西部中医药2025，Vol.38Issue(6)：47-51,5.DOI:10.12174/j.issn.2096-9600.2025.06.10
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
Exploration into Scenario-based Simulation Teaching Mode for Medical Teams Based on Improving the Thought of Integrated Medicine for Emergency Treatment
摘要
Abstract
Objective:To 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.Methods:A 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.Results:The 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).Conclusion:Scenario-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.关键词
急救思维/教学/规培生/急诊科/中西医结合Key words
first-aid thinking/teaching/trainee/emergency department/integrated medicine分类
医药卫生引用本文复制引用
王钰姝,张宏雁,谢锦,唐静,齐君,谭瑶..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(6):47-51,5.基金项目
重庆市科卫联合医学科研项目(2022DBXM004) （2022DBXM004）
陆军军医大学人文社科基金(2020XRW09). （2020XRW09）
