;Wang Lili(First Outpatient Department,General Hospital of Southern Theater Command,Guangzhou 510080,China;Department of Rehabilitation Medicine,General Hospital of Southern Theater Command,Guangzhou 510080,China;Department of General Medicine,General Hospital of Southern Theater Command,Guangzhou 510080,China)
出处
《中华医学教育探索杂志》
2022年第8期1042-1046,共5页
Chinese Journal of Medical Education Research
关键词
构思-设计-实现-运作
集束化培训模式
心肺复苏
岗位胜任力
Conceive-design-implement-operation
Cluster training mode
Cardiopulmonary resuscitation
Post competency
作者简介
通信作者:钟瑛,Email:zhongying45617370@163.com
