Simulation-based training in neonatal resuscitation program for residents

目的：探索新生儿仿真模拟人在儿科住院医师新生儿复苏培训中的应用效果。方法2011年6月至2012年6月，对11名新生儿病房住院医师进行新生儿复苏培训，培训前进行评估；利用新生儿仿真模拟人以案例模拟教学方式进行培训，培训后进行考核。应用SPSS 18.0进行统计分析，培训前成绩与培训后成绩比较应用配对t检验，P<0.05认为差异有统计学意义。并通过问卷调查获得住院医师的反馈意见。结果培训前住院医师考核平均成绩为（37.82±1.17）分，培训后平均成绩（39.18±0.87）分，培训前后平均成绩比较，差异有统计学意义（t=4.89， P<0.01）。问卷调查显示，参加培训的住院医师均认为模拟装置辅助的教学方式很好。结论应用新生儿仿真模拟人，结合案例模拟教学，进行新生儿复苏培训，能取得良好效果。Objective To examine the effectiveness of simulation newborn simulator in neona-tal resuscitation training for pediatric residents. Methods From June 2011 to June 2012, 11 residents working in neonatal ward of the Third Hospital of Peking University were enrolled into the study. Eval-uation on the residents was made before the training. Training of simulated teaching using simulation newborn simulator was conducted and evaluation was made after the training. SPSS 18.0 was used for statistical analysis. Comparison was made between pre- and post-training test by paired t test. P<0.05 was considered statistical significant. Questionnaire survey was conduct to acquire residents' feedback. Results A total of 11 participants completed the training and finished the questionnaire. The score of pre-training was 37.82±1.17 versus that of post-training 39.18±0.87(t=4.89, P<0.01). All residents were satisfied with the simulation-based training. Conclusion Simulation training can improve pedi-atric residents' knowledge and skills in neonatal resuscitation.2010年北京大学医学部教育教学研究课题中国科技核心期刊(ISTIC)03309-31