Effect of basic Prehospital Trauma Life Support Program on cognitive and trauma management skills
Effect of basic Prehospital Trauma Life Support Program on cognitive and trauma management skills
复制标题
DOI：
10.1007/s002689900543
复制
发表时间：
1998-12-01
影响因子：
2.6
通讯作者：
Haynes, B
中科院分区：
文献类型：
--
作者：
Ali, J;Adam, R;Haynes, B
我们通过评估院前创伤人员的认知表现和创伤处理技能来测试基本院前创伤生命支持计划(PHTLS)的有效性。14名完成了标准PHTLS课程的受试者(I组)与未完成PHTLS课程的匹配组(II组)进行了比较。认知能力通过50项多项选择考试进行评估，创伤技能管理则由4名模拟创伤患者进行评估。多项选择问卷评分在术前相似(I组45.8+/-9.4%，II组48.8+/-8.9%)，但术后I组(80.4+/-5.9%)高于II组(52.6+/-4.9%)。在PHTLS前，两组的所有四个站点的模拟创伤患者操作评分(标准化为每个站点最多20分)相似，范围从7.9到10.4。术后4个部位的评分，I组(16.0-19.0)均显著高于II组(8.0-11.1)。术后4个部位的总体平均评分I组为8.3+/-2.1，II组为8.8+/-2.0(NS)；术后I组4个部位的平均评分为17.1+/-2.7(p<；0.05)，II组为9.1+/-2.3。术后1~7分的优先顺序评分相似(分别为1.1+/-0.9和1.2+/-1.0)。术后第1组优先评分升至5.9+/-1.1分。II组(1.1+/-1.0)患者术后评分无明显改善。1~5分的模拟创伤患者PHTLS前的组织方法评分I组为2.1+/-1.0，II组为1.9+/-1.2，而PHTLS后I组为4.2+/-0.9(p<；0.05)，II组为2.0+/-0.8。这项研究表明，在完成基本PHTLS计划的院前辅助医疗人员中，认知和创伤处理技能表现有所改善。
We tested the effectiveness of a basic prehospital trauma life support (PHTLS) program by assessing cognitive performance and trauma management skills among prehospital trauma personnel. Fourteen subjects who completed a standard PHTLS course (group I) were compared to a matched group not completing a PHTLS program (group II). Cognitive performance was assessed on 50-item multiple choice examinations, and trauma skills management was assessed with four simulated trauma patients. Pre-PHTLS multiple choice questionnaire scores were similar (45.8 +/- 9.4% vs. 48.8 +/- 8.9% for groups I and II, respectively), but the post-PHTLS scores were higher in group I (80.4 +/- 5.9%) than in group II (52.6 +/- 4.9%). Pre-PHTLS simulated trauma patient performance scores (standardized to a maximum total of 20 for each station) were similar at all four stations for both groups, ranging from 7.9 to 10.4. The post-PHTLS scores were statistically significantly higher at all four stations for group I (range 16.0-19.0) compared to those for group II (range 8.0-11.1). The overall mean pre-PHTLS score for ail four stations was 8.3 +/- 2.1 for group I and 8.8 +/- 2.0 (NS) for group II; the group I post-PHTLS mean score for the four stations was 17.1 +/- 2.7 (p < 0.05) compared to 9.1 +/- 2.3 for group II. Pre-PHTLS Adherence to Priority scores on a scale of 1 to 7 sere similar (1.1 +/- 0.9 for group I and 1.2 +/- 1.0 for group II). Post-PHTLS group I Priority scores increased to 5.9 +/- 1.1. Group II (1.1 +/- 1.0) did not improve their post-PHTLS scores. The pre-PHTLS Organized Approach scores in the simulated trauma patients on a scale of 1 to 5 were 2.1 +/- 1.0 for group I and 1.9 +/- 1.2 for group II (NS) compared to 4.2 +/- 0.9 (p < 0.05) in group I and 2.0 +/- 0.8 in group II after PHTLS. This study demonstrates improved cognitive and trauma management skills performance among prehospital paramedical personnel who complete the basic PHTLS program.