在重症医疗评估中的患者管理问题
Ahlem Trifi1, Aida Benzarti2, Asma Mehdi1
1Medical intensive care unit, la Rabta hospital, Tunis, Tunisia.
La Tunisie medicale
|May 15, 2024
概括
患者管理问题 (PMP) 和临床病例 (CC) 评估显示,重症监护医学学生的得分相似. 学生们更喜欢PMP,因为它们对决策的相关性和影响,并建议它们更广泛地使用.
科学领域:
- 医学教育 医学教育
- 密集护理医学 密集护理医学
背景情况:
- 患者管理问题 (PMP) 的使用在重症监护医学 (ICM) 中是有限的.
- 学生对PMP有效性的反缺乏.
研究的目的:
- 为了比较PMP与临床病例 (CC) 的可行性,作为ICM中的评估工具.
- 评估学生对这些评估方法的看法.
主要方法:
- 横截面随机试验涉及第三年ICM外部人员.
- 两个PMP与两个分组的多选择题 (MCQ) 的比较-CC.
- 评估决策过程,相关性,参与和难度.
主要成果:
- 在PMP和CC评估之间的得分没有显著差异.
- 学生报告说,他们对PMP的满意度更高 (p<10-3).
- 对决策 (p<10-3) 和学生参与 (p<10-3) 的PMP相关性显著更高.
- PMP对临床推理,自我评估,问题解决和决策产生了积极的影响.
结论:
- 在PMP和CC评估中,得分相似.
- 学生对PMP的偏好表明,ICM可能会更广泛地采用PMP.
- 建议加强教师培训,以支持PMP的实施.
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