Mejia Christian R, Quezada-Osoria Claudia, Moras-Ventocilla Cinthya, Quinto-Porras Kelly, Ascencios-Oyarce Carlos
Asociación Médica de Investigación y Servicios y en Salud, Lima, Perú.
Rev Peru Med Exp Salud Publica. 2011 Jun;28(2):202-9. doi: 10.1590/s1726-46342011000200006.
The aim of this study was to evaluate the knowledge about medical emergencies of medical students from eleven Peruvian universities.
Multicenter, cross-sectional study, conducted between 2007- 2008. We used a nominal response, self-administered questionnaire with socio-educational questions and ten multiple choice questions on medical emergencies. We obtained a nonrandom sample of participants enrolled in universities. We obtained the chi2, crude and adjusted ORs with 95% confidence intervals and ulterior multivariate analysis.
2,109 medical students participated, the average age was 21 years (range: 15-32), 51% were males. 53% had taken a previous course related to medical emergencies. 60.4% failed the questionnaire, the average score was 4.95 over a maximum of 10 points and 5.9% obtained between 8-10 points. We found a strong association between the university of origin (OR: 0.45, 95% CI 0.38 to 0.54), the academic stage (OR: 1.55, 95% CI 1.28 to 1.87), when they received the course about subject (OR: 0.62, 95% CI 0.50-0.77) and gender (OR: 1.38, 95% CI 1.15 to 1.65).
Knowledge of medical emergencies in the students of the eleven evaluated universities is not good, and we suggest the need of evaluating and improving the practical training offered by universities on issues regarding the management of medical emergencies.
本研究旨在评估来自秘鲁11所大学的医学生对医疗急救的知识掌握情况。
多中心横断面研究，于2007年至2008年开展。我们使用了一份包含社会教育问题和10道关于医疗急救的多项选择题的名义应答式自填问卷。我们获取了大学在册参与者的非随机样本。我们计算了卡方值、粗比值比和调整后的比值比以及95%置信区间，并进行了后续多变量分析。
2109名医学生参与，平均年龄为21岁（范围：15 - 32岁），51%为男性。53%曾修过与医疗急救相关的课程。60.4%的学生问卷不合格，平均得分是4.95分（满分10分），5.9%的学生得分在8 - 10分之间。我们发现学生的原籍大学（比值比：0.45，95%置信区间0.38至0.54）、学业阶段（比值比：1.55，95%置信区间1.28至1.87）、接受该课程的时间（比值比：0.62，95%置信区间0.50 - 0.77）和性别（比值比：1.38，95%置信区间1.15至1.65）之间存在强关联。
所评估的11所大学的学生对医疗急救的知识掌握情况不佳，我们建议有必要评估并改进大学在医疗急救管理问题上提供的实践培训。
