CAJ | 학술논문

目的评价高仿真模拟教学在医务人员心肺复苏培训中的应用效果.方法计算机检索2000年至2013年,Cochrane Library、Pubmed、Web of Knowledge、CBM、万方和CNKI中关于医务人员使用高仿真模拟人开展心肺复苏培训的随机对照实验和类实验研究,同时筛检纳入文献的参考文献.由2名研究者对文献质量进行严格评价和资料提取,对符合质量标准的研究进行Meta分析.结果共纳入10项类实验研究及1项RCT.质量评价结果显示,纳入研究的总体质量不高.6项研究的Meta分析显示,高仿真模拟教学与传统教学相比,心肺复苏理论知识的掌握方面比较差异无统计学意义;10项研究的Meta分析显示,高仿真模拟教学与传统教学相比,心肺复苏操作技能的掌握比较差异有统计学意义.结论高仿真模拟教学在心肺复苏操作技能的掌握方面是积极有效的,优于传统教学方法,但在理论知识的获得以及满意度、自信心方面仍需更多的研究进一步证实.
목적 평개고방진모의교학재의무인원심폐복소배훈중적응용효과.방법 계산궤검색2000년지2013년,Cochrane Library、Pubmed、Web of Knowledge、CBM、만방화CNKI중관우의무인원사용고방진모의인개전심폐복소배훈적수궤대조실험화류실험연구,동시사검납입문헌적삼고문헌.유2명연구자대문헌질량진행엄격평개화자료제취,대부합질량표준적연구진행Meta분석.결과 공납입10항류실험연구급1항RCT.질량평개결과현시,납입연구적총체질량불고.6항연구적Meta분석현시,고방진모의교학여전통교학상비,심폐복소이론지식적장악방면비교차이무통계학의의;10항연구적Meta분석현시,고방진모의교학여전통교학상비,심폐복소조작기능적장악비교차이유통계학의의.결론 고방진모의교학재심폐복소조작기능적장악방면시적겁유효적,우우전통교학방법,단재이론지식적획득이급만의도、자신심방면잉수경다적연구진일보증실.
Objective To evaluate the effectiveness of using high-fidelity simulator (HFS) in medical training of cardiopulmonary resuscitation (CPR).Methods The randomized controlled trials (RCTs),quasi-randomized controlled trials (q-RCTs) about comparing HFS with traditional teaching methods in medical training of CPR were searched from Cochrane Library,Pubmed,Web of Knowledge,CNKI,CBM and Wanfang Data.The methodological quality of the included studies was assessed and the valid data were extracted.Meta-analysis was conducted with the Cochrane Collaboration RevMan 5.0.Results Ten q-RCTs and one RCT were included.The quality of the studies were relatively low.Meta-analysis showed that compared with the traditional teaching method,high-fidelity simulation in medical training of CPR had no statistically significant differences in mastering the theoretical knowledge,but had statistically significant differences in mastering the CPR skills.Conclusions HFS in medical training of CPR skills is positive and effective,superior to the traditional teaching methods,but in terms of theoretical knowledge and satisfaction,self-confidence,more researches still need to be further confirmed.