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重复视频展示与视频展示结合现场演示作为医疗保健提供者穿戴和脱卸个人防护装备培训方法的比较:一项随机对照试验。

Comparison of Repeated Video Display vs Combined Video Display and Live Demonstration as Training Methods to Healthcare Providers for Donning and Doffing Personal Protective Equipment: A Randomized Controlled Trial.

作者信息

Li Yongxing, Wang Yong, Li Yuhui, Zhong Ming, Liu Huihui, Wu Caineng, Gao Xiaoqiu, Xia Zhengyuan, Ma Wuhua

机构信息

Department of Anesthesiology, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, People's Republic of China.

Department of Anesthesiology, The University of Hong Kong, Hong Kong, People's Republic of China.

出版信息

Risk Manag Healthc Policy. 2020 Oct 29;13:2325-2335. doi: 10.2147/RMHP.S267514. eCollection 2020.

Abstract

PURPOSE

The lack of training in personal protective equipment (PPE) donning and doffing is hindering the current fight against the COVID-19 worldwide. In order to enable medical staff to learn how to don and doff PPE faster and more effectively, we compared two training methods of PPE donning and doffing.

METHODS

Participants in this study were 48 health care workers randomly divided into two groups. Group A watched a 10-minute demonstration (demo) video four times, while Group B watched the same 10-minute demo video twice and then watched a 10-minute live demo twice. The 40-minute learning time was the same for both groups. A 29-step examination was held after the training was completed. The examination scores of Groups A and B were recorded according to a checklist containing PPE donning and doffing steps . The time spent by the participants on PPE donning and doffing, their satisfaction with the training, and their confidence in donning and doffing PPE accurately were analyzed.

RESULTS

The average score of Group B was higher than that Group A, with a mean (SD) of 94.92 (1.72) vs 86.63 (6.34), respectively (P<0.001). The average time spent by Group B was shorter than that spent by Group A, with a mean (SD) of 17.67 (1.01) vs 21.75 (1.82), respectively (P<0.001). The satisfaction and confidence of Group B were higher than those of Group A (P<0.001).

CONCLUSION

Compared with repeated video display, combined video display and live demonstration are more suitable training methods for donning and doffing PPE.

摘要

目的

个人防护装备(PPE)穿脱方面的培训缺失阻碍了当前全球抗击新冠疫情的工作。为使医护人员能够更快、更有效地学习如何穿脱PPE,我们比较了两种PPE穿脱培训方法。

方法

本研究的参与者为48名医护人员,随机分为两组。A组观看一段10分钟的演示视频4次,而B组观看同样的10分钟演示视频2次,然后观看10分钟的现场演示2次。两组的学习时间均为40分钟。培训结束后进行了一项包含29个步骤的考核。根据一份包含PPE穿脱步骤的检查表记录A组和B组的考核成绩。分析了参与者在PPE穿脱上花费的时间、他们对培训的满意度以及他们准确穿脱PPE 的信心。

结果

B组的平均成绩高于A组,分别为94.92(标准差1.72)和86.63(标准差6.34)(P<0.001)。B组平均花费的时间比A组短,分别为17.67(标准差1.01)和21.75(标准差1.82)(P<0.001)。B组的满意度和信心高于A组(P<0.001)。

结论

与重复视频展示相比,视频展示与现场演示相结合是更适合PPE穿脱的培训方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef82/7605971/5e4291ae5416/RMHP-13-2325-g0001.jpg

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