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医院员工通过使用个人复苏模拟人及24分钟的视频指导来提高基本生命支持技能和信心。

Hospital employees improve basic life support skills and confidence with a personal resuscitation manikin and a 24-min video instruction.

作者信息

Bjørshol Conrad Arnfinn, Lindner Thomas W, Søreide Eldar, Moen Leif, Sunde Kjetil

机构信息

Department of Anaesthesia and Intensive Care Medicine, Stavanger University Hospital, Stavanger, Norway.

出版信息

Resuscitation. 2009 Aug;80(8):898-902. doi: 10.1016/j.resuscitation.2009.06.009. Epub 2009 Jul 1.

Abstract

INTRODUCTION

The use of a personal resuscitation manikin with video instruction is reportedly as effective as traditional instructor-led courses in teaching lay people basic life support (BLS). We applied this method to an entire hospital staff to determine its effect on their practical and self-judged BLS skills.

METHODS

All 5382 employees at Stavanger University Hospital were asked to learn or refresh their BLS skills with the personal resuscitation manikin and video instruction. Prior to and nine months after training, all employees were asked to rate their BLS skills on a scale from one to five. Additionally, randomly chosen study subjects were tested for BLS skills pre-training and six months post-training during 2min of resuscitation on a manikin.

RESULTS

In total, 5118 employees took part in the BLS training program. The number of correct chest compressions increased significantly from 60 (5-102) to 119 (75-150) in the pre- vs. post-training periods, respectively, P<0.01, but the number of correct MTM ventilations did not change. Self-reported BLS skills increased from 3.1 (+/-1.0) pre-training to 3.8 (+/-0.8) post-training, P=0.031.

CONCLUSION

After distributing a personal resuscitation manikin with video instruction to an entire hospital staff, the median number of correctly performed chest compressions doubled and self-confidence in BLS skills improved significantly. This is a simple and less time-consuming method than instructor-led courses in preparing hospital employees in the basic handling of cardiac arrest.

摘要

引言

据报道,使用带有视频指导的个人复苏模拟人在向非专业人员传授基本生命支持(BLS)方面与传统的教师指导课程一样有效。我们将这种方法应用于整个医院工作人员,以确定其对他们的实际BLS技能和自我评估的BLS技能的影响。

方法

要求斯塔万格大学医院的所有5382名员工使用个人复苏模拟人和视频指导来学习或更新他们的BLS技能。在培训前和培训九个月后,要求所有员工对他们的BLS技能从1到5进行评分。此外,随机选择的研究对象在培训前和培训后六个月在模拟人上进行2分钟复苏时接受BLS技能测试。

结果

总共有5118名员工参加了BLS培训计划。培训前和培训后正确胸外按压的次数分别从60次(5 - 102次)显著增加到119次(75 - 150次),P<0.01,但正确的面罩通气次数没有变化。自我报告的BLS技能从培训前的3.1(±1.0)提高到培训后的3.8(±0.8),P = 0.031。

结论

在向整个医院工作人员分发带有视频指导的个人复苏模拟人后,正确进行胸外按压的中位数增加了一倍,并且BLS技能的自信心显著提高。与教师指导课程相比,这是一种在让医院员工掌握心脏骤停基本处理方法方面更简单且耗时更少的方法。

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