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采用新设计的更新方案提高基本生命支持技能:小组讨论法与边看边练法的整群随机研究

Basic life support skill improvement with newly designed renewal programme: cluster randomised study of small-group-discussion method versus practice-while-watching method.

作者信息

Na Ji Ung, Lee Tae Rim, Kang Mun Ju, Shin Tae Gun, Sim Min Seob, Jo Ik Joon, Song Keun Jeong, Jeong Yeon Kwon

机构信息

Department of Emergency Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.

Department of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

出版信息

Emerg Med J. 2014 Dec;31(12):964-9. doi: 10.1136/emermed-2013-202379. Epub 2013 Aug 7.

DOI:10.1136/emermed-2013-202379
PMID:23925496
Abstract

BACKGROUND

For the basic life support (BLS) renewal course, we have devised a new educational programme entitled a small-group-discussion (SGD) programme using personalised video-based debriefing.

OBJECTIVE

We compared the efficacy in BLS skill improvement of the SGD programme with the currently used practice-while-watching (PWW) programme, which uses a standardised education video.

METHOD

This was a prospective, cluster randomised study, conducted in a single centre, over 6 months from May 2009 to October 2009. Training was performed in two groups of participants, each group with a different renewal education programme. The efficacy of the programmes was compared using the modified Cardiff test and skill-reporting manikins.

RESULTS

Results from 2169 participants were analysed: 1061 in the SGD programme group and 1108 in the PWW programme group. There were no differences between groups on the pretest, either in compression or non-compression skills. However, on the post-test, the SGD programme gave better results for both compression skills and non-compression skills.

CONCLUSIONS

The new SGD renewal programme is more effective than the PWW programme for improving skills in BLS renewal training.

摘要

背景

对于基础生命支持(BLS)复训课程,我们设计了一个名为基于个性化视频反馈的小组讨论(SGD)计划的新教育项目。

目的

我们将SGD计划与目前使用的观看时练习(PWW)计划(使用标准化教育视频)在BLS技能提升方面的效果进行了比较。

方法

这是一项前瞻性、整群随机研究,于2009年5月至2009年10月在单一中心进行,为期6个月。对两组参与者进行培训,每组采用不同的复训教育项目。使用改良的加的夫测试和技能报告人体模型比较项目的效果。

结果

分析了2169名参与者的结果:SGD计划组1061人,PWW计划组1108人。两组在预测试中的按压技能和非按压技能方面均无差异。然而,在测试后,SGD计划在按压技能和非按压技能方面均取得了更好的结果。

结论

新的SGD复训计划在提高BLS复训培训技能方面比PWW计划更有效。

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