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題名 | The Follow-up on the Training Course of Pediatric Advanced Life Support=兒童高級救命術訓練課程:進一步研究成果 |
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作者 | 林英智; 遲景上; 陳昭惠; 王德明; | 書刊名 | 臺灣兒科醫學會雜誌 |
卷期 | 41:4 民89.07-08 |
頁次 | 頁205-210+231 |
分類號 | 415.22 |
關鍵詞 | 兒童高級救命術訓練課程; Pediatric advanced life support; |
語文 | 英文(English) |
中文摘要 | 本篇文章包兩部份。第一部份爲改進兒童高級救命術訓練課程,本院小兒部於民國八十八年三月二十八及二十九舉辦兩天的兒童高級救命術訓練課程。每一位參加的學員都接受課前,課後的測驗,並填寫一份問卷。總共有143位學員參加兩天的此課程,其中有137位完成課前及課後的測驗。他們的課前及課後測驗的平均分數分別爲70.2(SD=11.5)和86.9(SD=9.1)(P<0.001)。兩天的訓練課程比起一天的課程進步分數較高。並且感到課程太聚湊的學員比例也從71人(66.3%)下降至43人(31.4%)。第二部份爲評估接受過一天的兒童高級救命術訓練課程一年後急救知識剩餘情形,我們給參加過去的舉辦一天的訓練課程並完成測驗的129位學員同樣的追蹤的測驗和問卷調查。總共有83人回覆一年後之追蹤測驗,其中有75人爲醫學中心之醫護人員。這75人追蹤測驗的平均分數77.4(SD=8.5),爲低於及格分數,和去年課後分數比較有明顯的下降(P<0.001)。在這一年中有接受過其他高級救命術訓練課程或加護中心訓練課程的學員其追蹤測驗的平均分數仍高於及格分數,和課後分數比較也並沒有明顯的下降(P=0.145)。結果顯示兩天的訓練課程比一天的課程給參加的學員較好的學習成果,並且除了有再接受過其他高級救命術訓練課程或加護中心訓練課程一年後急救知識都有明顯下降。我們建議參與小兒急救的人員最好接受兩天的課程訓練。若是接受過一天的訓練課程的學員應該定期再次接受一次加強的兒童高級救命術訓練課程。 |
英文摘要 | Two parts are included in this article. First, to improve the training course in pediatric advanced life support (PALS), we held a 2-day PALS training course on March 28 and 29, 1999. A pretest, posttest, and survey questionnaire were given to each participant. Of the 143 participating in the 2- day PALS course, 137 completed the study. The mean pretest score was 70.2 (SD=11.5) and the mean posttest score was 86.9 (SD=9.1). There was significant improvement noted after the 2-day PALS training course (p<0.001). The 2-day PALS training course resulted in greater improvement in scores compared with the previous 1-day PALS training course in some certain groups of participants. The number of participants complaining that they were too rushed to get the best learning result declined from 71 of 106 (66.3%) taking the 1-day training course to 43 of 137 (31.4%) taking the 2-day training course. Second, a same written test was given to the 129 participants who had finished a 1-day PALS training course one year previously to evaluate the participants’ retention of knowledge after 1 year. Of 82 responders who took the 1-year follow up test, 75 were from the medical center. The score of the follow-up test for these 75 participants showed a significant decline when compared with the posttest, except for those receiving another training course of advanced life support during the follow-up year. We conclude that the 2-day PALS training course is better than the 1-day PALS training course. Those who participate in the pediatric critical or emergent care had better receive the 2-day PALS training course. The participants receiving the 1-day PALS training showed a significant decline in their knowledge after 1 year, and they should reinforce their knowledge in the following years. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。