Hastane Öncesi Acil Sağlık Hizmetlerinde Görev Yapan Paramediklerin Geniş QRS’li Taşikardilerin Tanı ve Tedavi Konusundaki Bilgi Düzeylerinin İncelenmesi

Year 2021, Volume: 4 Issue: 4, 118 - 124, 29.12.2021

Yasin Can Hasan Kara

https://doi.org/10.54996/anatolianjem.962768

Abstract

Amaç: Bu araştırma Konya ili hastane öncesi acil sağlık hizmetleri istasyonlarında çalışan paramediklerin geniş QRS’li taşikardilerin tanı ve tedavisi konusundaki bilgi düzeylerini incelemek amacıyla yapılmıştır.

Gereç ve Yöntemler: Araştırmanın örneklemini, Konya İl Ambulans Komuta Kontrol Merkezi Başhekimliği’ne bağlı acil sağlık hizmetleri istasyonlarında görev yapan 140 paramedik oluşturmuştur. Verilerin toplanmasında; araştırmacı tarafından hazırlanmış içerisinde demografik verilen de yer alığı geniş QRS’li taşikardilerin tanı ve tedavisi konusunda bilgi düzeyinin incelenmesi anketi kullanılmıştır.

Bulgular: Bu çalışmamızda araştırmaya katılan paramediklere bilgi düzeyi anketinde taşikardinin tanımı ve normal elektrokardiyografide QRS süresi sorulmuş; paramediklerin %22.1’inin taşikardinin tanımını, yaklaşık yarısının ise normal bir elektrokardiyografide olması beklenen QRS süresi gibi elektrokardiyografinin temel bilgilerini bilmedikleri görülmüştür. ventriküler taşkardinin tanısı, nabızsız ventriküler taşikardi, stabil ventriküler taşikardi ve anstabil ventriküler taşikardinin tedavisine yönelik sorular paremaediklerin sırasıyla %43,6 , %68.6, %62.1 ve %29.3’ü tarafından doğru cevaplanmıştır. Çalışmamızda mesleki kıdem ve yaş arttıkça paramediklerin bilgi düzeyinde artış olduğu görülmüştür.

Sonuç: Mesleki kıdem, yaş, mezun olunan lise türü ve senaryo temelli simülasyon eğitime katılım değişkenlerinin sorulara doğru yanıt verilmesindeki en önemli faktörler olduğu belirlenmiştir. Ayrıca; paramediklerin geniş QRS kompleksli taşikardilerin tanı ve tedavisi bilgi düzeyleri beklenenden daha az olmuştur.

Keywords

Hastane öncesi acil bakım, aritmi, paramedik, geniş kompleks taşikardi

Assessment of the Knowledge Level of Paramedics, Who Serve in Pre-Hospital Emergency Medicine, Regarding the Diagnosis and Treatment of Wide QRS Complex Tachycardia

Abstract

Aim: This study was conducted to investigate the knowledge level of paramedics who work in pre-hospital emergency medicine services in the Konya province, about the diagnosis and treatment of wide QRS complex tachycardia.

Material and Methods: The study sample consisted of 140 paramedics working in emergency health service stations affiliated with the Konya Provincial Ambulance Service. The data were collected through a questionnaire prepared by the researcher inquiring about the diagnosis and treatment of wide QRS complex tachycardia and the demographic characteristics.

Results: With the questionnaire, the definition of tachycardia and the duration of QRS on normal electrocardiography were inquired. It was found that 22.1% of the paramedics did not know the definition of tachycardia, and almost half of them did not know the basic electrocardiography knowledge including the normal duration of QRS. the questions about ventricular tachycardia, pulseless ventricular tachycardia, stable ventricular tachycardia and treatment of unstable ventricular tachycardia were ansewered correctly 43.6%,68.6%,62.1% and 29.3% respectively. The knowledge level of paramedics was seen to increase as professional seniority and age increased.

Conclusion: Working years, age, type of high school, and participation in scenario-based simulation training were determined to be the most important factors for correct answers to the questions. In addition, the knowledge level of paramedics about the diagnosis and treatment of wide QRS complex tachycardia was found to be poorer than expected.

Keywords

Pre-hospital care, arrhythmia, paramedic, wide complex tachycardia

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