在基于模拟的培训后,面临心脏骤停的专业护理人员中减少了焦虑症状
Thomas Klein1,2,3, Antoine Kimmoun4,5, Guillaume Granier4
1Service de Médecine Intensive et Réanimation Brabois, CHRU Nancy, Pôle Cardio-Médico-Chirurgical, University Hospital of Nancy-Brabois, Rue du Morvan, 54511, Vandoeuvre-les-Nancy, France. t.klein@chru-nancy.fr.
Scientific reports
|March 20, 2025
概括
基于模拟的培训显著降低了心脏骤停管理的专业护理人员的焦虑和提高了自我效能. 这些对焦虑和自信的积极影响在训练后的三个月内持续下去.
科学领域:
- 医学教育 医学教育
- 紧急医疗 紧急医疗
- 心理学 心理学 心理学
背景情况:
- 专业护理人员在医院内发生心脏骤停事件后面临严重的心理痛苦,包括创伤后应激障碍.
- 焦虑和自我效能降低可能会在关键事件期间损害护理人员的表现.
研究的目的:
- 评估基于模拟的培训对专业护理人员焦虑症状和自我有效性的长期影响.
- 评估在特定的培训干预后持续的行为改善.
主要方法:
- 一项前性,单中心试点研究涉及56名专业护理人员,其中26人在基于模拟的培训组和30名对照组.
- 焦虑 (斯皮尔伯格状态特征焦虑库存) 和自我效率 (心肺复苏自我效率表) 在训练前,训练后立即,并在3个月后进行测量.
- 模拟涉及初级医疗保健团队在现实的心脏骤停场景.
主要成果:
- 在受过训练和对照组之间,焦虑症状没有立即显著的差异.
- 在干预后3个月的训练组中,观察到状态和特征焦虑的显著下降.
- 在基于模拟的培训组中,在3个月的随访期内,自我有效性得分显著改善.
结论:
- 基于模拟的培训可以持续改善专业护理人员与心脏骤停相关的焦虑管理和自我有效性.
- 这些发现支持模拟培训的实用性,用于提高关怀者在重症监护机构的福祉和能力.
- 需要进一步的研究来确定最佳的训练频率和长期疗效.
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