Rubens A J, Stoy W, Piane G
Public Health Program, School of Allied Health Professions, Northern Illinois University, DeKalb 60115-2854, USA.
Prehosp Disaster Med. 1995 Oct-Dec;10(4):251-8. doi: 10.1017/s1049023x00042126.
To evaluate the effectiveness of the Actronics Interactive Learning System to teach the psychomotor skills of advanced airway management compared to the traditional method of lecture/demonstration.
The study was a nonrandomized, nonequivalent comparison group design of a convenience sample of 86 American Heart Association (AHA), advanced cardiac life support (ACLS) students, who obtained instruction in airway management by the interactive videodisc (IVD) learning system (n = 41), or by the traditional method of demonstration/return demonstration (n = 45). The evaluation criteria for the students were based on the number of attempts required to perform successfully endotracheal (ET) intubation and esophageal obturator airway (EOA) insertion.
No statistically significant differences in the performance of ET insertion between the IVD and the traditional method of instruction could be demonstrated. However, initial certifiers for ACLS learning EOA insertion by the IVD method had a treatment effect (p = 0.004) compared to ACLS students learning by the traditional method. This treatment effect was not noted with ET intubation and EOA insertion for students seeking recertification. In a post-test satisfaction questionnaire, 34 IVD students reported satisfaction with learning airway management using this instructional method, but also expressed a preference to have an ACLS instructor available.
This study highlights the role of IVD in teaching the complex skills of advanced airway management.
与传统的讲座/示范教学方法相比，评估Actronics交互式学习系统在教授高级气道管理操作技能方面的有效性。
本研究采用非随机、不等同比较组设计，对86名美国心脏协会（AHA）高级心脏生命支持（ACLS）学员的便利样本进行研究，这些学员通过交互式视频光盘（IVD）学习系统（n = 41）或传统的示范/回示方法（n = 45）接受气道管理培训。学生的评估标准基于成功进行气管插管（ET）和食管阻塞气道（EOA）插入所需的尝试次数。
IVD教学法与传统教学法在ET插入操作表现上未显示出统计学上的显著差异。然而，与通过传统方法学习的ACLS学生相比，通过IVD方法学习EOA插入的ACLS初始认证学员具有治疗效果（p = 0.004）。对于寻求重新认证的学生，在ET插管和EOA插入方面未观察到这种治疗效果。在一项测试后满意度调查问卷中，34名IVD学生报告对使用这种教学方法学习气道管理感到满意，但也表示希望有ACLS教员在场。
本研究突出了IVD在教授高级气道管理复杂技能方面的作用。
