[1]王钰姝,张宏雁,谢锦,等.基于提升中西医结合急救思维的医护团队情景教学模式探索[J].西部中医药,2025,38(06):47-51.[doi:10.12174/j.issn.2096-9600.2025.06.10]
　WANG Yushu,ZHANG Hongyan,XIE Jin,et al.Exploration into Scenario-based Simulation Teaching Mode for Medical Teams Based on Improving the Thought of Integrated Medicine for Emergency Treatment[J].Western Journal of Traditional Chinese Medicine,2025,38(06):47-51.[doi:10.12174/j.issn.2096-9600.2025.06.10]
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基于提升中西医结合急救思维的医护团队情景教学模式探索()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
38
期数:
2025年06期
页码:
47-51
栏目:
调查分析
出版日期:
2025-06-15

文章信息/Info

Title:
Exploration into Scenario-based Simulation Teaching Mode for Medical Teams Based on Improving the Thought of Integrated Medicine for Emergency Treatment
作者:
王钰姝1, 张宏雁2, 谢锦3, 唐静4, 齐君1, 谭瑶2
1.陆军军医大学第一附属医院，重庆 400038
2.陆军军医大学，重庆 400037
3.陆军特色医学中心临床技能培训中心，重庆 400042
4.重庆江北区中医院，重庆 400020
Author(s):
WANG Yushu1, ZHANG Hongyan2, XIE Jin3, TANG Jing4, QI Jun1, TAN Yao2
关键词:
急救思维; 教学; 规培生; 急诊科; 中西医结合
Keywords:
first-aid thinking; teaching; trainee; emergency department; integrated medicine
分类号:
R278
DOI:
10.12174/j.issn.2096-9600.2025.06.10
文献标志码:
B
摘要:
目的分析中西医结合急救思维的医护团队情景教学模式在临床中的应用效果。 方法选取在急诊科培训的45名护理规培生、45名住培医生，设为改革前组，接受常规教学法；另外选取在急诊科培训的45名护理规培生、45名住培医生，设为改革后组，接受提升中西医结合急救思维的医护团队情景教学模式。比较两组学生教学成绩、中西医结合急救意识与急诊临床思维、急救能力、规培生对理论与实践教学质量的评价。 结果改革后组学生的中医急诊虚实辨证能力、急诊救治基本原则、举轻若重及中性治疗原则、概率分配及一元性思维原则、危重病遏制理论、危急值判读能力、首诊负责制原则、降阶梯治疗原则、发散思维能力、医患矛盾处理与自我情绪控制能力评分均高于改革前组（P＜0.05）；改革后组学生的平时成绩、理论成绩、操作能力评分高于改革前组（P＜0.001）；改革后组学生对带教老师讲解内容满意度、培训是否体现领域新成果、新研究与解决突出问题以及对培训整体安排、对授课形式、对教学材料、对带教老师教学能力、对教学切入临床实际应用、对教学设施完善与否、对教学环境满意评价良好占比高于改革前组（P＜0.05）；改革后组学生的案例病情判断/护理操作、抢救成功、应急处理敏捷性、应急处理条理性、协调指挥能力、医护配合能力、病历记录评分均高于改革前组（P＜0.05）。 结论提升中西医结合急救思维的医护团队情景教学模式有助于辅助规培生具备中西医结合急救思维，提高其培训成绩与急救能力。
Abstract:
ObjectiveTo analyze the application effects of scenario-based simulation teaching mode for medical teams based on the thought of integrated medicine for emergency treatment in clinic. MethodsA total of 45 nursing trainees and 45 resident physicians who accepted training in the emergency department were chosen and set as the pre-reform group, and they accepted conventional teaching method; in addition, another 45 nursing trainees and 45 resident physicians trained in the emergency department were selected and set as the post-reform group, and they accepted scenario-based simulation teaching mode for medical teams so as to improve the thought of integrated medicine for emergency treatment. To compare the teaching performance, first-aid awareness of integrated medicine and clinical thinking of emergency, first-aid ability, and the trainees’ assessment of the quality of theoretical and practical teaching between both groups. ResultsThe post-reform group was higher than the pre-reform group in the trainees’ TCM emergency ability of differentiating the deficiency and excess, the scores of basic principles of emergency treatment, treating simple treatment seriously and neutral treatment principle, probability distribution and the principles of unified thinking, critical illness containment theory, the interpretation of critical values, the principles of the first diagnosis responsibility system, de-escalation therapeutic principles, divergent thinking, handling doctor-patient conflicts and self-emotional ability (P<0.05); the scores of the trainee’s usual performance, theoretical scores, and operational capacity of post-reform group were higher than these of the pre-reform group (P<0.001); the post-reform group was higher than the pre-reform group in the trainees’ satisfaction to the instructors’ explanation, whether the training could reflect on new results and new study, and solve prominent problems, the proportion of good evaluation of the overall arrangements of the training, the type of instruction, teaching materials, the instructors’ teaching ability, application of teaching in clinical practice, whether teaching equipment is perfect, whether they are satisfied with teaching environment (P<0.05); the post-reform group was higher than the pre-reform group in the trainees’ judgement on the disease conditions of the cases and their nursing operation, successful rescue, the agility and organization of emergency handling, coordination and command ability, doctor-nurse cooperation ability and the scores of medical records (P<0.05). ConclusionScenario-based simulation teaching mode for medical teams based on the thought of integrated medicine for emergency treatment is helpful to cultivate the trainees’ first-aid thinking of integrated medicine, improve their training score and emergency ability.

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备注/Memo

备注/Memo:
王钰姝（1984—），女，硕士学位，副主任护师。研究方向：急诊教学、创伤急救。重庆市科卫联合医学科研项目（2022DBXM004）；陆军军医大学人文社科基金（2020XRW09）。
更新日期/Last Update: 2025-06-15