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基础生命支持培训对医学生知识掌握情况的影响:一项准实验性多中心研究。

Effects of basic life support training on the knowledge of healthcare students: A quasiexperimental and multicenter study.

作者信息

Lopes Lucas Casagrande Passoni, Samor Camila Bertoni Palis, da Silva Guilherme Santos, Guimarães Helena Vasconcelos, Murakami Rodrigo Kendi, Boas Tereza Cristina Ribeiro Vilas, de Albuquerque Winicius Loureiro, Filho Marcos Marton Antonio, Bernardes Rodrigo Magri

机构信息

Medical Student, Department of Medicine, Bauru Medical School - University of São Paulo, Bauru, Brazil.

Medical Student, Estácio University Center of Ribeirão Preto, Ribeirão Preto, Brazil.

出版信息

J Educ Health Promot. 2025 Jul 4;14:228. doi: 10.4103/jehp.jehp_1936_24. eCollection 2025.

DOI:10.4103/jehp.jehp_1936_24
PMID:40772089
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12327731/
Abstract

BACKGROUND

Cardiac arrest (CA) is defined as the sudden cessation of effective cardiac function. This condition is highly prevalent worldwide and is associated with significant morbidity and mortality. Basic Life Support (BLS), encompassing circulation, airway, and breathing management, is crucial in improving outcomes for CA patients. However, gaps in BLS training among nonphysician healthcare professionals necessitate targeted training programs. The objective is to evaluate the knowledge of healthcare students before and after theoretical-practical BLS training using the just-in-time methodology.

MATERIALS AND METHODS

We developed a cross-sectional, analytical, pre-experimental study that employed a quantitative approach to evaluate students' BLS knowledge before, immediately after, and 1 month post training. Participants were from various healthcare courses at public and private universities in São Paulo, Brazil. The training combined theoretical instruction with practical sessions using mannequins and medical equipment, applying the just-in-time teaching method. Data were collected through a 15-question objective test, administered at three time points, and analyzed using the Wilcoxon signed rank test for statistical significance.

RESULTS

Out of 162 registrants, 95 students completed the training and were included in the analysis, with 57 students responding to the 1-month follow-up. All domains of the test showed a statistically significant improvement in correct answers immediately post training compared to pretraining. Although a slight reduction in scores was observed after 1 month, the decline was not statistically significant for most domains.

CONCLUSIONS

The training had a notable impact on students' knowledge. Furthermore, students demonstrated substantial retention of the material.

摘要

背景

心脏骤停(CA)被定义为有效心脏功能的突然停止。这种情况在全球范围内高度普遍,且与显著的发病率和死亡率相关。基础生命支持(BLS),包括循环、气道和呼吸管理,对于改善CA患者的预后至关重要。然而,非医师医疗专业人员在BLS培训方面存在差距,因此需要有针对性的培训项目。目的是使用即时方法评估医学生在理论 - 实践BLS培训前后的知识水平。

材料与方法

我们开展了一项横断面分析性预实验研究,采用定量方法评估学生在培训前、培训后即刻以及培训后1个月的BLS知识。参与者来自巴西圣保罗公立和私立大学的各种医疗课程。培训将理论教学与使用人体模型和医疗设备的实践课程相结合,采用即时教学法。通过在三个时间点进行的15道客观题测试收集数据,并使用Wilcoxon符号秩检验分析其统计学意义。

结果

在162名登记参与者中,95名学生完成了培训并纳入分析,其中57名学生回复了1个月的随访。与培训前相比,培训后即刻测试的所有领域正确答案均有统计学显著改善。尽管1个月后分数略有下降,但大多数领域的下降在统计学上并不显著。

结论

该培训对学生的知识有显著影响。此外,学生对所学内容有显著的记忆保持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac70/12327731/ae37eb0c0840/JEHP-14-228-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac70/12327731/ae37eb0c0840/JEHP-14-228-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac70/12327731/ae37eb0c0840/JEHP-14-228-g001.jpg

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