音频节拍引导心肺复苏培训方案在儿科护士中的应用效果研究

doi:10.3761/j.issn.2096-7446.2026.11.005

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (11): 1313-1318.doi: 10.3761/j.issn.2096-7446.2026.11.005

音频节拍引导心肺复苏培训方案在儿科护士中的应用效果研究

杨滢¹(), 王欣然², 谢美莲¹^,^*(), 陈璐¹, 范敬蓉¹, 刘亚京¹

¹ 首都医科大学附属首都儿童医学中心重症医学科北京市 100020
² 首都医科大学宣武医院普通外科北京市 100053

收稿日期:2026-01-03 出版日期:2026-11-10 发布日期:2026-11-06
通讯作者: *谢美莲，E-mail：xiemeilian@mail.ccmu.edu.cn
作者简介:杨滢：女，本科（硕士在读），主管护师，E-mail：yyings100@sohu.com
作者贡献声明
杨滢：研究方案设计及实施、专家函询、数据收集、文章撰写、修改；王欣然、谢美莲、范敬蓉：研究指导及支持；陈璐：文献检索、质量评价、数据收集、统计学分析；刘亚京：数据收集

Research on the application effect of audio beat-guided cardiopulmonary resuscitation training program in pediatric nurses

YANG Ying¹(), WANG Xinran², XIE Meilian¹^,^*(), CHEN Lu¹, FAN Jingrong¹, LIU Yajing¹

¹ Department of Critical Care Medicine， Capital Center for Children’s Health，Capital Medical University， Beijing 100020， China
² General Surgery Department， Xuanwu Hospital，Capital Medical University， Beijing 100053， China.

Received:2026-01-03 Online:2026-11-10 Published:2026-11-06
Contact: *XIE Meilian，E-mail：xiemeilian@mail.ccmu.edu.cn

摘要/Abstract

摘要：

目的构建音频节拍引导联合Donabedian模型的心肺复苏（cardiopulmonary resuscitation，CPR）培训方案，并评价该培训方案应用效果。方法选取2025年1月—8月北京市某三级甲等医院重症医学科40名儿科护士为研究对象，随机分为试验组与对照组，每组各20名。试验组采用音频节拍引导联合Donabedian模型的系统化培训方案，对照组接受常规CPR培训。培训后借助儿童CPR模拟人系统评价按压频率、按压频率变异度、按压深度正确率等质量指标，并通过问卷评估培训满意度。结果试验组按压频率、按压深度正确率、心肺复苏考核总成绩均高于对照组，按压频率变异度低于对照组（P<0.05）；试验组培训满意度总分高于对照组（P<0.05）。结论该培训方案可从结构、过程、结果全流程管控培训质量，能够稳定按压节律、规范按压参数、提升护士实操考核水平，提升护士操作标准化程度与培训满意度。

关键词: Donabedian模型, 心肺复苏, 培训, 音频节拍, 按压频率, 儿科护理学

Abstract:

Objective To develop a cardiopulmonary resuscitation（CPR） training program tailored to the high-precision operational demands of pediatric care，incorporating audio beat guidance，and to evaluate its application effects. Methods A total of 40 pediatric nurses from the intensive care unit of a tertiary hospital in Beijing were recruited between January and August 2025 and randomly assigned to an experimental group or a control group，with 20 nurses in each group. The experimental group received a systematic training program combining audio beat guidance with the Donabedian model，while the control group received conventional CPR training. After training，quality indicators including compression rate，rate variability，and correct compression depth rate were assessed using a pediatric CPR manikin system，and training satisfaction was evaluated through questionnaires. Results The experimental group demonstrated significantly higher compression rate，correct compression depth rate，and overall CPR performance scores，as well as significantly lower compression rate variability compared with the control group（P<0.05）. The total training satisfaction score was also significantly higher in the experimental group（P<0.05）. Conclusion The developed training program enables comprehensive quality control across structure，process，and outcome dimensions. It effectively stabilizes compression rate，standardizes compression parameters，enhances nurses’ practical performance，and improves both operational standardization and training satisfaction.

Key words: Donabedian Model, Cardiopulmonary Resuscitation, Training, Audio Beat, Compression Frequency, Pediatric Nursing

杨滢, 王欣然, 谢美莲, 陈璐, 范敬蓉, 刘亚京. 音频节拍引导心肺复苏培训方案在儿科护士中的应用效果研究[J]. 中华急危重症护理杂志, 2026, 7(11): 1313-1318.

YANG Ying, WANG Xinran, XIE Meilian, CHEN Lu, FAN Jingrong, LIU Yajing. Research on the application effect of audio beat-guided cardiopulmonary resuscitation training program in pediatric nurses[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(11): 1313-1318.

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参考文献 17

[1]	Ishii M, Tsujita K, Seki T, et al. Sex-and age-based disparities in public access defibrillation,bystander cardiopulmonary resu-scitation,and neurological outcome in cardiac arrest[J]. JAMA Netw Open, 2023, 6(7):e2321783.
[2]	邓雨阳, 曾莹, 田丹, 等. 成人心搏骤停患者体外心肺复苏急诊救治的最佳证据总结[J]. 中华急危重症护理杂志, 2023, 4(8):753-759.
	Deng YY, Zeng Y, Tian D, et al. Best evidence summary for emergency treatment of adult patients with cardiac arrest under-going extracorporeal cardiopulmonary resuscitation[J]. Chin J Emerg Crit Care Nurs, 2023, 4(8):753-759.
[3]	Merchant RM, Topjian AA, Panchal AR, et al. Part 1:executive summary:2020 American Heart Association guidelines for car-diopulmonary resuscitation and emergency cardiovascular care[J]. Circulation, 2020, 142(16_suppl_2):S337-S357.
[4]	Djakow J, Turner NM, Skellett S, et al. European Resuscitation Council guidelines 2025 paediatric life support[J]. Resuscitation, 2025, 215:110767.
[5]	中国研究型医院学会心肺复苏学专业委员会, 中华医学会科学普及分会. 2018中国心肺复苏培训专家共识[J]. 中华危重病急救医学, 2018, 30(5):385-400.
	Cardiopulmonary Resuscitation Specialized Committee of Chinese Research Hospital Association, the Science Popularization Branch of the Chinese Medical Association. 2018 National consensus on cardiopulmonary resuscitation training in China[J]. Chin Crit Care Med, 2018, 30(5):385-400.
[6]	Abelairas-Gómez C, Cortegiani A, Sawyer T, et al. Rapid cycle deliberate practice approach on resuscitation training:a syste-matic review[J]. Resusc Plus, 2024, 18:100648.
[7]	Kahsay DT, Peltonen LM, Rosio R, et al. The effect of standa-lone audio-visual feedback devices on the quality of chest com-pressions during laypersons’ cardiopulmonary resuscitation train-ing:a systematic review and meta-analysis[J]. Eur J Cardiovasc Nurs, 2024, 23(1):11-20.
[8]	Donabedian A. Evaluating the quality of medical care[J]. Mil-bank Memo Fund Q, 1966, 44(3):166.
[9]	Salehpoor-Emran M, Pashaeypoor S, Majdabadi ZA, et al. The effect of online CPR training on the knowledge and practice of the Red Crescent Student Association Volunteers during the COVID-19 pandemic:a randomized clinical trial study[J]. Re-susc Plus, 2025, 25:101010.
[10]	Thaut MH, McIntosh GC, Hoemberg V. Neurobiological founda-tions of neurologic music therapy:rhythmic entrainment and the motor system[J]. Front Psychol, 2015, 5:1185.
[11]	Braun Janzen T, Koshimori Y, Richard NM, et al. Rhythm and music-based interventions in motor rehabilitation:current evi-dence and future perspectives[J]. Front Hum Neurosci, 2022, 15:789467.
[12]	Hillman H, McClure TN, McDougle SD, et al. Linking motor working memory to explicit and implicit motor learning[J]. J Neurophysiol, 2025, 134(6):2036-2046.
[13]	王秀蓉, 孙渤星, 鲜黎明, 等. 节拍器引导胸外心脏按压在心肺复苏中的应用价值研究[J]. 中国急救复苏与灾害医学杂志, 2020, 15(7):784-787.
	Wang XR, Sun BX, Xian LM, et al. Study on the application value of metronome guided external chest compression in cardiopulmonary resuscitation[J]. China J Emerg Resusc Disa-ster Med, 2020, 15(7):784-787.
[14]	李兰, 陈剑, 王苒, 等. 基于Donabedian结构-过程-结果模式的小儿肺炎护理质量敏感指标构建及应用研究[J]. 当代护士, 2026, 33(11):57-64.
	Li L, Chen J, Wang R, et al. Study on the construction and application of sensitive indicators of nursing quality of chil-dren pneumonia based on Donabedian structure-process-result model[J]. Mod Nurse, 2026, 33(11):57-64.
[15]	刘嘉龙. 基于Donabedian结构-过程-结果理论的重症患者连续性血液净化护理敏感质量指标构建研究[D]. 合肥: 安徽中医药大学, 2024.
	Liu JL. Study on the construction of sensitive quality index of continuous blood purification nursing for critically ill patients based on Donabedian structure-process-result theory[D]. Hefei: Anhui University of Chinese Medicine, 2024.
[16]	Moore L, Lavoie A, Bourgeois G, et al. Donabedian’s structure-process-outcome quality of care model:validation in an inte-grated trauma system[J]. J Trauma Acute Care Surg, 2015, 78(6):1168-1175.
[17]	Yang S, Huang LH, Zhao XH, et al. Using the Delphi method to establish nursing-sensitive quality indicators for ICU nurs-ing in China[J]. Res Nurs Health, 2019, 42(1):48-60.

音频节拍引导心肺复苏培训方案在儿科护士中的应用效果研究

Research on the application effect of audio beat-guided cardiopulmonary resuscitation training program in pediatric nurses

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