原位模拟教学在麻醉科轮转住培医师心肺复苏培训中的应用效果

Application Effect of In Situ Simulation on Cardiopulmonary Resuscitation Training among Resident Physicians

摘要: 目的：探讨原位模拟教学在麻醉科轮转住培医师心肺复苏培训中的应用效果。方法：选择2025年7月至2026年5月于重庆医科大学附属永川医院麻醉科轮转培训的住院医师规范化培训(以下简称住培)医师作为研究对象，采用随机数字表法分为对照组(n = 28)和观察组(n = 27)，共55名住培医师纳入研究。两组均接受相同的理论培训，在此基础上，对照组于技能培训中心应用模拟人开展传统模拟教学，观察组于手术间应用模拟人开展原位模拟教学。比较两组理论考试成绩、心肺复苏技能操作成绩及其提升幅度，并于培训后进行非技术能力评价和教学效果主观评价。结果：培训后，观察组理论考试成绩为(89.15 ± 2.79)分，高于对照组的(87.29 ± 3.29)分(t = 2.264, P = 0.028)；心肺复苏技能操作成绩为(91.78 ± 2.12)分，高于对照组的(90.39 ± 2.67)分(t = 2.125, P = 0.038)，且两项成绩提升幅度均高于对照组(P均<0.05)。观察组非技术能力总分为(41.52 ± 2.55)分，高于对照组的(37.39 ± 2.13)分(t = 6.523, P < 0.001)，各维度评分及教学效果主观评价4个方面的评分均高于对照组(P均<0.05)，差异均有统计学意义。结论：原位模拟教学有助于提高麻醉科轮转住培医师心肺复苏培训效果，并促进非技术能力培养，可为围术期危机事件模拟教学提供参考。

Abstract: Objective: To investigate the effect of in situ simulation on cardiopulmonary resuscitation (CPR) training among resident physicians undergoing anesthesiology rotation. Methods: A total of 55 resident physicians undergoing anesthesiology rotation at The Affiliated Yongchuan Hospital of Chongqing Medical University from July 2025 to May 2026 were enrolled and randomly assigned to the control group (n = 28) or the observation group (n = 27) using a random number table. Both groups received the same theoretical training. The control group received conventional simulation training in the clinical skills training center, while the observation group received in situ simulation training in the operating room. Theoretical examination scores, CPR practical skills scores, and changes in these scores were compared between the two groups. Non-technical skills and subjective evaluations of teaching effectiveness were assessed after training. Results: After training, the observation group achieved higher theoretical examination scores (89.15 ± 2.79 vs. 87.29 ± 3.29; t = 2.264, P = 0.028) and CPR practical skills scores (91.78 ± 2.12 vs. 90.39 ± 2.67; t = 2.125, P = 0.038), than the control group, and both score improvements were also greater in the observation group (P < 0.05). The non-technical skills score was higher in the observation group (41.52 ± 2.55 vs. 37.39 ± 2.13; t = 6.523, P < 0.001). In addition, the observation group showed higher scores in all dimensions of non-technical skills and more positive subjective evaluations of teaching effectiveness (P < 0.05). Conclusion: In situ simulation training demonstrated potential value in improving cardiopulmonary resuscitation training outcomes and promoting the development of non-technical skills among resident physicians undergoing anesthesiology rotation, and may inform perioperative crisis simulation training.