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应急响应课程在提高学生物理治疗师和持牌物理治疗师对急性运动损伤和医疗状况的决策能力方面的有效性。

Effectiveness of the emergency response course in improving student physical therapists' and licensed physical therapists' decision-making related to acute sports injuries and medical conditions.

作者信息

Karges Joy Renae, Cross Patrick Stephen, Hauer Patrick L, Blom Heather, Burcham Jared, Myers Amanda K, Grimsrud Casey

机构信息

Department of Physical Therapy, The University of South Dakota, Vermillion, South Dakota, United States of America.

出版信息

Int J Sports Phys Ther. 2013 Jun;8(3):277-89.

PMID:23772344
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3679634/
Abstract

PURPOSE

To analyze the effectiveness of the American Red Cross Emergency Response Course (ARC ERC) in improving decision-making skills of physical therapists (PTs) and third semester clinical doctorate student physical therapists (SPTs) when assessing acute sports injuries and medical conditions.

METHODS

An existing questionnaire was modified, with permission from the original authors of the instrument. The questionnaire was administered to PTs and SPTs before the start of and immediately after the completion of 5 different ARC ERCs. The overall percentages of "Appropriate" responses for the 17 case scenarios were calculated for each participant for the pre-and post-tests. Participants also rated their perceived level of preparedness for managing various conditions using a 5-point Likert Scale (ranging from Prepared to Unprepared). The overall percentage of "Prepared/Somewhat Prepared" responses for the 16 medical conditions was calculated for each participant for the pre-and post-tests. In addition, mean Likert scale scores were calculated for level of perceived preparedness for each of the 16 medical conditions. Paired t-tests, calculated with SPSS 20.0, were used to analyze the data.

RESULTS

37 of 37 (100.0%) of eligible PTs and 45 of 48 (93.8%) of eligible SPTs completed the pre- and post-test questionnaires. The percentage of "Appropriate" responses for all 17 cases in the aggregate (PTs: 76.8% pre-test, 89.0% post-test; SPTs: 68.5%, 84.3%), as well as the percentage of "Prepared/Somewhat Prepared" responses for all conditions in the aggregate (PTs: 67.5%, 96.5%; SPTs: 37.1%, 90.6%) were significantly different from pre-test to post-test (P = .000). There was also a significant difference (P < .05) in the mean overall preparedness Likert scale scores from pre-test to post-test for each medical condition for the SPT's, and 15 of the 16 medical conditions (muscle strains: P = .119) for the PTs.

CONCLUSIONS

The ARC ERC appears to be effective in improving both PTs' and SPTs' decision-making skills related to acute sports injuries and medical conditions, as both "Appropriate" responses and perceived level of preparedness improved.

LEVEL OF EVIDENCE

Level 3.

摘要

目的

分析美国红十字会应急响应课程(ARC ERC)在提高物理治疗师(PT)和临床博士三年级物理治疗专业学生(SPT)在评估急性运动损伤和医疗状况时的决策技能方面的有效性。

方法

在获得该问卷原作者许可的情况下,对一份现有问卷进行了修改。在5种不同的ARC ERC课程开始前和结束后立即向PT和SPT发放问卷。计算每位参与者在测试前和测试后针对17个病例场景的“适当”回答的总体百分比。参与者还使用5点李克特量表(从有准备到无准备)对他们认为应对各种状况的准备程度进行评分。计算每位参与者在测试前和测试后针对16种医疗状况的“有准备/有点准备”回答的总体百分比。此外,计算针对16种医疗状况中每种状况的感知准备程度的平均李克特量表得分。使用SPSS 20.0进行配对t检验来分析数据。

结果

37名符合条件的PT中的37名(100.0%)和48名符合条件的SPT中的45名(93.8%)完成了测试前和测试后的问卷。总体而言,所有17个病例中“适当”回答的百分比(PT:测试前76.8%,测试后89.0%;SPT:68.5%,84.3%),以及所有状况中“有准备/有点准备”回答的百分比(PT:67.5%,96.5%;SPT:37.1%,90.6%)从测试前到测试后有显著差异(P = .000)。对于SPT的每种医疗状况,从测试前到测试后平均总体准备李克特量表得分也有显著差异(P < .05),对于PT,16种医疗状况中的15种(肌肉拉伤:P = .119)也是如此。

结论

ARC ERC似乎在提高PT和SPT与急性运动损伤和医疗状况相关的决策技能方面是有效的,因为“适当”回答和感知准备程度都有所提高。

证据水平

3级。

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