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结构化复苏培训对医疗保健从业者、他们的客户以及更广泛的服务有什么影响?BEME 系统评价:BEME 指南第 20 号。

What is the impact of structured resuscitation training on healthcare practitioners, their clients and the wider service? A BEME systematic review: BEME Guide No. 20.

机构信息

Liverpool Womens Hospital, UK.

出版信息

Med Teach. 2012;34(6):e349-85. doi: 10.3109/0142159X.2012.681222.

DOI:10.3109/0142159X.2012.681222
PMID:22578048
Abstract

A large number of resuscitation training courses (structured resuscitation training programmes (SRT)) take place in many countries in the world on a regular basis. This review aimed to determine whether after attending SRT programmes, the participants have a sustained retention of resuscitation knowledge and skills after their initial acquisition and whether there is an improvement in outcome for patients and/or their healthcare organisation after the institution of an SRT programme. All research designs were included, and the reported resuscitation training had to have been delivered in a predefined structured manner over a finite period of time. Data was extracted from the 105 eligible articles and research outcomes were assimilated in tabular form with qualitative synthesis of the findings to produce a narrative summary. Findings of the review were: SRTs result in an improvement in knowledge and skills in those who attend them, deterioration in skills and, to a lesser extent, knowledge is highly likely as early as three months following SRTs, booster or refresher sessions may improve an individual's ability to retain resuscitation skills after initial training and the instigation of resuscitation training in a healthcare institution significantly improves clinical management of resuscitations and patient outcome (including survival) after resuscitation attempts.

摘要

大量的复苏培训课程(结构化复苏培训计划(SRT))定期在世界上许多国家进行。本综述旨在确定参与者在最初获得复苏知识和技能后,是否能持续保留这些知识和技能,以及在实施 SRT 计划后,患者和/或其医疗保健组织的结局是否有所改善。所有研究设计均被纳入,并且报告的复苏培训必须是在有限的时间内以预定义的结构化方式进行的。从 105 篇合格文章中提取数据,并以表格形式汇总研究结果,对结果进行定性综合,得出叙述性总结。综述结果表明:SRT 可提高参与者的知识和技能,技能可能会在 SRT 后三个月内下降,而且知识下降程度较小,强化或复习课程可能会提高个体在初始培训后保留复苏技能的能力,医疗机构开展复苏培训可显著改善复苏的临床管理和复苏后患者的结局(包括存活率)。

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