Klein Thomas, Kimmoun Antoine, Granier Guillaume, Hani Hind, Levy Bruno, Viaux Alain, Zuily Stéphane, Valentin Simon
Service 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.
Faculté de Médecine, INSERM U1116 DCAC, 54511, Vandoeuvre-les-Nancy, France.
Sci Rep. 2025 Mar 19;15(1):9406. doi: 10.1038/s41598-025-93932-3.
Professional caregivers often suffer from post-traumatic stress disorder after intra-hospital cardiac arrest. The aim of our study was to describe long-term evolution of symptoms of anxiety among professional caregivers after a simulation-based training. Our study was a prospective, single-center pilot study conducted at Nancy-Brabois University Hospital. The sample included 56 professional caregivers, divided into two groups: 26 participants who underwent simulation-based training and 30 controls who did not participate during the study period. This sample size was determined based on the availability of participants and the exploratory nature of the pilot study. Each simulation involved a team of junior healthcare providers. Symptoms of anxiety and self-efficacy were assessed using standardized scales before, immediately after, and 3 months post-training. Control professional caregivers completed the same assessments without training. The symptoms of anxiety were assessed using the Spielberger State-Trait Anxiety Inventory (STAI) questionnaire while self-efficacy was assessed by Cardiopulmonary Resuscitation Self-Efficacy Scale (CPR-SES). Nine simulation-based training sessions were conducted, each including a team of professional caregivers (one junior physician, one junior nurse, and one care assistant). There was no significant difference in symptoms of anxiety immediately after training. However, after 3 months, both state and trait anxiety significantly decreased, while self-efficacy improved among the professional caregivers who attended the simulation-based training. Our study shows sustained behavioral improvements in professional caregivers after simulation-based training, enhancing their self-efficacy in cardiac arrest management. Further research is needed to evaluate the longevity and necessity of repeated training sessions.
专业护理人员在院内心脏骤停后常患创伤后应激障碍。我们研究的目的是描述基于模拟训练的专业护理人员焦虑症状的长期演变。我们的研究是在南锡-布拉博瓦大学医院进行的一项前瞻性单中心试点研究。样本包括56名专业护理人员，分为两组：26名接受基于模拟训练的参与者和30名在研究期间未参与的对照组。这个样本量是根据参与者的可获得性和试点研究的探索性质确定的。每次模拟都有一组初级医疗保健人员参与。在训练前、训练后立即以及训练后3个月，使用标准化量表评估焦虑症状和自我效能感。对照组专业护理人员未经训练完成相同评估。使用斯皮尔伯格状态-特质焦虑量表（STAI）问卷评估焦虑症状，同时通过心肺复苏自我效能量表（CPR-SES）评估自我效能感。进行了9次基于模拟的训练课程，每次课程包括一组专业护理人员（一名初级医生、一名初级护士和一名护理助理）。训练后立即焦虑症状没有显著差异。然而，3个月后，接受基于模拟训练的专业护理人员的状态焦虑和特质焦虑均显著降低，同时自我效能感有所提高。我们的研究表明，基于模拟的训练后专业护理人员的行为有持续改善，增强了他们在心脏骤停管理方面的自我效能感。需要进一步研究来评估重复训练课程的持续性和必要性。
