Karim Habib Md Reazaul, Yunus Md, Bhattacharyya Prithwis, Ahmed Ghazal
Department of Anaesthesiology and Critical Care, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India.
Department of Anaesthesiology and Critical Care, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India; Department of Emergency Medicine and Traumatology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India.
Int J Crit Illn Inj Sci. 2016 Apr-Jun;6(2):61-4. doi: 10.4103/2229-5151.183018.
Basic life support (BLS) is an integral part of emergency medical care. Studies have shown poor knowledge of it among health care providers who are usually taught BLS by lecture-based teachings in classes.
This study is designed to assess the effectiveness of class lecture versus workshop-based teaching of BLS on acquiring the practice skills on mannequin.
After ethical approval and informed consent from the participants, the present study was conducted among the health care providers. Participants were grouped in lecture-based class teaching and workshop-based teaching. They were then asked to practice BLS on mannequin (Resusci Anne with QCPR) and evaluated as per performance parameters based on American Heart Association BLS. Statistical analyses are done by Fisher's exact t-test using GraphPad INSTAT software and P < 0.05 is taken as significant.
There were 55 participants in lecture-based teaching and 50 in workshop-based teaching group. There is no statistical difference in recognition of arrest, checking pulse, and starting chest compression (P > 0.05). Though more than 83% of lecture-based teaching group has started chest compression as compared 96% of workshop group; only 49% of the participants of lecture-based group performed quality chest compression as compared to 82% of other group (P = 0.0005). The workshop group also performed better bag mask ventilation and defibrillation (P < 0.0001).
Workshop-based BLS teaching is more effective and lecture-based class teaching better is replaced in medical education curriculum.
基础生命支持(BLS)是紧急医疗护理的一个组成部分。研究表明,在通常通过课堂讲座式教学接受BLS培训的医疗保健提供者中,对其了解程度较差。
本研究旨在评估BLS课堂讲座教学与基于工作坊的教学在获取人体模型实践技能方面的有效性。
在获得伦理批准并征得参与者知情同意后,本研究在医疗保健提供者中进行。参与者被分为基于讲座的课堂教学组和基于工作坊的教学组。然后要求他们在人体模型(配备QCPR的复苏安妮)上练习BLS,并根据美国心脏协会BLS的性能参数进行评估。使用GraphPad INSTAT软件通过Fisher精确t检验进行统计分析,P < 0.05被视为具有显著性。
基于讲座的教学组有55名参与者,基于工作坊的教学组有50名参与者。在识别心跳骤停、检查脉搏和开始胸外按压方面没有统计学差异(P > 0.05)。尽管基于讲座的教学组中有超过83%的人开始进行胸外按压,而工作坊组为96%;但基于讲座的教学组中只有49%的参与者进行了高质量的胸外按压,而另一组为82%(P = 0.0005)。工作坊组在面罩通气和除颤方面也表现得更好(P < 0.0001)。
基于工作坊的BLS教学更有效,医学教育课程中基于讲座的课堂教学最好被取代。