摘要
目的评价短期集中模拟培训与定期小组讨论相结合的模式在连续性肾替代治疗（CRRT）培训中的效果。方法将2014年4月~2014年12月在北京潞河医院重症医学科接受CRRT培训的初学学员根据培训模式不同分为两组;组1（短期集中模拟培训）,参加2周的CRRT集中强化理论学习和模拟操作,然后进入临床实际管理CRRT的运行,由资深临床医师指导答疑解惑,直至完成重症医学科轮转任务,共20人;组2（短期集中模拟培训＋定期小组讨论相结合）,除进行组1的培训内容外,尚进行每周2次、每次1小时的就管理CRRT中遇到的问题由学员集体讨论,最后由资深医师点评,共20人。两组学员的考核标准参照中华医学会重症医学分会发布的CRRT临床指南确定,包括管路安装、模式的选择、参数的设定、治疗量的选择、以及治疗过程中血气分析和电解质检查结果的判读等五个部分,每部分分三个等级,分值为1~5不等。结果与组1相比,组2在CRRT模式的选择（P=0.03）、参数的设定（P=0.02）、血气分析和电解质检查结果的判读（P=0.00）等方面掌握的更好、得分更高。而在管路安装方面（P=0.08）,组1和组2的差异并不明显。结论短期集中模拟培训与定期小组讨论相结合的模式能明显提高CRRT培训的效果。
Objective To evaluate the effect of clinical study in a short-term simulation training combined regular group discussion model in continuous renal replacement therapy（CRRT）. Methods Beginner of CRRT in critical care medicine department of Beijing Luhe hospital in 2014 April to 2014 December who according to different training modes are divided into two groups; group 1（short-term focus simulation training）, participated in 2 weeks of CRRT concentrated strengthening theoretical study and simulation operation, and then enter the clinical practical management of the operation of CRRT, by the senior clinicians guidance answering doubts, until the completion of intensive medicine rotation task, a total of 20 people; group 2（short-term focus simulation training add a regular discussion groups）, in addition to the contents of the training group 1, there were 2 times, 1 hours every week to discuss each of the management, encountered problems in CRRT by the student collective, and finally by the senior physician reviews. Two groups of students examination standard reference to the Chinese Medical Association Society of critical care medicine, published clinical guidelines for CRRT determination, the five part includes the installation of pipelines, model selection, parameter setting, treating amount of choice, and the treatment process analysis of arterial blood gas and electrolyte test results interpretation, each part is divided into three grades, scores for 1~5. Results Compared with group 1, group 2 in the choice of the CRRT mode（P=0.03）, the setting of the parameters（P=0.02）, the interpretation of blood gas analysis and electrolyte test results（P=0.00） better, scoring and other areas have higher. And installation in the pipeline（P=0.08）, there is no obvious difference between group 1 and group 2. Conclusion Combined model of short-term simulation training add regular group discussion can significantly improve the training effect in CRRT, it is worthy of popularization and application.
出处
《继续医学教育》
2015年第4期10-12,共3页
Continuing Medical Education
关键词
培训
模式
连续性肾替代治疗
Training
Model
Continuous renal replacement therapy
