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老年人适应的新急救培训计划的评估。

Evaluation of a newly developed first aid training programme adapted for older people.

机构信息

Faculty of Health Sciences, Sanitary Engineering Department, Public Health Division, University of Ljubljana, Zdravstvena pot 5, Ljubljana, 1000, Slovenia.

出版信息

BMC Emerg Med. 2023 Nov 10;23(1):134. doi: 10.1186/s12873-023-00907-6.

Abstract

BACKGROUND

Older people need to acquire knowledge and skills at first aid (FA) training tailored to them. Our research aimed to evaluate an FA training programme adapted for older people. We assumed that satisfaction with FA training, as well as knowledge of FA, would be higher among older people who received training according to an adapted programme compared to those who received training according to the existing programme for the general public.

METHODS

We trained older people according to the existing FA programme for the general public and according to a new FA training programme adapted for older people. The new training program is shorter and focuses on FA contents that are more relevant for older people. We evaluated participants with a general assessment questionnaire (consisting of items regarding satisfaction, comprehensibility, length, and physical difficulty), a test on theoretical FA knowledge, and a test on practical cardiopulmonary resuscitation (CPR) knowledge. To ensure the homogeneity of the groups and to verify the impact on the results of the test of practical CPR knowledge, we also tested the participants regarding their psychophysical capabilities.

RESULTS

A total of 120 people completed the free FA training sessions. The general assessment questionnaire score of participants who were trained based on the new FA training program was 19.3 (out of 20), which was statistically significantly (p < 0.05) higher than that of those trained based on the old program (general assessment score of 17.1). Participants who were trained based on the new program scored an average of 8.6 points on the theoretical FA knowledge test, while those who were trained based on the old program scored an average of 7.1 points, which was statistically significantly (p < 0.05) lower. In both programs, the same average scores (7.5 out of 10 points) on the practical CPR knowledge test was achieved. However, participants who participated in the FA course adapted for the older people gained practical CPR knowledge in a shorter time. Older people with a greater psychophysical capacity were more successful in performing CPR, regardless of which FA training programme they received.

CONCLUSIONS

The effectiveness of FA training is greater if older people are trained in accordance with a targeted programme adapted to the psychophysical limitations of the older people.

摘要

背景

老年人需要接受针对他们的急救(FA)培训,以获取知识和技能。我们的研究旨在评估为老年人量身定制的 FA 培训计划。我们假设,与接受针对公众的现有 FA 培训计划的老年人相比,接受适应老年人的 FA 培训计划的老年人对 FA 培训的满意度以及对 FA 的了解程度会更高。

方法

我们根据针对公众的现有 FA 培训计划和为老年人量身定制的新的 FA 培训计划对老年人进行培训。新的培训计划更短,侧重于对老年人更相关的 FA 内容。我们使用一般评估问卷(包含关于满意度、可理解性、时长和身体难度的项目)、理论 FA 知识测试和实际心肺复苏术(CPR)知识测试来评估参与者。为了确保组内的同质性并验证实际 CPR 知识测试结果的影响,我们还针对参与者的心理物理能力对其进行了测试。

结果

共有 120 人完成了免费的 FA 培训课程。基于新的 FA 培训计划接受培训的参与者的一般评估问卷得分为 19.3(满分 20 分),与基于旧计划接受培训的参与者(得分为 17.1)相比,这具有统计学意义(p<0.05)。基于新计划接受培训的参与者在 FA 理论知识测试中平均得分为 8.6 分,而基于旧计划接受培训的参与者平均得分为 7.1 分,这具有统计学意义(p<0.05)。在这两个计划中,实际的 CPR 知识测试的平均分数(10 分中的 7.5 分)相同。但是,参加适应老年人的 FA 课程的老年人在更短的时间内获得了实际的 CPR 知识。无论接受哪种 FA 培训计划,心理物理能力较强的老年人在进行 CPR 时都更成功。

结论

如果针对老年人的心理物理限制量身定制目标计划来进行 FA 培训,则 FA 培训的效果会更大。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9be2/10636823/14230c9e36a6/12873_2023_907_Fig1_HTML.jpg

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