- 期刊
- OpenAccess
醫療救護人員參與到院前創傷救命術訓練課程對於創傷照護知識、能力、態度的改變
Effects on Knowledge, Skill, and Attitude of Trauma Care after participating in Prehospital Trauma Life Support Provider Course in Prehospital care personnel
摘要
研究背景：到院前創傷救命術（簡稱PHTLS）已經在全球各地推廣多年。過去研究提及PHTLS課程能夠提升參與人員的知識、技術、態度、甚至實際創傷照護的成效，而國內尚未有相關研究與證據支持。故本研究擬透過問卷調查方式在課程前、後進行問卷調查，並藉以觀察不同背景與創傷照護程度的課程參與者對於PHTLS課程對於其知識、能力、信心程度的改變進行了解。研究方法：本研究採橫斷式研究針對2021年9月至12月國內所舉辦5場的PHTLS Provider課程的學員進行前後測的問卷調查，受試者納入條件為研究期間報名參加PHTLS課程且為緊急醫療救護相關專業背景的學員，排除條件者為非緊急醫療救護相關專業背景的學員。本研究排除異常填答、前後測不完全者等無效問卷後，共計81份前後測完整之有效問卷進行分析。研究結果：在到院前創傷知識、能力、信心程度量表的評測中，後測的結果皆顯著的高於前測。在課後回饋的部分，尤其在「本課程符合臨床需求」、「你對本次上課學員數量是否滿意」、「教學方式對學習很有幫助」、「我會非常建議此教學方式」等項目為最高分的評價。研究結論：本研究為國內針對PHTLS課程的前後測成果初探，而此課程在各項到院前創傷照護知識技術甚至實際的照護品質上仍有許多值得深入研究與探討的機會。期待國內PHTLS訓練機構持續秉持初衷，讓國內的整體創傷急救與研究量能可以持續推動，並與國際接軌。
並列摘要
Background: Prehospital trauma life support (PHTLS) course has been implementing internationally since the 90s. Studies indicated that this course improved prehospital trauma care providers' knowledge, skills, attitude, and clinical performance. In Taiwan, there is a lack of studies to investigate the effects of PHTLS courses on prehospital trauma care providers. Therefore, this study aimed to investigate PHTLS course participants on knowledge, skills, and attitudes by using pre-and post-test questionnaires. Methods: This study employed a cross-sectional research design to conduct a questionnaire survey on participants in five PHTLS Provider courses held domestically from September to December 2021. The inclusion criteria for subjects were students who enrolled in the PHTLS course during the study period and had a professional background related to emergency medical rescue. Exclusion criteria included students with no professional background related to emergency medical rescue. A total of 81 valid questionnaires were included for analysis. Results: The results of the post-test in all items were higher than those in the pre-test. In the feedback section, the items "This course meets clinical needs", "I satisfied the total numbers of participants", "The teaching methods were very helpful", and "I recommend these teaching methods" obtained the highest scores. Conclusion: This was a pilot study to investigate the effects of PHTLS courses. It is necessary to keep exploring research opportunities about the effects of this course and the following improvements in prehospital trauma care in Taiwan. We expect all Taiwan PHTLS training centres that keep promoting and maintaining the essential concepts and quality in these courses.