通讯作者: 郑伟坛, 13533788854@163.com

DOI：10.12201/bmr.202611.00018

Application of a standardized patient-based dynamic stratified training model in rescue training for critically ill obstetric patients

• 摘要：【摘要】目的 构建基于标准化病人（standardized patient，SP）的动态分层培训与多维评估体系，评估其在产科危重症救治培训中的应用效能。方法 依托番禺区9家助产机构21人SP团队，基于995例真实危重症病历，从提炼的10类典型病症中选取5类最常见病症（产后出血、重度子痫前期与子痫、羊水栓塞、子宫破裂、妊娠合并心力衰竭），构建含5级病情梯度的动态案例库及三级分层培训课程；将120名产科医师随机分为试验组与对照组（各60例），分别行SP动态分层培训与传统培训，培训前后用四维评估体系考核并比较两组评分差值。结果 试验组各维度评分及培训前后差值均高于对照组（P<0.05），培训满意度亦高于对照组（95.0% vs 78.3%，P<0.05）；案例与层级匹配度、SP模拟逼真度、反馈及时性及培训学时保障是影响培训效果的独立因素（P<0.05）。结论 基于SP的动态分层培训可显著提升产科医师危重症救治综合能力，值得在区域产科医师培训中推广。

  关键词： 标准化病人；产科；危重症；分层培训；效果评价; ; ; ; 

   

  Abstract: 【Abstract】Objective To construct a standardized patient (SP)-based dynamic stratified training and multi-dimensional assessment system and evaluate its effectiveness in critical obstetric rescue training. Methods Five most common critical conditions (postpartum hemorrhage, severe preeclampsia and eclampsia, amniotic fluid embolism, uterine rupture, and pregnancy complicated with heart failure) were selected from 10 typical conditions distilled from 995 real records to develop a dynamic SP case library with a 5-level severity gradient and a three-level curriculum; 120 obstetricians were randomly divided into experimental and control groups (60 each) for stratified and conventional training, assessed before and after training with a four-dimensional system; pre-post differences were compared between groups. Results All dimension scores and pre-post differences in the experimental group were significantly higher than the control group (P<0.05), with higher satisfaction (95.0% vs 78.3%, P<0.05); case-level matching, SP fidelity, timely feedback and guaranteed hours were independent influencing factors (P<0.05). Conclusion The SP-based dynamic stratified training model significantly improves obstetricians'' critical care capability and is worthy of promotion in regional training programs.

  Key words: Standardized patient; Obstetrics; Critically ill patient; Stratified training; Effect evaluation

  提交时间：2026-11-13

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• 序号	提交日期	编号	操作
  1	2026-10-10	10.12201/bmr.202611.00018V1	下载

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