Coakley Anne, Bailey Alison, Tao Joy, Liou Yujie L, Champlain Amanda, Ander Michael, Lake Eden
Loyola University Stritch School of Medicine, Loyola University Medical Center, Maywood, IL, United States.
Presbyterian St Luke's HealthONE, Denver, CO, United States.
Int J Womens Dermatol. 2020 Feb 15;6(3):186-190. doi: 10.1016/j.ijwd.2020.02.002. eCollection 2020 Jun.
Vasovagal syncope is a common clinical occurrence during routine outpatient dermatology procedures, such as injections and biopsies. Despite its prevalence, many medical students and health care professionals do not know how to respond appropriately to a syncopal episode.
The aim of this study was to determine the efficacy of a health education video in teaching medical students and health care professionals the appropriate management steps for vasovagal syncope and its prodromal symptoms in a clinical setting.
With input from dermatologists and an anesthesiologist, an instructional video was developed to demonstrate basic management for a presyncopal and syncopal patient. A pre- and post-video quiz was used to assess comprehension. A total of 124 medical students and health care professionals were enrolled in this study.
After viewing the video, the proportion of respondents who were able to correctly identify how long to monitor a patient after a syncopal episode increased from pre- to post-intervention (44% vs. 71%; < .001). Participants expressed higher levels of agreement with the statement "I am aware of the appropriate steps in managing a patient during an episode of vasovagal syncope" after the intervention ( < .001). Respondents reported increased confidence in managing a patient during a syncopal episode after this intervention ( < .001).
These results suggest that this health education video is a useful tool for educating medical students and nursing professionals about the management of vasovagal syncope in a clinical setting. We propose the use of video education as an efficient means of increasing recognition and standardizing therapeutic response to the prodromal symptoms of syncope and syncopal episodes.
血管迷走性晕厥是皮肤科门诊常规操作（如注射和活检）过程中常见的临床现象。尽管其很常见，但许多医学生和医护人员不知道如何对晕厥发作做出适当反应。
本研究旨在确定健康教育视频在教导医学生和医护人员关于临床环境中血管迷走性晕厥及其前驱症状的适当管理步骤方面的效果。
在皮肤科医生和麻醉师的参与下，制作了一个教学视频，展示晕厥前期和晕厥患者的基本管理方法。通过视频前后的测验来评估理解情况。本研究共招募了124名医学生和医护人员。
观看视频后，能够正确识别晕厥发作后对患者进行监测时长的受访者比例从干预前到干预后有所增加（44%对71%；P<0.001）。干预后，参与者对“我知道在血管迷走性晕厥发作期间管理患者的适当步骤”这一陈述的认同度更高（P<0.001）。受访者报告称，经过此次干预后，他们在晕厥发作期间管理患者的信心增强（P<0.001）。
这些结果表明，这个健康教育视频是教导医学生和护理专业人员关于临床环境中血管迷走性晕厥管理的有用工具。我们建议将视频教育作为一种有效的手段，以提高对晕厥前驱症状和晕厥发作的认识，并使治疗反应标准化。
