基本生命支持强化培训的效果评价

Evaluation of the Effect of Basic Life Support Intensive Training

目的评价对1年内接受过基本生命支持(BLS)培训的医学生进行再次强化培训的效果。方法选取2015年1月-12月间接受过BLS培训的865名临床医学生为研究对象,按学生专业及学历,将学生分为本科医师组(A组,n=436)、研究生医师组(B组,n=197)及本科医技组(C组,n=232)。以现场培训方式进行BLS强化培训,分别在培训前后进行BLS理论考核和操作考核,并采用培训量表对急救意识、心理素质、处置能力、配合能力与操作手法正确率等5个维度进行综合运用能力评估。结果 A、B、C组培训前后的基础理论成绩分别为(58.9±9.5)、(93.5±7.6)分,(52.5±4.5)、(90.3±3.5)分,(54.8±5.3)、(88.5±4.5)分;技能操作成绩分别为(58.8±3.2)、(95.3±1.7)分,(57.6±4.2)、(90.5±2.3)分,(50.9±3.8)、(93.5±1.8)分,3组培训后成绩均优于培训前(P<0.05);各组培训后综合运用能力均有明显提高(P<0.05)。结论建立BLS强化培训方案,对更新和巩固急救相关知识、提高急诊教学质量和培训效果有重要临床意义,值得推广。

Objective To evaluate the effect of basic life support （BLS） intensive training for medical students who have received BLS training within one year. Methods We enrolled 865 medical students between January to December 2015 who had received BLS training within one year. These students were divided into three groups [undergraduate upcoming doctor （group A, n=436）, postgraduate upcoming doctor （group B, n=197）, and undergraduate upcoming medical technician （group C, n=232）] based on their major and educational background. In the study, they received on-the-spot BLS intensive training, and took BLS basic knowledge examination, skill examination and comprehensive capacity test before and after training. During the study, comprehensive capacity was evaluated by training scale including such items as emergency awareness, psychological diathesis, disposal ability, cooperation ability, and operation accuracy. Results BLS basic knowledge scores for the above three groups before and after training were respectively 58.9±9.5 vs 93.5±7.6, 52.5±4.5 vs 90.3±3.5, 54.8±5.3 vs 88.5±4.5, and the skill scores were 58.8±3.2 vs 95.3±1.7, 57.6±4.2 vs 90.5±2.3, 50.9±3.8 vs 93.5±1.8, respectively. The scores after training were significantly better than those before training （P 〈 0.05）. Comprehensive capacity was also improved significantly after intensive training （P 〈 0.05）. Conclusions Establishing a BLS intensive training program has important clinical significances for updating and consolidating the emergency knowledge, improving teaching quality and emergency training effect. So it is worth popularizing.