COGNITIVE AND ATTITUDINAL IMPACT OF THE ADVANCED TRAUMA LIFE-SUPPORT PROGRAM IN A DEVELOPING-COUNTRY
COGNITIVE AND ATTITUDINAL IMPACT OF THE ADVANCED TRAUMA LIFE-SUPPORT PROGRAM IN A DEVELOPING-COUNTRY
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DOI：
10.1097/00005373-199405000-00017
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发表时间：
1994-05-01
影响因子：
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通讯作者：
WILLIAMS, J
中科院分区：
文献类型：
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作者：
ALI, J;ADAM, R;WILLIAMS, J
据报道，在发展中国家特立尼达和托巴哥（T & T），创伤患者接受高级训练生命支持训练（ATLS）后，预后有所改善。ATLS培训的认知影响进行了评估，从前ATLS和后ATLS性能的T & T医生在多项选择题测试和比较后ATLS测试性能内布拉斯加州的医生。总体而言，T & T医生的测试前和测试后的改善率为22.0% +/-2.0%。所有医生，包括失败者（212人中有199人通过）的测试后分数都有所提高。后测试的单个项目分析（包括KR-20测定）各不相同，但两个医生组的总体表现相似，T & T医生在测试2中表现略好（16例中有6例失败，100例中有25例失败，p < 0.05）。态度的影响进行了评估，通过87份问卷，从50名医生（92%的响应）和37名护士（89%的响应）。医生（97.8%与69.7%）更了解ATLS培训，两组（医生，77.3%;护士，69.6%）根据更好的复苏，更及时和适当的咨询，更大的信心，创伤管理，创伤死亡率和发病率的改善，区分ATLS培训的医生;所有受访者建议所有急诊室医生ATLS培训。所展示的积极认知和态度的影响很可能有助于改善后ATLS创伤患者的结果。
Improvement in trauma patient outcome has been reported after Advanced Training Life Support training (ATLS) in the developing country of Trinidad and Tobago (T & T). The cognitive impact of ATLS training was assessed from pre-ATLS and post-ATLS performance of T & T physicians in multiple choice question tests and comparison with post-ATLS test performance among Nebraska physicians. Overall, improvement between the pre-test and post-test among the T & T physicians was 22.0% +/- 2.0%. All physicians including failures (199 out of 212 passed) improved in their post-test scores. Individual item analysis of the post-test, including the KR-20 determination, varied but the overall performance was similar for both physician groups with the T & T physicians performing slightly better in test 2 (6 of 16 vs. 25 of 100 failures, p < 0.05). Attitudinal impact was assessed through 87 questionnaires from 50 physicians (92% response) and 37 nurses (89% response). Physicians (97.8% compared with 69.7%) were more aware of the ATLS training, and both groups (physicians, 77.3%; nurses, 69.6%) differentiated ATLS-trained physicians based on better resuscitation, more timely and appropriate consultation, greater confidence in trauma management, and improvement in trauma mortality and morbidity; all respondents recommended ATLS training for all emergency room physicians. The demonstrated positive cognitive and attitudinal effects very likely contributed to the improved post-ATLS trauma patient outcome.