Department of Emergency Medicine, Nopparatrajathanee Hospital, Bangkok, Thailand.
Faculty of Medicine, Srinakharinwirot University, Bangkok, Thailand.
J Emerg Med. 2022 Aug;63(2):309-316. doi: 10.1016/j.jemermed.2022.02.002. Epub 2022 Mar 4.
Cardiopulmonary resuscitation (CPR) performed by lay rescuers can increase a person's chance of survival. The COVID-19 pandemic enforced prevention policies that encouraged social distancing, which disrupted conventional modes of health care education. Tele-education may benefit CPR training during the pandemic.
Our aim was to compare CPR knowledge and skills using tele-education vs. conventional classroom teaching methods.
A noninferiority trial was conducted as a Basic Life Support workshop. Participants were randomly assigned to a tele-education or conventional group. Primary outcomes assessed were CPR knowledge and skills and secondary outcomes assessed were individual skills, ventilation, and chest compression characteristics.
Pretraining knowledge scores (mean ± standard deviation [SD] 3.50 ± 2.18 vs. 4.35 ± 1.70; p = 0.151) and post-training knowledge scores (7.91 ± 2.14 vs. 8.52 ± 0.90; p = 0.502) of the tele-education and conventional groups, respectively, had no statistically significant difference. Both groups' training resulted in a significant and comparable gain in knowledge scores (p < 0.001). The tele-education and conventional groups skill scores (mean ± SD 78.30 ± 6.77 vs. 79.65 ± 9.93; p = 0.579) had no statistical difference. Skillset scores did not differ statistically except for the compression rate and ventilation ratio; the conventional group performed better (p = 0.042 vs. p = 0.017). The tele-education and conventional groups' number of participants passed the skill test (95.5% and 91.3%, respectively; p = 1.000).
Tele-education offers a pragmatic and reasonably effective alternative to conventional CPR training during the COVID-19 pandemic.
由非专业救援人员实施的心肺复苏术(CPR)可以增加一个人存活的机会。COVID-19 大流行实施了鼓励保持社交距离的预防政策,这扰乱了常规的医疗保健教育模式。远程教育可能有益于大流行期间的 CPR 培训。
我们的目的是比较使用远程教育与传统课堂教学方法进行 CPR 知识和技能培训的效果。
一项非劣效性试验作为基础生命支持研讨会进行。参与者被随机分配到远程教育组或传统组。主要结局评估为 CPR 知识和技能,次要结局评估为个人技能、通气和胸外按压特征。
远程教育组和传统组的培训前知识评分(平均值±标准偏差[SD],分别为 3.50 ± 2.18 分和 4.35 ± 1.70 分;p=0.151)和培训后知识评分(分别为 7.91 ± 2.14 分和 8.52 ± 0.90 分;p=0.502)无统计学差异。两组的培训均导致知识评分显著提高(p<0.001)。远程教育组和传统组的技能评分(平均值±SD,分别为 78.30 ± 6.77 分和 79.65 ± 9.93 分;p=0.579)无统计学差异。除了按压频率和通气比之外,技能评分没有统计学差异;传统组表现更好(p=0.042 比 p=0.017)。远程教育组和传统组通过技能测试的参与者人数分别为 95.5%和 91.3%(p=1.000)。
在 COVID-19 大流行期间,远程教育提供了一种实用且合理有效的 CPR 培训替代方案。