高擬真大量傷患模擬演練對北市某醫學院學生救災準備度之成效

目的：醫學院學生是接受救災救護養成教育的人群，但現有調查卻發現，有53.4％以上的學生未通過災難應對知識和技能測試，甚至是沒有災難救援技能的學習經歷，因此本研究以醫學院學生為介入族群，探討高擬真大量傷患演練課程介入對提升醫學院學生救災準備度的成效，以供日後課程規劃之參考。方法：採準實驗性研究設計，針對北區某醫學院大學部學生以高擬真大量傷患演練課程為介入措施，三年級學生為救護人員之實驗組（n＝123），二年級學生為傷患人員之對照組（n＝113），以廣義估計方程式探討高擬真大量傷患演練課程在醫學院學生救災準備度之成效。結果：經由高擬真大量傷患演練課程之介入後，能提升實驗組學生的救災準備度，尤其是在個人準備（t＝-4.28，p＜.001）、臨床管理（t＝-5.77，p＜.001）、緊急狀況（t＝-5.06，p＜.001）及自我保護（t＝-5.13，p＜.001）能力皆達統計上顯著差異性。結論：運用高擬真大量傷患演練課程能顯著提升學生救災準備度，建議未來可在各大醫學院設置類似課程，儲備醫學院學生救災準備，以增加未來大量傷患醫療救護能力。

關鍵字

擬真教育；戰術戰鬥救護；救災準備度

並列摘要

Purpose: A survey indicated that 53.4% of medical students in the studied medical school, whether they received disaster relief education or not, failed the disaster response knowledge and skills test. This study compares effectiveness of disaster relief training between high-fidelity simulation and traditional training programs in a medical school. Method: Adopting a quasi-experimental research design, aiming at a university student of a medical school in Taipei City using a high-fidelity mass injury drill course as an intervention measure. The third-year students were the experimental group of paramedics (n = 123) and the second-year students were the experimental group. The control group of injured persons (n = 113) used the generalized estimation equation to explore the effectiveness of the high-fidelity mass injury drill course in the disaster relief preparedness for medical students. Result: Post intervention of the high-fidelity mass injury drill course, the students in the experimental group improved their preparedness for disaster relief, especially in personal preparation (t = -4.28, p < .001), clinical management (t = -5.77, p < .001), emergency (t = -5.06, p < .001), and self-protection (t = -5.13, p < .001) abilities all reached statistically significant differences. Conclusion: The use of high-fidelity training courses for a large number of injuries can significantly improve students' disaster-relief preparedness. It is recommended that similar courses be included in medical school curriculum to increase medical response competencies in the event of mass injuries in any disaster.

並列關鍵字

realistic education ； tactical combat rescue ； disaster preparedness

參考文獻

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