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学生对潜在危及生命的医疗状况的症状和风险因素的了解。

Students' knowledge of symptoms and risk factors of potential life-threatening medical conditions.

机构信息

Department of Surgery, Division of Visceral Surgery and Transplantation, University Hospital, Bern, Switzerland.

出版信息

Swiss Med Wkly. 2010 Feb 6;140(5-6):78-84. doi: 10.4414/smw.2010.12951.

Abstract

AIM

In order to assess medical students' knowledge of Basic Life Support (BLS) principles, we defined a minimal knowledge (MK) of three life-threatening medical conditions that should be universally known: cardiac arrest, heart attack and stroke, and compared the results with those of laypersons.

METHODS

Before participating in a BLS course, 406 medical students and 101 laypersons completed an MK questionnaire. Additional data were collected on participants' gender, age, education, medical education, personal experience with the condition and successful completion of a BLS course.

RESULTS

The mean proportion of correct answers was 48.1% for medical students and 34.3% for laypersons (P <0.001). No participant achieved a MK level of 100%. Multivariable analysis showed that medical background +14.8% MK (P <0.001), successful completion of a BLS course +4.4% MK (P = 0.004), and personal experience of the condition +3.2% MK (P = 0.013) significantly enhanced the MK percentage. Interaction analysis suggested that there were no exponential effects of higher education and medical background, or medical background and a completed BLS course.

CONCLUSION

Among medical students and laypersons there is a significant lack of knowledge regarding the typical signs and risk factors associated with serious medical conditions. Within the current study, participants with direct experience of these conditions exhibited marginally improved knowledge compared to others, indicating a wide gap in the general public's knowledge. There is an urgent need to establish learning objectives in order to encourage students to complete BLS courses during their education.

摘要

目的

为了评估医学生对基本生命支持(BLS)原则的了解,我们定义了三种普遍应该知道的危及生命的医疗情况的最低限度知识(MK):心搏骤停、心脏病发作和中风,并将结果与非专业人士的结果进行比较。

方法

在参加 BLS 课程之前,406 名医学生和 101 名非专业人士完成了一个 MK 问卷。还收集了参与者的性别、年龄、教育程度、医学教育、对该情况的个人经历以及是否成功完成 BLS 课程等附加数据。

结果

医学生的平均正确答案比例为 48.1%,非专业人士为 34.3%(P<0.001)。没有参与者达到 100%的 MK 水平。多变量分析显示,医学背景+14.8%MK(P<0.001)、成功完成 BLS 课程+4.4%MK(P=0.004)和个人经历该情况+3.2%MK(P=0.013)显著提高了 MK 百分比。交互分析表明,更高的教育程度和医学背景,或医学背景和完成的 BLS 课程之间没有指数效应。

结论

在医学生和非专业人士中,对于严重医疗状况相关的典型体征和危险因素存在显著的知识缺乏。在本研究中,与其他人相比,直接经历过这些情况的参与者表现出略有改善的知识,这表明公众的知识存在很大差距。有必要制定学习目标,以鼓励学生在教育期间完成 BLS 课程。

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