Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Health Metrics Unit, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Resuscitation. 2019 Jun;139:122-132. doi: 10.1016/j.resuscitation.2019.03.026. Epub 2019 Mar 26.
To compare the effectiveness of two basic life support (BLS) training interventions.
This experimental trial enrolled 1301 lay people in BLS training. The participants were cluster randomised to either self-learning training or to traditional instructor-led training. Both groups used the Mini-Anne Kit (Laerdal Medical, Stavanger, Norway) and standardised film instructions. After training, the participants practical skills were measured on a Resusci Anne manikin and an AED trainer with the PC SkillReporting system (Laerdal Medical, Stavanger, Norway). The primary outcome was the total score from the modified Cardiff Test of basic life support with automated external defibrillation (19-70 points), six months after training. The secondary outcomes were total score directly after training and quality of individual variables, self-assessed knowledge, confidence and willingness to act, directly and six months after training.
For primary outcome six months after training there was no statistically significant difference (p = 0.44) between the total score for the self-learning group (n = 670; median 59, IQR 55-62) compared with the instructor-led group (n = 561; median 59, IQR 55-63). The instructor-led training resulted in a statistically significant higher total score (median 61 versus 59, p < 0.0001), self-assessed knowledge and willingness to act, directly after training (secondary outcomes) compared with the self-learning training.
There was no statistically significant difference in practical skills or willingness to act when comparing self-learning training with instructor-led training six months after training in BLS. However, directly after the intervention, practical skills were better when the training was led by an instructor.
比较两种基础生命支持（BLS）培训干预措施的效果。
本实验性试验纳入了 1301 名接受 BLS 培训的非专业人员。参与者被随机分为自学培训组或传统导师指导培训组。两组均使用 Mini-Anne 套件（挪威斯塔万格的 Laerdal Medical）和标准化电影说明。培训后，使用 PC SkillReporting 系统（Laerdal Medical，斯塔万格，挪威）在 Resusci Anne 人体模型和 AED 训练器上测量参与者的实际技能。主要结局是培训 6 个月后改良的加的夫基本生命支持与自动体外除颤（19-70 分）测试的总得分。次要结局是培训后即刻和培训后即刻和 6 个月时的总得分以及个别变量的质量、自我评估的知识、信心和行动意愿。
对于培训 6 个月后的主要结局，自学组（n=670；中位数 59，IQR 55-62）与导师指导组（n=561；中位数 59，IQR 55-63）之间的总得分无统计学差异（p=0.44）。导师指导培训在培训后即刻的总得分（中位数 61 比 59，p<0.0001）、自我评估的知识和行动意愿方面具有统计学显著优势，直接与自学培训相比。
在培训 6 个月后比较自学培训与导师指导培训时，实际技能或行动意愿方面没有统计学显著差异。然而，干预后即刻，由导师指导的培训在实际技能方面更好。
