适应模拟干预可以减少紧急医生在COVID-19期间照顾患者的生理压力:随机临床试验
Leigh V Evans1, James W Bonz1, Samuel Buck1
1Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, United States of America.
PloS one
|September 3, 2025
概括
适应模拟训练减少了急诊医生的生理压力. 这种干预,COVID-19响应干预:系统改进模拟 (CRI:SIS),改善了临床医生的福祉,并可能提高患者的安全性.
科学领域:
- 紧急医疗
- 医疗模拟
- 职业健康问题
背景情况:
- 紧急医疗 (EM) 医生面临着紧张的工作环境,导致疲劳并影响患者的护理质量.
- 优先考虑临床医生的福祉对于未来的医疗人员来说至关重要,
- 随着COVID-19大流行,前线医生面临的压力加剧.
研究的目的:
- 确定适应模拟干预 (CRI:SIS) 是否可以在COVID-19大流行期间降低EM医生的生理压力.
- 测量心率变化 (HRV) 作为生理压力的指标.
- 评估模拟对自我报告的焦虑水平的影响.
主要方法:
- 这是一项前性随机对照研究,
- 参与者分为干预组 (n=40) 接受3小时虚拟模拟 (CRI:SIS) 和控制组 (n=41) 没有接受干预.
- 在基线和临床转换期间,通过智能衫和状态- 路径焦虑库存 (STAI) 测量了生理压力.
主要成果:
- 两组之间没有显著的人口差异.
- 与对照组相比,干预组在CRI: SIS模拟后立即显示生理压力显著降低 (HRV增加,RMSSD差异为11.55毫秒,P=0.007).
- 两组之间没有发现干预后STAI得分的显著差异.
结论:
- 基于自适应模拟的教育干预 (CRI:SIS) 有效地减少了急诊医生的生理压力.
- 通过适应模拟来减少生理压力可能会提高患者的安全性和临床医生的幸福感.
- 模拟干预提供了一种有希望的方法来缓解医疗保健专业人员的倦怠和改善他们的幸福感.
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