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麻醉困難氣道處理模擬培訓(xùn)體系的構(gòu)建與評(píng)價(jià)

發(fā)布時(shí)間:2018-06-10 17:09

  本文選題:困難氣道處理 + 模擬培訓(xùn); 參考:《中南大學(xué)》2014年碩士論文


【摘要】:目的: 利用先進(jìn)的醫(yī)學(xué)模擬設(shè)備結(jié)合最新的困難氣道處理指南以及相關(guān)專業(yè)知識(shí)從臨床實(shí)踐出發(fā)建立科學(xué)的麻醉困難氣道處理模擬培訓(xùn)體系,有針對(duì)性地提高受訓(xùn)者的實(shí)踐操作能力,臨床思維能力和自主學(xué)習(xí)能力,滿足醫(yī)院對(duì)從業(yè)者業(yè)務(wù)能力方面的需求,提高麻醉專業(yè)的學(xué)科地位和影響力以及病人安全性。 方法: 1.建立麻醉困難氣道處理模擬培訓(xùn)體系 以麻醉專業(yè)知識(shí)內(nèi)容為基礎(chǔ)、依托于先進(jìn)的醫(yī)學(xué)模擬設(shè)備,結(jié)合最新的困難氣道處理指南,建立麻醉困難氣道處理模擬培訓(xùn)體系的框架結(jié)構(gòu),以及后續(xù)實(shí)踐麻醉困難氣道處理模擬培訓(xùn)體系的相關(guān)考核評(píng)價(jià)方法。 2.通過(guò)實(shí)踐評(píng)價(jià)困難氣道處理模擬培訓(xùn)體系的有效性和可行性 選擇60名麻醉住院醫(yī)師,訓(xùn)練前在高級(jí)生理驅(qū)動(dòng)模擬人上模擬操作四個(gè)病例,記錄處理困難氣道的初次成績(jī),再對(duì)這60名住院醫(yī)師進(jìn)行困難氣道處理模擬培訓(xùn)體系的培訓(xùn),再使用核心內(nèi)容相同的四個(gè)模擬病例檢驗(yàn)麻醉住院醫(yī)師的困難氣道處理能力。將兩者結(jié)果進(jìn)行統(tǒng)計(jì)分析對(duì)比。 結(jié)果:建立困難氣道處理模擬培訓(xùn)體系,經(jīng)該體系培訓(xùn)后的麻醉醫(yī)師模擬病例的通過(guò)率顯著高于培訓(xùn)前通過(guò)率(P0.05),提示建立的困難氣道處理模擬培訓(xùn)體系能夠滿足困難氣道處理的臨床培訓(xùn)需求。 結(jié)論:建立的麻醉困難氣道處理模擬培訓(xùn)體系滿足臨床能夠提高麻醉從業(yè)人員的困難氣道處理能力以及臨床業(yè)務(wù)能力的需求。
[Abstract]:Objective: to establish a scientific training system for anaesthesia difficult airway management by using advanced medical simulation equipment combined with the latest guidance of difficult airway management and related professional knowledge from clinical practice. To improve the trainees' practical ability, clinical thinking ability and autonomous learning ability, to meet the needs of hospital practitioners' professional ability, to improve the subject status and influence of anesthetic specialty and patient safety. The establishment of anaesthesia difficult airway management simulation training system based on anesthetic professional knowledge, relying on advanced medical simulation equipment, combined with the latest difficult airway management guidelines, The frame structure of anaesthesia difficult airway treatment simulation training system was established, and the related assessment methods of anaesthesia difficult airway treatment simulation training system were established. 2. Through practical evaluation of the effectiveness and feasibility of the training system for difficult airway management, 60 anesthetized residents were selected. Four cases were simulated and operated on an advanced physiologically driven simulator before training, and the initial scores of difficult airway management were recorded. The 60 residents were trained in the difficult airway management simulation training system, and four simulated cases with the same core content were used to test the difficult airway processing ability of the anesthetized residents. Results: the simulation training system of difficult airway processing was established. The passing rate of anaesthetist simulated cases after training was significantly higher than that of pre-training (P0.05), which suggested that the simulated training system for difficult airway management could meet the clinical training needs of difficult airway management. The anaesthesia difficult airway management simulation training system can meet the needs of clinical staff to improve the ability of difficult airway management and clinical skills.
【學(xué)位授予單位】:中南大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2014
【分類號(hào)】:R614

【參考文獻(xiàn)】

相關(guān)期刊論文 前1條

1 劉鯤鵬;宋潔;劉前進(jìn);;ASA 2013年困難氣道管理指南解讀[J];臨床麻醉學(xué)雜志;2013年09期

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本文編號(hào):2003972

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