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基于简单分类与快速治疗系统(START)的远程培训在院前急救中的有效性

Effectiveness of Distance Training Based on Simple Triage and Quick Treatment System (START) Triage System in Pre-Hospital Emergency.

作者信息

Hosseinzadeh Mofid, Nematollahi Ali-Vafagh, Afra Yasin, Amini Payam, Navaei Alireza Rafati

机构信息

Department of Emergency Medicine, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Department of Biostatistics and Epidemiology, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

J Med Educ Curric Dev. 2024 Sep 5;11:23821205241278658. doi: 10.1177/23821205241278658. eCollection 2024 Jan-Dec.

Abstract

OBJECTIVE

Triage is the key to success in managing many injured people with limited resources. Therefore, triage training for crisis team medical staff is critical. This study aimed to evaluate the effectiveness of asynchronous learning on immediate care personnel based on the Simple Triage and Quick Treatment System (START) triage system.

METHODS

In this quasi-experimental study, asynchronous learning based on the START triage system was performed on the immediate care staff of Ahvaz Jundishapur University of Medical Sciences from February 2021 to December 2021. Sixty pre-hospital emergency medical staff were randomly assigned to intervention and control groups. Intervention group participants were provided an asynchronous digital training module, and control group participants received the usual training. Data were collected in both groups as pre-test and post-test with demographic information and knowledge assessment questionnaires.

RESULTS

Distance triage training based on the START triage system has a significant effect on the level of awareness of the need for triage and knowledge (awareness) and performance (individual efficiency) of immediate care in the intervention group compared to before training ( < 0.001).

CONCLUSION

Considering the positive results of the pre-organizing model on raising the level of awareness of immediate care personnel, the use of this training method in triage in emergency medicine and retraining workshops could be considered.

摘要

目的

在资源有限的情况下对众多伤者进行管理时,分诊是成功的关键。因此,对危机处理团队医护人员进行分诊培训至关重要。本研究旨在评估基于简单分诊与快速治疗系统(START)分诊系统的异步学习对急救人员的有效性。

方法

在这项准实验研究中,2021年2月至2021年12月期间,对阿瓦士军迪沙普尔医科大学的急救人员进行了基于START分诊系统的异步学习。60名院前急救医护人员被随机分配到干预组和对照组。干预组参与者获得了一个异步数字培训模块,对照组参与者接受常规培训。通过人口统计学信息和知识评估问卷在两组中收集数据作为前测和后测。

结果

与培训前相比,基于START分诊系统的远程分诊培训对干预组分诊必要性的认知水平以及急救的知识(认知)和表现(个人效率)有显著影响(<0.001)。

结论

考虑到预组织模型在提高急救人员认知水平方面的积极结果,可以考虑在急诊医学分诊和再培训工作坊中使用这种培训方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8a1/11378164/d3a0688b4061/10.1177_23821205241278658-fig1.jpg

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