Araştırma Makalesi
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TIP FAKÜLTESİ İLE İLK VE ACİL YARDIM PROGRAMI ÖĞRENCİLERİNİN TEMEL YAŞAM DESTEĞİ BECERİ UYGULAMALARININ SİMÜLASYON MANKENİ ÜZERİNDE DEĞERLENDİRİLMESİ

Yıl 2023, Cilt: 2 Sayı: 2, 62 - 75, 28.09.2023

Öz

ÖZET
AMAÇ: Temel Yaşam Desteği (TYD) uygulaması, kalbi ve solunumu durmuş bireylerde hayat kurtarıcıdır. Kardiyopulmoner resüsitasyon (KPR) eğitimi ideal olarak simülasyon mankeni üzerinde öğretilir. Bu çalışmanın amacı, simülasyon mankeni üzerinde tıp ve paramedik okulu öğrencilerinin TYD beceri uygulamasının etkinliğini karşılaştırmaktır.
YÖNTEM: Bu çalışmaya sağlık eğitimi alan 120 öğrenci dahil edilmiştir. Grup 1 ( Tıp Fakültesi (TF) öğrencisi, n=60), 4 saat, Grup 2 (Paramedik Okulu (PM) öğrencisi, n=60), 8 saat teorik TYD dersi alan üniversite öğrencilerinden oluşturuldu. TYD pratik becerileri, Resusci Anne® mankeni (Laerdal, Norway) üzerinde değerlendirildi. Uygulayıcıların yeterliliği TYD kurtarıcı eylemleri performans puanı kalitesine göre karşılaştırıldı.
BULGULAR: Grup 1 için KPR uygulama başarısı; % 10 temel düzey, % 40 orta düzey,% 50 ileri düzey olarak bulunurken, Grup 2 KPR uygulama başarısı; % 3.3’ü temel düzey, %26.7’si orta düzey ve % 70’i ileri düzey olarak tespit edildi ve aradaki fark istatistiksel olarak anlamlı bulundu (p<0.05).
SONUÇ: TYD eğitiminin etkin ve kaliteli yapılabilmesi, verilen eğitimin süresi, etkinliği ve başarıyı belirleyen önemli bir faktör olarak değerlendirildi. TYD becerilerindeki öğrenmeyi arttırmak için; TYD eğitim süresinin uzun olması, eğitimde simülasyon mankeni kullanılması ve hızlı geri bildirim verilmesi öğrenme verimini artıracağı için önerilmektedir.

Destekleyen Kurum

Manisa Celal Bayar Üniversitesi Tıp Fakültesi Bilimsel Araştırma Projesi Desteği

Teşekkür

Manisa Celal Bayar Üniversitesi Bilimsel Araştırma Projeleri desteğine teşekkür ederiz. Çalışma Ekibi

Kaynakça

  • Gavin D. Perkins, Jan-Thorsen Graesner, Federico Semeraro, et al. European Resuscitation Council Guidelines 2021: Executive summary https://doi.org/10.1016/j.resuscitation.2021.02.003
  • Saquib SA, Al-Harthi HM, Khoshhal AA, et al. Knowledge and Attitude about Basic Life Support and Emergency Medical Services amongst Healthcare Interns in University Hospitals: A Cross-Sectional Study. Emerg Med Int. 2019 Mar 3; 2019:9342892.
  • Priya Yadav, Attending Training Workshop of BLS/ACLS. J Nepal Med Assoc 2022;60(254):916-7.
  • Tipa RO, Bobirnac G. Importance of BLS training for first and second year medical students-A personal statement. Journal of Medicine and Life 2010; 3:365-7.
  • American Associtation of Critical-Care Nurses. Position statement of CPR training. Newport Beach: American Associtation of Critical-Care Nurses; 1998.
  • Shrestha R, Batajoo KH, Piryani RM, Sharma MW. Basic life support: knowledge and attitude of medical/paramedical professionals. World J Emerg Med. 2012;3(2):141-5.
  • Axelsson A, Thoren A, Holmberg S, Herlitz J. Attitudes of trained Swedish lay rescuers toward CPR performance in an emergency. Asurvey of 1012 recently trained CPR rescuers. Resuscitation 2000; 44:27-36.
  • Wilson E, Brooks B, Tweed WA. CPR skills retention of lay basic rescuers. Ann Emerg Med 1983; 12:482-4.
  • Dracup K, Heaney DM, Taylor SE, Guzy PM, Breu C. Can family members of high-risk cardiac patients learn cardiopulmonary resuscitation? Arch Intern Med 1989; 149:61-4.
  • Moser DK, Dracup K, Guzy PM, Taylor SE, Breu C. Cardiopulmonary resuscitation skills retention in family members of cardiac patients. Am J Emerg Med+ 1990; 8:498-503.
  • Hazinski MF, Nadkarni VM, Hickey RW, O’Connor R, Becker LB, Zaritsky A.Major changes in the 2005 AHA Guidelines for CPR and ECC: reaching the tipping point for change. Circulation 2005;112(24 Suppl):IV206-11.
  • Nolan JP, Latorre FJ, Steen PA. Advanced life support drugs: do they really work? Crittical Care. 2002; 8:212-218.
  • Wilson E, Brooks B, Tweed WA. CPR skills retention of lay basic rescuers. Ann Emerg Med 1983;12 (8):482-4.
  • Mandel LP, Cobb LA. CPR training in the community. Ann Emerg Med 1985; 14(7):669-71
  • Kaye W, Rallis SF, Mancini ME et all. The problem of poor retention of cardiopulmonary resussitation skills may lie with the instructor, not the learner or curriculum. Resussitation 1991;21(1):67-87.
  • Lester C, Donelly P, Weston C et all. Teaching schoolchildren cardiopulmonary resuscitation 1996; 31: 33-8.
  • Debra KM, Colemon C. Cardiopulmonary resuscitation. Heart Lung.1992;21:372-80
  • Capone PL, Lane JC, Kerr CS, Safar P.Life supporrting first aid (LSFA) teaching to Brazilians by television spots. Resuscitation 2000;47(3):259-65.
  • What are we doing in cardiopulmonary resuscitation training in Europe ? An analysis of a survey. Resuscitation 1999; 41:225-236.
  • Moser DK, Coleman S. Recommendations for improving cardiopulmonary resuscitation skills retention. Heart Lung. 1992;21:372-80.
  • Reder S, Quan L. Cardiopulmonary resuscitation training in Washington state public high schools. Resuscitation 2003;56(3):283-8.
  • Noordergraaf GJ, Van Gelder JM, Van Kesteren RG, Diets RF, Savelkoul TJ. Learning cardiopulmonary resuscitation skills: does the type of mannequin make a difference? Eur J Emerg Med 1997;4(4):204-9.
  • Garcia-Barbero M, Caturla-Such J. What are we doing in cardiopulmonary resuscitation training in Europe? An analysis of a survey. Resuscitation 1999; 41:225-36.

FACULTY OF MEDICINE AND PARAMEDIC SCHOOL STUDENTS’ BASIC LIFE SUPPORT SKILLS PRACTICE EVALUATION ON THE SIMULATION MANIKIN

Yıl 2023, Cilt: 2 Sayı: 2, 62 - 75, 28.09.2023

Öz

PURPOSE: Basic Life Support (BLS), is a life-saving and fundamental skill in resuscitation. The objective of this study was to compare the effectiveness of two students groups BLS skill training programme for school of medicine and paramedic school students on BLS skill manikin.
METHODS: The study was conducted on a sample of 120 university students. The study group 1 (n=60) was choosed school of medicine students that were took part in a 4 hour theoretical course (1 hour a day in 1 week time), the control group 2 (n=60) was paramedic school students that were took part in a 8 hour theoretical course (two hours a week in a 4-week span). They were examined in practical BLS skills performed on a Resusci Anne® Skill Guide manikin (Laerdal, Norway). In the exam students had to perform all rescue actions in accordance with the adult BLS skills was evaluated on the basis of the quality of the performance score.
RESULTS: The study Group 1 achieved 50 % Advanced CPR performer, 40 % internediate CPR performer, 10% basic CPR performer and the control Group 2 achieved 70 % advanced CPR performer, 26.7% intermediate CPR performer, and 3.3% basic CPR performer. These differences were important for statistical (p<0.05)
CONCLUTİON: It seemes that the duration of a BLS education is most important factor that determines its effectiveness. Long and repeated time education are more effective than short time education for learning BLS training.

Kaynakça

  • Gavin D. Perkins, Jan-Thorsen Graesner, Federico Semeraro, et al. European Resuscitation Council Guidelines 2021: Executive summary https://doi.org/10.1016/j.resuscitation.2021.02.003
  • Saquib SA, Al-Harthi HM, Khoshhal AA, et al. Knowledge and Attitude about Basic Life Support and Emergency Medical Services amongst Healthcare Interns in University Hospitals: A Cross-Sectional Study. Emerg Med Int. 2019 Mar 3; 2019:9342892.
  • Priya Yadav, Attending Training Workshop of BLS/ACLS. J Nepal Med Assoc 2022;60(254):916-7.
  • Tipa RO, Bobirnac G. Importance of BLS training for first and second year medical students-A personal statement. Journal of Medicine and Life 2010; 3:365-7.
  • American Associtation of Critical-Care Nurses. Position statement of CPR training. Newport Beach: American Associtation of Critical-Care Nurses; 1998.
  • Shrestha R, Batajoo KH, Piryani RM, Sharma MW. Basic life support: knowledge and attitude of medical/paramedical professionals. World J Emerg Med. 2012;3(2):141-5.
  • Axelsson A, Thoren A, Holmberg S, Herlitz J. Attitudes of trained Swedish lay rescuers toward CPR performance in an emergency. Asurvey of 1012 recently trained CPR rescuers. Resuscitation 2000; 44:27-36.
  • Wilson E, Brooks B, Tweed WA. CPR skills retention of lay basic rescuers. Ann Emerg Med 1983; 12:482-4.
  • Dracup K, Heaney DM, Taylor SE, Guzy PM, Breu C. Can family members of high-risk cardiac patients learn cardiopulmonary resuscitation? Arch Intern Med 1989; 149:61-4.
  • Moser DK, Dracup K, Guzy PM, Taylor SE, Breu C. Cardiopulmonary resuscitation skills retention in family members of cardiac patients. Am J Emerg Med+ 1990; 8:498-503.
  • Hazinski MF, Nadkarni VM, Hickey RW, O’Connor R, Becker LB, Zaritsky A.Major changes in the 2005 AHA Guidelines for CPR and ECC: reaching the tipping point for change. Circulation 2005;112(24 Suppl):IV206-11.
  • Nolan JP, Latorre FJ, Steen PA. Advanced life support drugs: do they really work? Crittical Care. 2002; 8:212-218.
  • Wilson E, Brooks B, Tweed WA. CPR skills retention of lay basic rescuers. Ann Emerg Med 1983;12 (8):482-4.
  • Mandel LP, Cobb LA. CPR training in the community. Ann Emerg Med 1985; 14(7):669-71
  • Kaye W, Rallis SF, Mancini ME et all. The problem of poor retention of cardiopulmonary resussitation skills may lie with the instructor, not the learner or curriculum. Resussitation 1991;21(1):67-87.
  • Lester C, Donelly P, Weston C et all. Teaching schoolchildren cardiopulmonary resuscitation 1996; 31: 33-8.
  • Debra KM, Colemon C. Cardiopulmonary resuscitation. Heart Lung.1992;21:372-80
  • Capone PL, Lane JC, Kerr CS, Safar P.Life supporrting first aid (LSFA) teaching to Brazilians by television spots. Resuscitation 2000;47(3):259-65.
  • What are we doing in cardiopulmonary resuscitation training in Europe ? An analysis of a survey. Resuscitation 1999; 41:225-236.
  • Moser DK, Coleman S. Recommendations for improving cardiopulmonary resuscitation skills retention. Heart Lung. 1992;21:372-80.
  • Reder S, Quan L. Cardiopulmonary resuscitation training in Washington state public high schools. Resuscitation 2003;56(3):283-8.
  • Noordergraaf GJ, Van Gelder JM, Van Kesteren RG, Diets RF, Savelkoul TJ. Learning cardiopulmonary resuscitation skills: does the type of mannequin make a difference? Eur J Emerg Med 1997;4(4):204-9.
  • Garcia-Barbero M, Caturla-Such J. What are we doing in cardiopulmonary resuscitation training in Europe? An analysis of a survey. Resuscitation 1999; 41:225-36.

Ayrıntılar

Birincil Dil Türkçe
Konular Yoğun Bakım
Bölüm Orijinal Makaleler
Yazarlar

Gönül TEZCAN KELEŞ 0000-0002-6879-5124

Suha Kenan ARSERİM 0000-0002-9174-6291

Süheyla RAHMAN 0000-0002-0469-7322

Ece ONUR 0000-0002-0805-6346

Proje Numarası 2014-028
Yayımlanma Tarihi 28 Eylül 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 2 Sayı: 2

Kaynak Göster

AMA TEZCAN KELEŞ G, ARSERİM SK, RAHMAN S, ONUR E. TIP FAKÜLTESİ İLE İLK VE ACİL YARDIM PROGRAMI ÖĞRENCİLERİNİN TEMEL YAŞAM DESTEĞİ BECERİ UYGULAMALARININ SİMÜLASYON MANKENİ ÜZERİNDE DEĞERLENDİRİLMESİ. TJR. Eylül 2023;2(2):62-75.