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沙特阿拉伯本科医学生灾难模拟培训的有效性和益处

The Effectiveness and Benefits of Disaster Simulation Training for Undergraduate Medical Students in Saudi Arabia.

作者信息

Doumi Rasha, Alassaf Wajdan, Aljahany Muna, Aldobeaban Sarah, Mirghani Hamda Ahmed, BinSaleh Yara, Ibrahim Samah F

机构信息

Family and Community Medicine Department, College of Medicine, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.

Emergency Department, King Abdullah bin Abdulaziz University Hospital, Riyadh, Saudi Arabia.

出版信息

Adv Med Educ Pract. 2024 Jul 17;15:707-714. doi: 10.2147/AMEP.S453879. eCollection 2024.

Abstract

BACKGROUND

There is a growing recognition of the need for disaster management training for medical students in Saudi Arabia, but there is limited research on its effectiveness. Thus, this study evaluated the effectiveness of a disaster simulation training program for undergraduate medical students in Saudi Arabia.

METHODS

A disaster management simulation activity was conducted for 32 medical students. The students attended a 30-minute lecture about mass casualty incidents (MCIs) and completed a pre-simulation survey. They were then randomly assigned to one of three groups (performer, actor, observer) and asked to apply their skills to triage patients after a Level C MCI. A debriefing session was conducted using the plus/delta debriefing method. Then, the students completed a post-simulation survey.

RESULTS

The results showed that after the simulation training the students' self-confidence in their ability to respond to a disaster increased from 40.7% to 59.4% (p value < 0.01), to utilize incident command structure increased from 37.9% to 62.5% (p value < 0.01), to demonstrate START triage for victims of a disaster increased from 28.2% to 65.7% (p value < 0.01), and to apply safe search and rescue techniques increased from 40.7% to 59.4% (p value < 0.01). The students' self-confidence in their ability to perform basic first aid skills also increased after the simulation.

CONCLUSION

The study findings suggest that disaster management simulation training can be an effective way to increase medical students' self-confidence and preparedness for disaster response.

摘要

背景

沙特阿拉伯对医学生进行灾害管理培训的需求日益受到认可,但关于其有效性的研究有限。因此,本研究评估了沙特阿拉伯本科医学生灾害模拟培训项目的有效性。

方法

对32名医学生开展了灾害管理模拟活动。学生们参加了一场关于重大伤亡事件(MCIs)的30分钟讲座,并完成了模拟前的调查。然后,他们被随机分配到三组(执行者、参与者、观察者)之一,并被要求在C级重大伤亡事件后运用其技能对患者进行分诊。使用加/减汇报法进行了一次汇报会。之后,学生们完成了模拟后的调查。

结果

结果显示,模拟培训后,学生们应对灾害能力的自信心从40.7%提高到了59.4%(p值<0.01),运用事件指挥结构的能力从37.9%提高到了62.5%(p值<0.01),为灾害受害者进行START分诊的能力从28.2%提高到了65.7%(p值<0.01),应用安全搜索和救援技术的能力从40.7%提高到了59.4%(p值<0.01)。模拟后,学生们执行基本急救技能的自信心也有所提高。

结论

研究结果表明,灾害管理模拟培训可以成为提高医学生应对灾害的自信心和准备程度的有效方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ba6/11268575/dfef5248d3f1/AMEP-15-707-g0001.jpg

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