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启动分诊教育对灾害中急救医疗技术人员知识与实践的影响

The Effect of Start Triage Education on Knowledge and Practice of Emergency Medical Technicians in Disasters.

作者信息

Pouraghaei Mahboub, Sadegh Tabrizi Jaafar, Moharamzadeh Payman, Rajaei Ghafori Rozbeh, Rahmani Farzad, Najafi Mirfakhraei Baharak

机构信息

Emergency Medicine Research Team, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

J Caring Sci. 2017 Jun 1;6(2):119-125. doi: 10.15171/jcs.2017.012. eCollection 2017 Jun.

Abstract

Pre-hospital triage is one of the most fundamental concepts in emergency management. Limited human resource changes triage to an inevitable solution in the management of disasters. The aim of this study was to evaluate the role of education of simple triage and rapid treatment (START) in the knowledge and practice of Emergency Medical Service (EMS) employees of Eastern Azerbaijan. This is a pre-and post-intervention study conducted on two hundred and five (205) of employees of EMS sector, in the disaster and emergency management center of Eastern Azerbaijan Province, 2015. The utilized tool is a questionnaire of the knowledge and practice of individuals regarding START triage. The questionnaire was filled by the participants pre- and post-education; thereafter the data were analyzed using SPSS 13 software. The total score of the participants increased from 22.02 (4.49) to 28.54 (3.47). Moreover, the score of sections related to knowledge of the triage was a necessity and the mean score of the section related to the practice increased from 11.47 (2.15) to 13.63 (1.38), and 10.73 (3.57) to 14.93 (2.78), respectively, which were statistically significant. In this study, it was found that holding the educational classes of pre-hospital triage before the disasters is effective in improving the knowledge and practice of employees such as EMS technicians and this resulted to decreased error in performing this process as well as reduced overload in hospitals.

摘要

院前分诊是应急管理中最基本的概念之一。人力资源有限使得分诊成为灾害管理中必然的解决方案。本研究旨在评估简单分诊与快速治疗(START)培训在东阿塞拜疆紧急医疗服务(EMS)工作人员的知识和实践方面所起的作用。这是一项于2015年在东阿塞拜疆省灾害与应急管理中心对205名EMS部门工作人员进行的干预前后对照研究。所使用的工具是一份关于个人对START分诊的知识和实践的问卷。参与者在培训前后填写问卷;之后使用SPSS 13软件对数据进行分析。参与者的总分从22.02(4.49)提高到了28.54(3.47)。此外,与分诊知识相关部分的得分有必要提高,与实践相关部分的平均分分别从11.47(2.15)提高到13.63(1.38),以及从10.73(3.57)提高到14.93(2.78),这些差异具有统计学意义。在本研究中发现,在灾害发生前开展院前分诊教育课程,对于提高诸如EMS技术人员等工作人员的知识和实践能力是有效的,这导致在执行该过程时错误减少,同时医院的负担也减轻了。

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