UNASSIGNED:有效的儿科基本生命支持可改善生存率和预后。当前的心肺复苏(CPR)培训涉及4年课程以及年度更新。技能下降3-6个月。尚未描述任何方法来激发频繁和持续的CPR实践。为了实现这一点,我们探索了比赛和排行榜的使用,作为一种游戏化技术,在心肺复苏训练反馈装置上,以增加CPR的使用和性能。
UNASSIGNED:为了评估具有综合CPR反馈的自我激励CPR训练是否随着时间的推移提高了婴儿CPR的质量,与没有进修心肺复苏训练相比。
UNASSIGNED:随机对照试验(RCT),以评估随着时间的推移,基于自我激励人体模型的学习对婴儿CPR技能的影响。
UNASSIGNED:英国三级儿童医院。
UNASSIGNED:171名医疗保健专业人员随机分配到自我激励的CPR培训(n=90)或没有进修的CPR培训(n=81),并随访26周。
UNASSIGNED:干预包括每天24小时使用CPR训练反馈设备和匿名排行榜。CPR训练反馈设备基于速率计算按压分数,深度,手的位置和释放以及从速率和体积得出的通气分数。
UNASSIGNED:结果指标是婴儿心肺复苏技术表现评分,由心脏按压和通气评分的平均值定义,由CPR训练反馈装置软件提供。主要分析考虑了从基线到6个月的评分变化。
未经评估:总的来说,从基线到6个月,对照组的评分变化不大(中位数0,IQR-7.00-5.00),而干预组的中位数略有增加,为0.50,IQR0.00-33.50。两组患者的变化差异有统计学意义(p<0.001)。
UNASSIGNED:自我激励的心肺复苏训练对心肺复苏表现有显著影响,竞争排行榜和心肺复苏训练反馈装置。
UNASSIGNED: Effective paediatric basic life support improves survival and outcomes. Current cardiopulmonary resuscitation (CPR) training involves 4-yearly courses plus annual updates. Skills degrade by 3-6 months. No method has been described to motivate frequent and persistent CPR practice. To achieve this, we explored the use of competition and a leaderboard, as a gamification technique, on a CPR training feedback device, to increase CPR usage and performance.
UNASSIGNED: To assess whether self-motivated CPR training with integrated CPR feedback improves quality of infant CPR over time, in comparison to no refresher CPR training.
UNASSIGNED: Randomised controlled trial (RCT) to assess the effect of self-motivated manikin-based learning on infant CPR skills over time.
UNASSIGNED: A UK tertiary children\'s hospital.
UNASSIGNED: 171 healthcare professionals randomly assigned to self-motivated CPR training (n=90) or no refresher CPR training (n=81) and followed for 26 weeks.
UNASSIGNED: The intervention comprised 24 h a day access to a CPR training feedback device and anonymous leaderboard. The CPR training feedback device calculated a compression score based on rate, depth, hand position and release and a ventilation score derived from rate and volume.
UNASSIGNED: The outcome measure was Infant CPR technical skill performance score as defined by the mean of the cardiac compressions and ventilations scores, provided by the CPR training feedback device software. The primary analysis considered change in score from baseline to 6 months.
UNASSIGNED: Overall, the control group showed little change in their scores (median 0, IQR -7.00-5.00) from baseline to 6 months, while the intervention group had a slight median increase of 0.50, IQR 0.00-33.50. The two groups were highly significantly different in their changes (p<0.001).
UNASSIGNED: A significant effect on CPR performance was demonstrated by access to self-motivated refresher CPR training, a competitive leaderboard and a CPR training feedback device.