摘要
目的探索住院医师创伤急救能力培训效果与心理压力的相关性。方法前瞻性选取2021年1月至2024年7月在绵阳市第三人民医院急诊科住院医师规范化培训(简称住培)的126名住院医师。观察组采取基于问题的学习(problem based-learning,PBL)教学法,对照组采取初级创伤救治(primary trauma care,PTC)教学法进行培训。用BSSI(beck srivastava stress inventory,BSSI)量表进行心理压力测定,在培训前和培训后分别进行理论考核。分析创伤急救能力培训效果与住院医师心理压力的相关性。结果观察组和对照组培训前后成绩比较差异均有统计学意义(均P<0.05)。观察组的BSSI评分与培训前成绩呈强相关的有医疗技术人员(r=0.733)。对照组中男性和女性住院医师的BSSI评分与培训后成绩的相关性有统计学意义(均P<0.05)。对照组的BSSI评分与培训前成绩呈中等相关的有全科住院医师(r=0.564)。对照组的BSSI评分与培训后成绩呈中等相关的有男性住院医师(r=0.415)、研究生住院医师(r=-0.441)、外科住院医师(r=0.453)。结论采取PBL和PTC教学法均能较好地培训住院医师创伤急救能力。PTC教学法培训后的效果与住院医师性别有一定相关性,在创伤急救能力培训过程中需关注女性住院医师的心理压力。
Objective To explore the correlation between the training effect of trauma first-aid ability of residents and psychological stress.Methods 126 residents trained in the emergency department of the Third Hospital of Mianyang from January 2021 to July 2024 were selected prospectively.The observation group was trained by problem based-learning(PBL)teaching method,while the control group was trained by primary trauma care(PTC)teaching method.The psychological stress was measured with BSSI(beck srivastava stress inventory),and the theoretical assessment was made before and after the training.To analyze the correlation between the effect of trauma first-aid training and psychological stress.Results There were significant differences between the observation group and the control group before and after training(all P<0.05).In the observation group,there were medical technicians whose BSSI score after training was strongly correlated with the scores before training(r=0.733).The correlation between the BSSI scores of men and women and the scores of the control group after training was statistically significant(all P<0.05).There are general residents whose BSSI scores are moderately correlated with the pretraining scores of the control group(r=0.564).There are male residents(r=0.415),graduate residents(r=-0.441)and surgical residents(r=0.453)who have a moderate correlation between the BSSI score and the performance of the control group after training.Conclusion Both PBL and PTC teaching methods can achieve good training results in trauma first aid ability of residents.The effect of PTC teaching method after training has a certain correlation with gender,so we should pay attention to the psychological stress of female residents during the training of trauma firstaid ability.
作者
车鹏
黄中
黄可
胡俊
Che Peng;Huang Zhong;Huang Ke;Hu Jun(Emergency Department,the Third Hospital of Mianyang(Sichuan Mental Health Center),Mianyang 621000,Sichuan,China)
出处
《中国毕业后医学教育》
2025年第7期538-543,共6页
Chinese Journal of Graduate Medical Education
基金
2021年西南医科大学校级教改项目(ZYTS-159)
绵阳市第三人民医院2022年院级课题(202244)。
关键词
心理压力
住院医师规范化培训
急救能力
psychological stress
standardized residency training
first-aid ability
