本科医学生急救和基本生命支持技能的保持情况。
Retention of first aid and basic life support skills in undergraduate medical students.
作者信息
de Ruijter Pim A, Biersteker Heleen A, Biert Jan, van Goor Harry, Tan Edward C
机构信息
Institute for Scientific Education and Research, Radboud University Medical Center, Nijmegen The Netherlands;
Institute for Scientific Education and Research, Radboud University Medical Center, Nijmegen The Netherlands.
出版信息
Med Educ Online. 2014 Nov 6;19:24841. doi: 10.3402/meo.v19.24841. eCollection 2014.
BACKGROUND
Undergraduate medical students follow a compulsory first aid (FA) and basic life support (BLS) course. Retention of BLS seems poor and only little information is provided on the retention of FA skills. This study aims at evaluating 1- and 2-year retention of FA and BLS training in undergraduate medical students.
METHODS
One hundred and twenty students were randomly selected from first year (n=349) medical students who successfully followed a compulsory FA and BLS course. From these 120 students, 94 (78%) and 69 (58%) participated in retention tests of FA and BLS skills after 1 and 2 years, respectively. The assessment consisted of two FA stations and one BLS station.
RESULTS
After 1 year, only 2% passed both FA and BLS stations and 68% failed both FA and BLS stations. After 2 years, 5% passed and 50% failed both FA and BLS stations. Despite the high failure rate at the stations, 90% adequately checked vital signs and started cardiopulmonary resuscitation appropriately.
CONCLUSIONS
The long-term retention of FA and BLS skills after a compulsory course in the first year is poor. Adequate check of vital signs and commencing cardiopulmonary resuscitation retained longer.
背景
本科医学生需参加一门必修的急救（FA）和基础生命支持（BLS）课程。BLS技能的保持情况似乎较差，而关于FA技能保持情况的信息则很少。本研究旨在评估本科医学生FA和BLS培训1年及2年的技能保持情况。
方法
从成功修完必修FA和BLS课程的一年级医学生（n = 349）中随机选取120名学生。在这120名学生中，分别有94名（78%）和69名（58%）在1年和2年后参加了FA和BLS技能的保持测试。评估包括两个FA站点和一个BLS站点。
结果
1年后，只有2%的学生通过了FA和BLS两个站点的测试，68%的学生两个站点的测试均未通过。2年后，5%的学生通过测试，50%的学生两个站点的测试均未通过。尽管站点测试的失败率很高，但90%的学生能充分检查生命体征并正确开始心肺复苏。
结论
第一年必修课程后FA和BLS技能的长期保持情况较差。对生命体征的充分检查和开始心肺复苏的技能保持得更久。
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