基于模拟的培训对医学学生全血输血能力的影响
Rebekah Cole1,2, Cynthia Shen1, Jonathan Shumaker1
1Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Transfusion
|May 24, 2024
概括
基于模拟的培训显著提高了医学学生的全血输血技能和信心. 这种方法有效地训练未来的医生在紧急输血程序,即使有有限的资源.
科学领域:
- 医学教育 医学教育
- 紧急医疗 紧急医疗
- 进行外科手术培训.
背景情况:
- 整体输血改善了在军事和民用环境中患者的生存率.
- 目前的美国医学教育缺乏专门的全血输血课程.
- 需要对输血医学进行有效培训至关重要.
研究的目的:
- 评估基于模拟的培训对医学学生进行全血输血的能力的影响.
- 评估基于模拟的培训对医学学生对进行全血输血的信心的影响.
主要方法:
- 157名军医三年级学生参加了为期2天的高真实性延长伤亡护理模拟 (火药行动).
- 在模拟之前和之后评估了进行全血输血的性能.
- 配对样本t测试用于比较模拟前后分数,信心和压力等级.
主要成果:
- 在模拟后观察到性能得分的显著改善 (p < .001),效果大小大 (d = 6.56).
- 在模拟后报告了自我报告的信心显著增加和压力下降 (p < .001).
- 该培训对实践技能和心理准备都产生了实质性的积极影响.
结论:
- 基于模拟的培训是教医学生全血输血程序的有效方法.
- 这种培训模式在资源有限的模拟环境中尤其有价值.
- 这些发现支持将模拟纳入输血医学教育的医学课程.
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