摘要目的 评价基于临床流程为导向的急诊气道管理培训的培训效果。方法 选取急诊科一线值班医师,根据是否参加过基于临床流程为导向的急诊气道管理课程分为研究组和对照组。设置模拟临床情景分别进行考核。结果 40名临床医师入选,其中研究组19人,对照组21人。研究组与对照组根据气道管理考核评分比较,在插管指征部分的通气条件得分(4.37±0.93 vs. 3.62±1.25),预防性插管得分(4.37±0.93 vs. 2.90±2.02),准备部分的患者气道评估得分(4.37±1.56 vs. 1.48±1.79),操作部分的预氧合得分(4.58±0.82 vs. 3.48±1.89),预治疗得分(4.42±1.27 vs. 2.67±2.38),总得分(84.84±11.63 vs. 76.67±11.52)均优于对照组(P<0.05)。其他部分两组得分比较差异无统计学意义(P>0.05)。结论 基于临床流程为导向的急诊气道管理课程不仅能够保证气管插管技能培训效果的同时,还能培养学员掌握合理临床流程, 更好地满足临床岗位胜任力的需求。
孙峰,付阳阳,余姗姗,姚慧,戴佳原,于学忠,徐军. 基于临床流程为导向的急诊气道管理培训与传统培训效果的比较研究[J]. 中国急救医学, 2018, 38(9): 773-776.
Sun Feng, Fu Yang-yang, Yu Shan-shan, Yao Hui, Dai Jia-yuan, Yu Xue-zhong, Xu Jun. A comparative study of the clinical process-oriented emergency airway management training and traditional training. Chinese Journal of Critical Care Medicine, 2018, 38(9): 773-776.
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