تأثير نرم‌افزار شبيه‌سازي احياي قلبي ريوي بر دانش و عملكرد دانشجويان دوره كارورزي پزشكي در دوره طب اورژانس

THE IMPACT OF CARDIOPULMONARY RESUSCITATION SIMULATION SOFTWARE ON THE KNOWLEDGE and PERFORMANCE OF SENIOR MEDICAL STUDENTS

پيش‌ زمينه و هدف: مهم‌ترين رسالت دانشكده‌هاي پزشكي، تربيت پزشكان متخصص و ماهر، در زمينه ارائه خدمات مراقبت سلامت؛ داشتن دانش كافي براي تشخيص و درمان؛ بيماري‌ها و نيز توانايي انجام مهارت‌هاي علمي و باليني مي‌باشد. بنابراين برنامه‌ريزي دقيق و مناسب در حيطه آموزش باليني در ايجاد توانمندي و كسب مهارت‌هاي لازم در دانشجويان اين رشته بخش مهمي از آموزش پزشكي را شامل مي‌شود. هدف از مطالعه حاضر بررسي تأثير نرم‌افزار شبيه‌سازي احياي قلبي ريوي بر دانش و عملكرد دانشجويان دوره كارورزي پزشكي در دوره طب اورژانس است. مواد و روش كار: پژوهش حاضر از نوع شبه تجربي با طرح پيش‌آزمون- پس‌آزمون با گروه كنترل بود. جامعه موردپژوهش كليه دانشجويان پزشكي دوره كارورزي طب اورژانس دانشگاه علوم پزشكي اروميه بودند. در اين پژوهش دو گروه اول يعني دانشجويان معرفي‌شده كارورزي تير و مردادماه سال 95 به‌عنوان گروه كنترل و دو گروه بعدي يعني دانشجويان كارورزي شهريور و مهرماه سال 95 به‌عنوان گروه آزمايش انتخاب شدند. براي جمع‌آوري داده‌ها از آزمون نظري (36 سؤال چهارگزينه‌اي براي سنجش دانش و توانايي تشخيص بيماري)، و آزمون عملي (10 سؤال به‌صورت چك‌ليست) بود. يافته‌ها: يافته‌هاي پژوهش نشان داد كه ميانگين نمره يادگيري عملكردي و توانايي تشخيص در گروه آزمايش بيشتر از كنترل بود و تأثيرگذاري نرم‌افزار تأييد شد (0/148=P). ولي نمره دانش دانشجويان بين گروه كنترل و آزمايش تفاوت معني‌داري نداشت (0/001=P). بحث و نتيجه‌گيري: استفاده از نرم‌افزار شبيه‌ساز احياي قلبي ريوي مي­ تواند با ايجاد محيطي امن و به‌دور از استرس يك روش آموزشي مؤثر به‌عنوان روشي مكمل همراه با آموزش سنتي باشد. همچنين دانشجويان در اين روش مي‌توانند با فراغ خاطر و تكرار و تمرين موقعيت‌هاي اورژانسي به‌صورت شبيه‌سازي‌ شده بر توانايي تشخيص و يادگيري مهارت‌هاي عملي خود بيفزايند. اما استفاده از شبيه‌سازي تأثيري بر دانش دانشجويان نداشت. شايد دليل آن صرفاً تمريني بودن نرم‌افزار بود و افزايش دانش بيشتر در موقعيت‌هاي واقعي و عملي و با توضيحات و راهنمايي‌هاي اساتيد به دست مي‌آيد.

Background & Aim: Considering that the most important mission of medical schools is to train qualified and skilled physicians in the field of health services Whereas students with proper knowledge of the diagnosis of illness and its treatment, as well as the ability in the field of scientific and clinical skills, can properly conduct their studies after completing their education; Therefore, the accurate and proper planning in the field of clinical education in creating the capability and acquiring the necessary skills in the students of this field includes an important part of medical education. The purpose of this study was to investigate the effect of cardiopulmonary resuscitation simulation software on the knowledge and practice of medical students during emergency medicine. Materials & Methods: The method of this study was applied and its method was pretest-posttest with control group. Sampling method was random. The statistical population of this study is all medical students of emergency medicine internship of Urmia University of Medical Sciences. In this study, the first two groups, the students were selected as interns in July and August 2016 as the control group or the control group, and the next two groups, ie internship students in Shahrivar and October 2016, were selected as the experimental group. In this research, two theoretical tests including: 36 questions of the four choices that assessed the knowledge and ability to diagnose the disease, the students were assessed and the practical test included: 10 questions related to the practical test, which was provided by the checklist and asked students who will do each item. Result: The findings of this study showed that the mean of functional learning score and diagnostic ability in the experimental group was more than control and the effect of software was confirmed (P=0.148). However, there was no significant difference between students' knowledge scores between the control and experimental groups (P = 0.001). Conclusion: Using the cardiopulmonary resuscitation simulator software can create an effective and effective learning environment by creating a safe and stressful environment as a complementary method to traditional education. Students can also simulate their ability to recognize and learn their practical skills by rehearsing and practicing emergency situations simulated by this method. But the use of simulations did not affect students' knowledge. But the use of simulations did not affect students' knowledge. Perhaps the reason for this was simply the practice of the software and the increase of knowledge in real and practical situations, with the explanations and tips of the professors.