Scapigliati Andrea, Sanna Tommaso, Zamparelli Roberto, Sandroni Claudio, Colizzi Christian, Fenici Peter, Arlotta Gabriella, Nuzzo Carmen, Bonarrigo Carmela, Bellocci Fulvio, Schiavello Rocco, Possati Gianfederico
Department of Cardiovascular Medicine, Catholic University of the Sacred Heart, Largo A. Gemelli 8, 00168 Rome, Italy.
Resuscitation. 2007 Mar;72(3):451-7. doi: 10.1016/j.resuscitation.2006.07.024. Epub 2006 Dec 11.
The 1-day immediate life support course (ILS) was started in the United Kingdom and adopted by the ERC to train healthcare professionals who attend cardiac arrests only occasionally. Currently, there are no reports about the ILS course from outside the UK. In this paper we describe our initial Italian experience of teaching ILS to nurses. We have also measured the impact that ILS has on the resuscitation knowledge of nurses.
The ILS course materials were translated by Italian ALS instructors who had observed the ILS course previously in the UK. From March to November 2005 nurses from a single hospital department attended the Italian ILS course. Candidate feedback was collected using an evaluation form. The change in knowledge of candidates was measured using a pre- and post-course test. Variables associated with candidate performance on course papers were investigated using multivariate linear regression analysis.
A total of 119 nurses attended nine ILS courses. All candidates completed the course successfully and gave high evaluation scores. ILS produced a significant increase from pre- to post-course score (10.15+/-2.75 to 13.19+/-2.53, p<0.001). The pre-course score was higher for nurses working in ICU compared with those coming from non-intensive wards, but this difference disappeared in the post-course evaluation (13.89+/-2.18 versus 12.79+/-2.65, p=ns).
We have reproduced the ILS course in Italy successfully. ILS teaching resulted in an improvement in resuscitation knowledge of the first group of nurses trained.
为期1天的即时生命支持课程（ILS）始于英国，并被欧洲复苏委员会采用，用于培训只是偶尔参与心脏骤停急救的医疗保健专业人员。目前，英国以外地区尚无关于ILS课程的报告。在本文中，我们描述了在意大利向护士教授ILS的初步经验。我们还评估了ILS对护士复苏知识的影响。
ILS课程材料由曾在英国观摩过ILS课程的意大利高级生命支持教员翻译。2005年3月至11月，来自某单一医院科室的护士参加了意大利ILS课程。通过评估表收集学员反馈。通过课程前后测试衡量学员知识的变化。使用多元线性回归分析调查与学员课程论文表现相关的变量。
共有119名护士参加了9次ILS课程。所有学员均成功完成课程，并给出了高分评价。ILS使课程前后的分数显著提高（从10.15±2.75提高到13.19±2.5３，p<0.001）。与来自非重症病房的护士相比，重症监护病房工作的护士课前分数更高，但在课后评估中这种差异消失了（13.89±2.18对12.79±2.65，p=无显著差异）。
我们已在意大利成功重现了ILS课程。ILS教学使首批接受培训的护士的复苏知识得到了提高。
