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通过模拟培训,提高内科医生对非侵入性正压通风和氧气方式的熟练程度
James Kang1, Jonathan Otero-Colon1, Joshua Fogel2
1Internal Medicine Nassau University Medical Center.
基于模拟的培训显著改善了内科医生对非侵入性正压通风 (NIPPV) 和氧气输送系统的知识和态度. 这项培训提高了居民的能力,并缩小了不同研究生年份的知识差距.
科学领域:
- 医学教育 医学教育
- 呼吸系统护理 呼吸系统护理
- 基于模拟的培训
背景情况:
- 有限的研究评估了模拟对非侵入性正压通风 (NIPPV) 和氧气输送的影响.
- 内科住院医生需要在呼吸干预方面进行强有力的培训.
研究的目的:
- 在基于模拟的培训后,评估内科医生在实习人员的知识和态度的变化.
- 评估NIPPV和氧气输送系统模拟的有效性.
主要方法:
- 在一小时的模拟程序中对78名居民 (PGY1-PGY3) 进行了回顾性研究.
- 培训包括关于氧气装置,高流量鼻和双级/持续正气道压力 (BIPAP/CPAP) 的讲座和站点.
- 培训前后的问卷调查评估了态度和知识.
主要成果:
- 舒适度和认知度显著增加,需要更多培训的需求减少 (所有p < 0.001).
- 具体问题的知识增加了48.7%-60.3%,案例情景的知识增加了29.4%-48.7% (所有p < 0.001).
- 消除了研究生年间的培训后知识差距;居民对培训的评价很高.
结论:
- 基于模拟的培训有效地改善了居民对氧气模式和NIPPV的态度和知识.
- 早期职业生涯居民 (PGY1,PGY2) 的知识水平与高级居民 (PGY3) 的知识水平相当.
- 模拟培训应整合到住院计划中,以提高呼吸护理能力.
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