摘要
目的探讨新型心肺复苏计分简表在新生心肺复苏教学和考核中的应用。方法按照培养年限不同，分为五年制组（1515人）和四年制组（1708人）。五年制组采用常规教学，四年制组采用常规教学辅以针对性重点教学，两组考核均采用此计分表。分别比较两组平均分、不及格率、满分率、计分简表中13项操作的错误发生率。采用SPSS19．0软件进行t检验、卡方检验。结果四年制组学生在平均分、满分率方面均高于五年制组（t=3．118，P=0．002；X^2=26．798，P=0．000），不及格率低于五年制组（x^2=14．159，P=-0．000），差异有统计学意义。五年制组现场安全评估（x〈44．764，P=-0．000）、呼救（x^2=8．854，P=0．003）、按压部位（X^2=10．236，P=0．001）、按压深度（x^2=140．775，P=O．000）、按压中断〈10s（x^2=7．377，P=0．007）、开放气道（x^2=20．209，P=0．000）、两次有效人工呼吸（x^2=37．669，P=0．000）、评估（x^2=20．898，P=0．000）、人文关怀（x^2=45．673，P=O．000）9项错误发生率均高于四年制组；在识别心搏骤停（x^2=3．316，P=0．069）、按压频率（x^2=0．234，P=0．629）、充分回弹（x^2=0．18，P=0．671）、按压点移动（x^2=3．614，P=0．057）4项操作错误发生率方面，两组差异无统计学意义。结论新型心肺复苏计分简表能够客观反映学生操作情况，快速总结操作错误区。反馈指导教学，适用于大批量考核，使用方便，节省教学工作量。
Objective To explore the application of new-type cardio-pulmonary resuscitation （CPR） marking table in CPR teaching and assessment of new students. Method The students were divided into five-year group and four-year group based on different cultivation durations; the five-year group received conventional teaching while the four-year group received targeted teachingfocusing on key points on that basis. The assessment of both groups applied this marking table to compare average score, failure rate, full mark rate and error rate of 13 operations in marking table between the two groups. With the help of SPSS 19.0 software, the results were analyzed by t-test and chi-square test. Result The four-year group was higher than five-year group in average score and full mark rate （t=3.118, P=0.002; x^2=26.798, P=0.000）, but it was lower than five-year group in failure rate （x^2=14.159, P=0.000）, the difference was statistically significant. The error rate of 9 operations in five-year group, including on-sitesafety assessment （x^2=44.764, P=0.000）, calling for help （x^2=-8.854, P=0.003）, press part （x^2=10.236, P=-0.001）, press depth （x^2=140.775, P=-0.000）,press interruption〈10 s （x^2=-7.377, P=-0.007）, opening airway （x^2=20.209, P=0.000）, twice effective artificial respiration （x^2=37.669, P=0.000）, evaluation （x^2=20.898, P=0.000） and humanistic care （x^2=45.673, P= 0.000）, were higher than that in four-year group; the difference of error rate of 4 operations between two groups was not statistically significant, including recognizing sudden cardiac arrest （x^2=3.316, P=0.069）, press frequency （x^2=0.234, P=0.629）, full resilience （x^2=0.18, P=0.671） and press point movement （x^2= 3.614, P=0.057）. Conclusion The new-type CPR marking table objectively reflects students＇ operation, summarizes operation errors and gives feedback of guidance teaching, so it is applicable for mass assessment with convenient use and less teaching load.
出处
《中华医学教育探索杂志》
2018年第1期49-52,共4页
Chinese Journal of Medical Education Research
基金
湖北省教育科学规划2015年度重点课题（2015GA053）
关键词
心肺复苏
计分表
教学
考核
Cardio-pulmonary resuscitation
Marking table
Teaching
Assessment
