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医学生对儿科窒息急救操作指南的知识掌握与遵循情况:一项关于医学教育课程的多中心研究

Medical Students' Knowledge and Adherence to Paediatric Choking Rescue Manoeuvre Guidelines: A Multicentre Study of Medical Education Curricula.

作者信息

Bieliński Jakub R, Huntley Riley, Timler Dariusz, Nadolny Klaudiusz, Jaskiewicz Filip

机构信息

Emergency Medicine and Disaster Medicine Department, Medical University of Lodz, 90-419 Lodz, Poland.

Faculty of Applied Science, School of Nursing, University of British Columbia, Vancouver, BC V6T 2B5, Canada.

出版信息

Healthcare (Basel). 2025 Jun 16;13(12):1441. doi: 10.3390/healthcare13121441.

Abstract

Bystander first aid in paediatric choking is crucial. It ought to be universally comprehensible and backed up by evidence-based guidelines. However, there still are inconsistencies in guidelines worldwide. The objective of this research was to assess the knowledge of medical students on paediatric choking rescue manoeuvres and their educational backgrounds in order to evaluate the impact of differences in educational curricula. Medical students from a total of 12 universities across Canada, Libya, and Poland were surveyed online. The questionnaire assessed the respondents' experience, training, and knowledge in first aid regarding foreign body airway obstruction in infants and children. Out of 324 responses, 290 were evaluated. Although the students studied in only 3 countries, they represented 37 countries of origin. A total of 7 new reference groups were created based on guideline identification. A comparison of 4 clinical scenario questions revealed that certain training providers communicate recommendations more effectively to medical students, as their guidelines seem to have better knowledge retention. There are important differences in medical student knowledge, possibly due to discrepancies in training programs and guidelines. Variability was found in body position, anti-choking suction devices, blind finger sweeps, and medical follow-ups. More research is needed to standardize training and improve worldwide choking management outcomes.

摘要

旁观者对小儿窒息的急救至关重要。它应该易于理解,并以循证指南为依据。然而,全球范围内的指南仍存在不一致之处。本研究的目的是评估医学生对小儿窒息急救操作的知识及其教育背景,以评估教育课程差异的影响。对来自加拿大、利比亚和波兰共12所大学的医学生进行了在线调查。问卷评估了受访者在婴儿和儿童异物气道阻塞急救方面的经验、培训和知识。在324份回复中,290份得到评估。尽管这些学生仅在3个国家学习,但他们代表了37个原籍国。基于指南识别共创建了7个新的参考组。对4个临床情景问题的比较表明,某些培训提供者能更有效地向医学生传达建议,因为他们的指南似乎能更好地保留知识。医学生的知识存在重要差异,可能是由于培训计划和指南的差异所致。在身体姿势、防窒息吸引装置、盲目手指清除和医疗随访方面发现了差异。需要更多研究来规范培训并改善全球窒息管理结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/635d/12192562/cf1e72575d3f/healthcare-13-01441-g001.jpg

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