解决气管问题:新出现的气管切除术和喉腔切除术修改了基于团队的学习活动.
Caroline Astemborski1, Emily Grass2
1Prisma Health Upstate, University of South Carolina School of Medicine Greenville, Department of Emergency Medicine, Greenville, SC.
Journal of education & teaching in emergency medicine
|November 10, 2025
概括
紧急医生可以通过修改的基于团队的学习课程来改善气管切除术患者的护理. 这项培训增强了对气管切除术 (人工呼吸道) 和喉切除术并发症的知识,提高了呼吸道管理技能.
科学领域:
- 紧急医疗 紧急医疗
- 医学教育 医学教育
- 手术解剖学手术解剖学
背景情况:
- 气管切除术是通过手术创建的呼吸道,对于呼吸道受阻或需要长期通风的患者至关重要.
- 与气管切除术相关的并发症发生在40-50%的患者中,高达1%的并发症可能危及生命.
- 喉切除术虽然较为罕见,但与气管切除术相比,它涉及不同的解剖学和管理,需要紧急医生的专业知识.
研究的目的:
- 评估修改的基于团队学习 (TBL) 课程在准备急诊医学住院医生和医学学生管理气管切除和喉管切除紧急情况时的有效性.
- 为了提高学习者对解剖学的理解,常见的演示文稿,以及在急诊部治疗气管切除术和喉腔切除术并发症的管理.
主要方法:
- 一个修改的基于团队的学习 (TBL) 活动,包括学习者负责的内容,一组准备评估测试 (gRAT) 带有即时反,以及一组应用练习 (GAE).
- 使用利克特尺度进行了会议后调查,以评估相关性,知识获取,临床实践改进,参与和交付.
主要成果:
- 26名参与者 (急诊医生和医学学生) 完成了调查.
- 4.78的加权平均值表明,有关气管切除术患者护理的知识有了显著的改善.
- 88.5%的人认为TBL材料与紧急医疗实践非常相关,88.4%的人报告了高参与度.
结论:
- 修改后的TBL会话有效地提高了紧急医疗学员在治疗气管切除术和喉腔切除术并发症方面的知识和舒适性.
- 学习者认为这次会议非常相关和有吸引力,强调了它在为关键的气道紧急情况做好准备的好处.
- 未来会议的建议包括将呼吸治疗师纳入增强学习和解决初级住院人员之前接触较少的需求.
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