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[对北莱茵-威斯特法伦州学校引入旁观者心肺复苏项目的评估]

[Evaluation of the project for the introduction of bystander resuscitation in schools in North Rhine-Westphalia].

作者信息

Felzen Marc, Schröder Hanna, Beckers Stefan K, Böttiger Bernd W, Rott Nadine, Koch-Schultze Ruth, Wingen Sabine, Meißner Andreas, Santowski Iris, Picker Olaf, Rahe-Meyer Niels, Dumcke Rico, Wegner Claas, van Aken Hugo, Gottschalk Antje, Weber Oliver, Rossaint Rolf

机构信息

Klinik für Anästhesiologie, Medizinische Fakultät, RWTH Aachen University, Uniklinik RWTH Aachen, Pauwelsstr. 30, 52074, Aachen, Deutschland.

Klinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Köln, Köln, Deutschland.

出版信息

Anaesthesist. 2021 May;70(5):383-391. doi: 10.1007/s00101-020-00889-1. Epub 2020 Nov 26.

DOI:10.1007/s00101-020-00889-1
PMID:33244640
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8099835/
Abstract

BACKGROUND

Teaching of resuscitation measures is not mandatory in all schools in Germany. It is currently limited to individual, partly mandatory projects despite a low bystander resuscitation rate. For this reason, the Ministry for Schools and Education of North Rhine-Westphalia initiated the project "Bystander resuscitation at schools in NRW" in March 2017.

OBJECTIVE

The aim of this work was to evaluate this project.

MATERIAL AND METHODS

All secondary schools in North Rhine-Westphalia were invited to participate in the project. Medical partners from each administrative district took part, who carried out resuscitation training with existing concepts for teacher or student training. After a 3-year period, the evaluation was carried out using standardized questionnaires for school headmasters, teachers and students.

RESULTS

In total, more than 40,000 pupils from 249 schools in NRW could be trained in resuscitation within the project with 6 different concepts. Of the students 85% answered the questions regarding resuscitation correctly and overall felt safe in resuscitation measures. The one-off investment requirement for all schools is roughly 4-6.5 million € and around 340,000 € in each budget year.

CONCLUSION

A legal constitution and funding are necessary for a nationwide introduction of resuscitation in schools. All established concepts are effective, therefore each school can use them exactly according to their needs, optimally in a stepped form. Training for teachers should focus on resuscitation.

摘要

背景

在德国,并非所有学校都必须开展复苏措施教学。尽管旁观者实施复苏的比例较低,但目前这仅限于个别部分强制性项目。因此,北莱茵 - 威斯特法伦州学校与教育部于2017年3月启动了“北莱茵 - 威斯特法伦州学校的旁观者复苏”项目。

目的

这项工作的目的是评估该项目。

材料与方法

邀请北莱茵 - 威斯特法伦州的所有中学参与该项目。每个行政区的医学合作伙伴参与其中,他们采用现有的教师或学生培训理念开展复苏培训。3年后,使用针对校长、教师和学生的标准化问卷进行评估。

结果

在该项目中,北莱茵 - 威斯特法伦州249所学校的40,000多名学生接受了6种不同理念的复苏培训。85%的学生正确回答了有关复苏的问题,总体上对复苏措施感到安全。所有学校的一次性投资需求约为400 - 650万欧元,每个预算年度约为34万欧元。

结论

在全国范围内在学校引入复苏措施需要法律规定和资金支持。所有既定理念都是有效的,因此每所学校都可以根据自身需求,最好是以逐步推进的形式来使用它们。教师培训应侧重于复苏。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2741/8099835/ba55b71df1ea/101_2020_889_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2741/8099835/ba55b71df1ea/101_2020_889_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2741/8099835/ba55b71df1ea/101_2020_889_Fig1_HTML.jpg

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