Ntoumenopoulos George, Ong Hwee Kuan, Toh Hong Chuen, Saclolo Rafael Pulido, Sewa Wen Duu
University of Technology Sydney St Vincent's Hospital Sydney Sydney 2007 Australia.
Singapore General Hospital Singapore Institute of Technology Singapore 169608 Singapore.
Australas J Ultrasound Med. 2017 Jul 31;20(4):147-154. doi: 10.1002/ajum.12059. eCollection 2017 Nov.
INTRODUCTION/PURPOSE: Diagnostic thoracic ultrasound is increasingly being used by non-physicians; hence, we evaluated a curriculum for acute care physiotherapists in critical care.
The one-day course included didactic lectures combined with expert-led hands-on training. Participants undertook pre- and post-course knowledge questionnaire covering key ultrasound findings for normal lungs, pleural and pulmonary pathologies. Course participants who worked at the institution where the course was undertaken undertook a practical examination. We also did a 4- to 6-week follow-up survey of participants. The pretest and post-test questionnaire and survey results were reported using descriptive statistics (means SD or median and IQR).
A total of 12 acute care physiotherapists undertook the training and questionnaire scores (mean percentage, SD, 95% CI) increased from 73.3 ± 15.5% (63.4-83.2) before the training to 86.3 ± 5.5% (82.8-89.8) after training.
This diagnostic thoracic ultrasound training course resulted in improvements of diagnostic thoracic ultrasound knowledge including lung and pleural pathology image recognition skills in a small group of acute care physiotherapists with nil previous diagnostic thoracic ultrasound skills. Two-thirds of the participants who responded to the survey undertook only one to three scans in clinical practice, and the most frequent barrier to clinical use of diagnostic thoracic ultrasound was time constraints.
Further investigation of such a diagnostic thoracic ultrasound training programme on knowledge and skills retention and image acquisition and interpretation in real life clinical practice in a larger group of acute care physiotherapists is warranted.
引言/目的：非医生对诊断性胸部超声的使用越来越多；因此，我们评估了针对重症监护中急性护理物理治疗师的课程。
为期一天的课程包括理论讲座和专家指导的实践培训。参与者在课程前后进行了知识问卷调查，内容涵盖正常肺部、胸膜和肺部病变的关键超声检查结果。在举办课程的机构工作的课程参与者进行了实践考核。我们还对参与者进行了4至6周的随访调查。使用描述性统计（均值标准差或中位数和四分位间距）报告预测试和后测试问卷及调查结果。
共有12名急性护理物理治疗师参加了培训，问卷得分（平均百分比、标准差、95%置信区间）从培训前的73.3±15.5%（63.4 - 83.2）提高到培训后的86.3±5.5%（82.8 - 89.8）。
这个诊断性胸部超声培训课程提高了一小群此前没有诊断性胸部超声技能的急性护理物理治疗师的诊断性胸部超声知识，包括肺部和胸膜病变图像识别技能。对调查做出回应的参与者中有三分之二在临床实践中仅进行了一到三次扫描，诊断性胸部超声临床应用最常见的障碍是时间限制。
有必要对这样一个诊断性胸部超声培训项目在更大规模的急性护理物理治疗师群体的现实临床实践中的知识和技能保留以及图像采集与解读方面进行进一步研究。
