JMIR出版物公司虚拟病人模拟与基于人体模型的模拟在评估和管理临床恶化卡塔尔世界杯8强波胆分析中提高临床表现的比较:随机对照试验% lilaw,Sok Ying % Chan,Sally waichi % Chen, fungee % hoi,Shing Chuan % Siau,Chiang %+新加坡国立大学Yong Loo Lin医学院，Alice Lee护理研究中心。2级，临床研究中心，街区MD 11, 10医疗驱动器，新加坡117597，新加坡，65 65167451,nurliaw@nus.edu.sg %K模拟%K教育%K虚拟患者%K恶化%K临床表现%K患者安全%D 2014 %7 17.09.2014 %9原始论文%J J医学互联网Res %G英语%X背景:虚拟患者模拟在医疗保健教育中已经大幅增长。虚拟病人模拟开发作为复习培训课程，以加强护理临床表现在评估和管理恶化的病人。目的:本研究的目的是描述虚拟病人模拟的发展，并评价其效果，通过比较传统的基于人体模型的模拟，以提高护生在评估和管理临床恶化病人的表现。方法:通过电子邮件招募57名三年级护理学生进行随机对照研究。在对所有参与者在模拟环境中的临床表现进行基线评估后，实验组接受了2小时的全自动虚拟患者模拟，而对照组则接受了2小时由辅导员领导的基于人体模型的模拟训练。在干预后的第一天(第一次后测)和2.5个月(第二次后测)对所有参与者进行了重新测试。来自实验组的参与者完成了一项调查，以评估他们使用新开发的虚拟患者模拟的学习经验。结果:与基线分数相比，实验组和对照组在第一次和第二次测试后得分都有显著改善(P<.001)。 While the experimental group had significantly lower (P<.05) second post-test scores compared with the first post-test scores, no significant difference (P=.94) was found between these two scores for the control group. The scores between groups did not differ significantly over time (P=.17). The virtual patient simulation was rated positively. Conclusions: A virtual patient simulation for a refreshing training course on assessing and managing clinical deterioration was developed. Although the randomized controlled study did not show that the virtual patient simulation was superior to mannequin-based simulation, both simulations have demonstrated to be effective refresher learning strategies for improving nursing students’ clinical performance. Given the greater resource requirements of mannequin-based simulation, the virtual patient simulation provides a more promising alternative learning strategy to mitigate the decay of clinical performance over time. %M 25230684 %R 10.2196/jmir.3322 %U //www.mybigtv.com/2014/9/e214/ %U https://doi.org/10.2196/jmir.3322 %U http://www.ncbi.nlm.nih.gov/pubmed/25230684