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高保真与低保真模拟器模型培训对儿科住院医师新生儿插管技能的影响:一项随机对照试验。

Effect of training using high-versus low-fidelity simulator mannequins on neonatal intubation skills of pediatric residents: a randomized controlled trial.

机构信息

Department of Pediatrics, Division of Neonatology, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.

King Abdulaziz University Hospital, Jeddah, Saudi Arabia.

出版信息

BMC Med Educ. 2022 Jun 25;22(1):497. doi: 10.1186/s12909-022-03572-8.

DOI:10.1186/s12909-022-03572-8
PMID:35752776
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9233370/
Abstract

BACKGROUND

Mounting evidence supports the effective acquisition of skills through simulation-based training including intubation skills of neonates. Our aim is to compare the effect of using high- versus low-fidelity mannequin simulation-based training on the acquisition and retention of neonatal intubation skills by junior pediatric residents.

METHODS

Randomized controlled trial involving first- and second-year pediatric residents from two centers in Jeddah, Saudi Arabia.

RESULTS

Twenty-eight junior pediatric residents (12 low- and 16 high-fidelity mannequins) completed the study. A significantly greater number of residents achieved and retained the required skills after completing the training course in both arms. There was no significant difference in the achieved skills between residents trained on high- versus low-fidelity mannequins at the baseline, immediately after training, and at 6-9 months after training.

CONCLUSION

Simulation-based training resulted in improving pediatric residents' intubation skills regardless of the level of fidelity.

摘要

背景

越来越多的证据支持通过基于模拟的培训来有效掌握技能,包括新生儿的插管技能。我们的目的是比较使用高保真度和低保真度模拟人进行基于模拟的培训对初级儿科住院医师获得和保留新生儿插管技能的效果。

方法

这是一项在沙特阿拉伯吉达的两个中心进行的随机对照试验,涉及到第一和第二年的儿科住院医师。

结果

28 名初级儿科住院医师(12 名使用低保真度模拟人,16 名使用高保真度模拟人)完成了这项研究。在两个组中,完成培训课程的住院医师都有更多的人获得并保留了所需的技能。在基线、培训后立即以及培训后 6-9 个月,接受高保真度和低保真度模拟人培训的住院医师在获得的技能方面没有显著差异。

结论

无论模拟人逼真度如何,基于模拟的培训都能提高儿科住院医师的插管技能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f112/9233370/ac72489385ed/12909_2022_3572_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f112/9233370/53c106297811/12909_2022_3572_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f112/9233370/ac72489385ed/12909_2022_3572_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f112/9233370/53c106297811/12909_2022_3572_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f112/9233370/ac72489385ed/12909_2022_3572_Fig2_HTML.jpg

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Pediatrics. 2019 Jan;143(1). doi: 10.1542/peds.2018-0902. Epub 2018 Dec 11.
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Simulation-based medical education in pediatrics.基于模拟的儿科学医学教育。
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Simulation training in endotracheal intubation in a pediatric residency.儿科住院医师培训中的气管插管模拟训练。
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Bedside critical care training: A quasi-experimental study in the paediatric emergency department of a referral hospital in Nigeria.床边重症护理培训:尼日利亚一家转诊医院儿科急诊科的一项准实验研究。
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Use of digital technologies for staff education and training programmes on newborn resuscitation and complication management: a scoping review.应用数字技术开展新生儿复苏和并发症管理相关的员工教育和培训项目:范围综述。
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