Brandt Tom, Schittenhelm Andrea, Kuhn Botelho Daniel, Müller Tim, Schmidt Annette
Institute of Sports Science, University of the Bundeswehr Munich, 85579 Neubiberg, Germany.
NextGenerationEU, dtec.bw Project Smart Health Lab, Faculty of Human Sciences, Institute of Sports Science, Chair of Sport Biology, University of the Bundeswehr Munich, 85579 Neubiberg, Germany.
Healthcare (Basel). 2024 Aug 12;12(16):1599. doi: 10.3390/healthcare12161599.
Paramedics work under physically and cognitively demanding conditions to provide emergency care. As physical fitness could positively impact the quality of patient care, we investigated within a pilot study whether concurrent training (CT) affects work-related performance parameters in paramedics. At baseline (T1), 16 paramedics performed cardiopulmonary resuscitation whereby resuscitation performance (RP; total resuscitation quality, compressions with correct frequency, and correct ventilation), cognitive performance (CP; reaction time, divided attention, and working memory), and heart rate variability (HRV) were assessed (pre-exertion). Then, participants climbed seven floors carrying 20 kg of gear before completing the same assessments again (post-exertion). The baseline testing was followed by a CT intervention (12 weeks, three sessions/week). After the intervention (T2), the two-stage testing was repeated. We analyzed whether the pre-exertion and post-exertion values, as well as the difference between the pre-exertion and post-exertion values, changed from T1 to T2. Nine paramedics (male: N = 7; age = 26.3 (SD = 8.17) years) took part in the study. The comparison of the pre-exertion values showed significantly better reaction times ( = 0.001) and divided attention ( = 0.02) and a trend toward greater working memory and RP parameters at T2. Regarding the post-exertion values, significant improvements in working memory ( = 0.03) and a trend toward improved reaction time, divided attention, and RP occurred at T2. The difference between the pre- and post-exertion values did not change for any parameter from T1 to T2. HRV decreased significantly from pre- to post-exertion (T1: = 0.01, T2: = 0.01). These results indicate that CT is a promising training concept to improve RP and CP in paramedics and should therefore be investigated further to increase patient care quality.
护理人员在身体和认知要求都很高的条件下工作，以提供紧急护理。由于身体素质会对患者护理质量产生积极影响，我们在一项试点研究中调查了同步训练（CT）是否会影响护理人员与工作相关的绩效参数。在基线期（T1），16名护理人员进行心肺复苏，评估复苏表现（RP；总复苏质量、正确频率的按压和正确通气）、认知表现（CP；反应时间、分散注意力和工作记忆）以及心率变异性（HRV）（运动前）。然后，参与者携带20公斤装备爬七层楼，之后再次完成相同评估（运动后）。基线测试后进行CT干预（12周，每周三次）。干预后（T2），重复两阶段测试。我们分析了运动前和运动后的值，以及运动前和运动后值之间的差异从T1到T2是否发生了变化。九名护理人员（男性：N = 7；年龄 = 26.3（标准差 = 8.17）岁）参与了该研究。运动前值的比较显示，T2时反应时间（P = 0.001）和分散注意力（P = 0.02）明显更好，工作记忆和RP参数有增加趋势。关于运动后值，T2时工作记忆有显著改善（P = 0.03），反应时间、分散注意力和RP有改善趋势。从T1到T2，任何参数的运动前和运动后值之间的差异都没有变化。HRV从运动前到运动后显著降低（T1：P = 0.01，T2：P = 0.01）。这些结果表明，CT是一种有前景的训练理念，可改善护理人员的RP和CP，因此应进一步研究以提高患者护理质量。
