模拟人在产科急救培训教学中的应用.pdfVIP

中国急救复苏与灾害医学杂志 2012年1月第7卷第1期 ·61 · ·论 著· 模拟人在产科急救培训教学中的应用 胡春秀 吴名 韩凌霄 赵广建 【摘要】目的为提高产科住院医师的急救技能，用模拟人进行急救培训。方法在住院医师中，应用 NOELLE分娩模型，进行新生儿复苏急救及产妇休克、产后出血、心肺复苏、胎儿窘迫、子痫、肩难产、产钳 助产的急救综合训练，课程结束后进行模拟实战演练，由专业医师进行考评，并对学员的问卷反馈进行统 计分析。结果模拟产科急救演练的合格率达94.8%；100%学员认为有必要开设此训练，93.75%学员认为 实用性强。100%学员认为对临床能力帮助很大，100%学员操作能力得到提高，87.5%学员集体协作能力 得到提高，75%学员提高了沟通能力。结论通过模拟人训练，能够提高产科医师急救技能。 【关键词】模拟人；培训；产科；急救 * Application of Simulator in Maternity First-aid Training HU Chun-xiu ，WU Ming，HAN * Ling-xiao，ZHAO Guang-jian. Department of Obstetrics and Gynecology, Affiliated Hospital,Logistics College ofChinesePeople’sArmedPoliceForces,Tianjin，300162，China Correspondingauthor:ZHAOGuang-jian，Email:chunxiuchunxiu@126.com 【Abstract】Objective Todeterminewhetherasimulatedtrainingscenarioimprovesobstetricresident competency in the treatment of obstetric emergency. Methods By using NOELLE birthing simulator, the residents were trained on neonatal resuscitation, and emergency treatment of maternity shock, postpartum hemorrhage, CPR(cardio-pulmonary resuscitation), fetal distress, eclampsia, shoulder dystocia and forceps delivery. They were subsequently tested on a standardized emergency scenario and their performance was evaluatedwithexpertise.Besides,thequestionnairesontrainingwerecollectedandanalyzed.Results 94.8%of theresidentspassedthetest.Thequestionnairesshowthat 100%trainedresidentsthoughtitnecessarytooffer thetrainingcourse; 93.75%consideredsuchtraininghighlypractical; 100%belivedithelpfultoclinicalability; Throughtraining, 100%improvedoperativeskills;87.5%strenghenedtheircooperation,and75%promotedtheir communication.Conclusion Simulatedtrainingcanenhanceobstetrician’firstaidskillsand thereforeisworth spreading.