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在教授基础生命支持和自动体外除颤器方面,护士比医生更高效。

Nurses are more efficient than doctors in teaching basic life support and automated external defibrillator in nurses.

作者信息

Xanthos Theodoros, Ekmektzoglou Konstantinos A, Bassiakou Eleni, Koudouna Eleni, Barouxis Dimitrios, Stroumpoulis Konstantinos, Demestiha Theano, Marathias Katerina, Iacovidou Nicoletta, Papadimitriou Lila

机构信息

Department of Experimental Surgery and Surgical Research "N.S. Christeas", University of Athens, Medical School, 15B Agiou Thoma Street, 11527 Athens, Greece.

出版信息

Nurse Educ Today. 2009 Feb;29(2):224-31. doi: 10.1016/j.nedt.2008.08.008. Epub 2008 Oct 1.

Abstract

BACKGROUND

Cardiac arrest (CA) is a leading cause of death worldwide. The European Resuscitation Council (ERC) has developed basic life support/automated external defibrillation (BLS/AED) courses for uniform training in out-of-hospital CA.

OBJECTIVE

The present study compares the resuscitation skills of two groups of nursing staff, one taught by newly trained ERC nurse-instructors and the other by newly trained doctor-instructors.

METHOD

Eighteen doctors and 18 nurses were asked to teach a total of 108 nurses in a (BLS/AED) course. One month after its completion, all 108 nurses were asked to be re-evaluated, with the use of the objective structured clinical examination.

CONCLUSIONS

No statistical significant difference between the two groups was noted in the written test, in contrast with data collected from the practice skills check-list. Nurses in group A could easily identify the patient in cardiac arrest but had difficulties concerning chest compressions and handling the AED. Nurses in group B were more focused during the performances, used AED more accurately and continued cardiopulmonary resuscitation with no delays. Nurses prove to be more efficient in training nurses.

摘要

背景

心脏骤停(CA)是全球主要的死亡原因。欧洲复苏委员会(ERC)已制定基础生命支持/自动体外除颤(BLS/AED)课程,用于院外心脏骤停的统一培训。

目的

本研究比较两组护理人员的复苏技能,一组由新培训的ERC护士教员授课,另一组由新培训的医生教员授课。

方法

18名医生和18名护士被要求在一个(BLS/AED)课程中总共教授108名护士。课程结束一个月后,要求所有108名护士使用客观结构化临床考试进行重新评估。

结论

书面测试中两组之间未发现统计学显著差异,这与从实践技能检查表收集的数据形成对比。A组护士能够轻松识别心脏骤停患者,但在胸外按压和操作AED方面存在困难。B组护士在操作过程中更专注,更准确地使用AED,并且不间断地持续进行心肺复苏。事实证明,医生在培训护士方面更有效率。

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