Department of Nursing, Shoushtar Faculty of Medical Sciences, Shoushtar, Islamic Republic of Iran.
Nursing Care Research Center in Chronic Diseases, Department of Nursing, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Islamic Republic of Iran.
East Mediterr Health J. 2020 Oct 13;26(10):1193-1199. doi: 10.26719/emhj.19.018.
Pre-hospital resuscitation in cardiac arrest is crucial to survival of patients, so emergency medical services personnel must have up-to-date knowledge and good skills.
This study aimed to determine the association between knowledge and skills of emergency medical services personnel of basic life support in north-west Khuzestan province, Islamic Republic of Iran.
This cross-sectional study included all personnel of emergency medical services (75 participants) in two emergency centres. Data were collected on characteristics of the participants (age, time since last retraining, academic degree, and length of experience), and their knowledge of basic life support. Skills were assessed by observing the personnel carry out basic life support and use of an automated external defibrillator on a mannequin.
Poor knowledge was found in 31% of the personnel (mean score: 19.35 (SD 3.9); range: 0-34) and 42.7% had poor skills (mean score: 5.40 (SD 2.39); range: 0-9). Most of the staff (71%) did not use the automated external defibrillator correctly. No statistically significant relationship was found between staff knowledge and skills (P = 0.298). Staff knowledge and skills were significantly associated with correct use of the defibrillator (P = 0.039). Knowledge score was significantly associated with length of time since doing resuscitation training (P = 0.006) and academic qualification (P = 0.046). The skills score was significantly associated with time since doing training (P = 0.004).
Strategies to maintain and improve the life support knowledge and skills of personnel in emergency medical services are recommended.
院外心脏骤停复苏对于患者的存活至关重要，因此，急救医疗服务人员必须具备最新的知识和良好的技能。
本研究旨在确定伊朗伊斯兰共和国西北部胡齐斯坦省急救医疗服务人员基本生命支持知识和技能之间的关联。
本横断面研究包括两个急救中心的所有急救医疗服务人员（75 名参与者）。收集参与者的特征（年龄、上次再培训时间、学历和经验年限）以及他们的基本生命支持知识。通过观察人员在人体模型上进行基本生命支持和使用自动体外除颤器来评估技能。
发现 31%的人员知识水平较差（平均得分：19.35（SD 3.9）；范围：0-34），42.7%的人员技能较差（平均得分：5.40（SD 2.39）；范围：0-9）。大多数工作人员（71%）未正确使用自动体外除颤器。工作人员的知识与技能之间无统计学显著关系（P=0.298）。工作人员的知识和技能与除颤器的正确使用显著相关（P=0.039）。知识得分与进行复苏培训的时间长短显著相关（P=0.006），与学历显著相关（P=0.046）。技能得分与培训时间长短显著相关（P=0.004）。
建议采取策略来维持和提高急救医疗服务人员的生命支持知识和技能。
