Spiritual Health Research Center, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Mental Health Research Center, School of Behavioral Sciences and Mental Health, Department of Psychiatry, School of Medicine, Tehran Institute of Psychiatry), Tehran, Iran.
BMC Med Educ. 2024 Sep 12;24(1):996. doi: 10.1186/s12909-024-05856-7.
Pre-hospital emergency technicians are crucial in managing patients with acute psychiatric symptoms. They must quickly assess the condition, make a primary diagnosis, and refer the patient to the appropriate treatment center. Insufficient skills in these situations can cause serious harm. Educating technicians on dealing with these patients may enhance their knowledge and skills; however, we do not know the extent and longevity of this improvement and which areas are affected. This study investigates the impact of training on pre-hospital emergency technicians' knowledge and skills.
This quasi-experimental study involved pre-hospital emergency technicians in Robat Karim and Nasim Shahr counties from December 2022 to January 2022. The technicians received workshops on interacting with psychiatric patients. The training topics included the basic principles of coping with a psychiatric patient. They also covered a step-by-step approach to dealing with an aggressive patient, dealing with a patient threatening suicide, managing agitation, managing a patient suffering from panic attacks, and finally dealing with a delirious patient. A pre-test assessed their baseline knowledge and skills, followed by a post-test after training and another test three months later. The test results were analyzed.
This study involved forty male participants ranging in age from 25 to 44 and with work experience ranging from five to twenty years. As a result of training in dealing with acute psychiatric patients, technicians developed significant skills and knowledge immediately after training, and these improvements remained significant three months after training. Nevertheless, the correct answers decreased during the three-month follow-up compared to the pre-test. Education was less effective at managing panic, delirium, and agitation.
In conclusion, technicians' knowledge and skills can be effectively enhanced through training; however, the impact diminishes with time. Theories and practical methods, periodic repetition, and real-world internships are the best ways to maximize training effectiveness.
院前急救技术员在处理急性精神病患者方面至关重要。他们必须快速评估病情、做出初步诊断，并将患者转介到适当的治疗中心。在这些情况下技能不足可能会造成严重伤害。对技术员进行处理这些患者的培训可以提高他们的知识和技能；然而，我们不知道这种提高的程度和持久性，以及哪些方面受到了影响。本研究调查了培训对院前急救技术员知识和技能的影响。
这项准实验研究涉及 2022 年 12 月至 2023 年 1 月在罗巴特卡里姆和纳西姆沙赫尔县的院前急救技术员。技术员们参加了关于与精神病患者互动的讲习班。培训主题包括应对精神病患者的基本原则。还涵盖了处理攻击性患者、处理有自杀倾向的患者、处理激动的患者、管理惊恐发作的患者以及最后处理神志不清的患者的逐步方法。在培训前评估他们的基线知识和技能，然后在培训后进行测试，三个月后再进行测试。分析测试结果。
这项研究涉及 40 名年龄在 25 岁至 44 岁之间的男性参与者，工作经验从 5 年到 20 年不等。由于培训处理急性精神病患者，技术员在培训后立即获得了显著的技能和知识，并且这些提高在培训后三个月仍然显著。然而，与前测相比，在三个月的随访期间，正确答案有所减少。教育在管理惊恐、神志不清和激动方面的效果较差。
总之，通过培训可以有效地提高技术员的知识和技能；然而，随着时间的推移，这种影响会减弱。理论和实践方法、定期重复和实际实习是最大限度提高培训效果的最佳方法。
