Onabanjo Simileoluwa O, Ibu Faith O, Adeyeye Adebisi A, Akodu Babatunde A, Adaramola Oyinoluwa G, Popoola Akinboade O
Lagos University Teaching Hospital, Lagos, Nigeria.
Consultant Family Physician, Lagos University Teaching Hospital, Lagos, Nigeria.
Afr J Emerg Med. 2023 Jun;13(2):114-119. doi: 10.1016/j.afjem.2023.04.004. Epub 2023 May 15.
Basic Life Support (BLS) is considered a lifesaving measure and sound knowledge is expected among health professionals. Studies conducted among medical doctors and students in many developing countries show deficiencies in knowledge and practice of essential BLS skills. This study assessed the awareness, knowledge, perception, practice, accessibility and barriers to BLS training amongst medical students in South-Western Nigeria, exposing skill gaps and training challenges to inform appropriate solutions.
This was a cross-sectional descriptive e-survey involving 2 - 6 year medical students enrolled in 12 regional medical schools. Overall, 553 responses were received over a 3-month period from November 2020 to January 2021 and analyzed using IBM-SPSS 26.
Of the 553 respondents, 79.2% were aware of BLS however only 160 (29%) respondents had good knowledge of BLS principles. Increasing age, higher level of study, prior BLS training and being enrolled in College of Medicine, University of Lagos (CMUL) were significantly associated with a higher knowledge score (<0.05). Majority (99.5%) considered BLS training necessary however, only 51.3% had prior training. Increased level of study correlated with prior BLS training (<0.05) alongside higher BLS uptake by respondents from CMUL (26.7%) and College of Medicine, University of Ibadan (20.9%) compared to respondents from other schools (<0.05). Only 35.4% had ever done Cardiopulmonary Resuscitation. Most respondents reported no confidence in performing BLS (67.1%) or in using an Automated External Defibrillator (85.7%). Unavailability of training opportunities in state (35%), town (42%) and cost (27%) were major barriers to BLS training identified.
Despite a high level of awareness of BLS training, knowledge of BLS principles and its practice is poor among Nigerian medical students, reflecting a need to integrate stand-alone/structured BLS trainings into the medical curriculum to increase participation and accessibility by medical students.
基础生命支持（BLS）被视为一种救生措施，卫生专业人员应具备扎实的相关知识。在许多发展中国家对医生和医学生进行的研究表明，他们在基本BLS技能的知识和实践方面存在不足。本研究评估了尼日利亚西南部医学生对BLS培训的认知、知识、看法、实践、可及性及障碍，揭示技能差距和培训挑战，以提供合适的解决方案。
这是一项横断面描述性电子调查，涉及12所地区医学院校中2至6年级的医学生。2020年11月至2021年1月的3个月期间共收到553份回复，并使用IBM-SPSS 26进行分析。
在553名受访者中，79.2%知晓BLS，但只有160名（29%）受访者对BLS原则有充分了解。年龄增长、学习水平提高、曾接受BLS培训以及就读于拉各斯大学医学院（CMUL）与更高的知识得分显著相关（<0.05）。大多数（99.5%）认为BLS培训有必要，但只有51.3%曾接受过培训。学习水平提高与曾接受BLS培训相关（<0.05），CMUL（26.7%）和伊巴丹大学医学院（20.9%）的受访者比其他学校的受访者对BLS的接受度更高（<0.05）。只有35.4%的人曾进行过心肺复苏。大多数受访者表示对实施BLS（67.1%）或使用自动体外除颤器（85.7%）没有信心。州内（35%）、城镇（42%）缺乏培训机会以及费用（27%）是所确定的BLS培训的主要障碍。
尽管对BLS培训的认知度较高，但尼日利亚医学生对BLS原则及其实践的了解较差，这表明有必要将独立/结构化的BLS培训纳入医学课程，以提高医学生的参与度和可及性。
