背景:随着人口老龄化和更多的患者在牙科治疗期间经历医疗紧急情况,牙医必须胜任和自信地处理这些情况。我们使用智能手机/平板电脑的廉价生命体征模拟应用程序开发了牙科医疗紧急情况模拟培训课程,而无需昂贵的模拟器。然而,这种效应维持的持续时间尚不清楚.进行这项研究是为了评估参加课程后3、6和12个月的长期教育效果。
方法:39名牙科住院医师参加了本课程。情况包括血管迷走性晕厥,过敏反应,过度通气综合征,和急性冠脉综合征,每个参与者都必须进行诊断和治疗.使用检查表对参与者进行过敏反应诊断和治疗技能评估,并在疗程结束后立即以及3、6和12个月进行评估。之前还通过问卷调查调查了参与者对诊断和治疗这些疾病的信心,紧接着,以及课程后3、6和12个月。
结果:在疗程后3、6和12个月时,过敏反应的检查表得分明显低于疗程后立即。为血管迷走性晕厥提供正确诊断和适当治疗的参与者百分比,过度通气综合征,在所有重新评估时,急性冠脉综合征的发生率均低于病程后即刻.
结论:由于医疗急救管理技能和信心在3个月内下降,在初始课程后大约3个月引入进修课程以保持技能和信心将是有用的。
BACKGROUND: As the population ages and more patients experience medical emergencies during dental treatments, dentists must competently and confidently manage these situations. We developed a simulation training course for medical emergencies in the dental setting using an inexpensive vital sign simulation app for smartphones/tablets without the need for an expensive simulator. However, the duration for which this effect is maintained is unclear. This study was performed to evaluate the long-term educational effect at 3, 6, and 12 months after taking the course.
METHODS: Thirty-nine dental residents participated in this course. Scenarios included vasovagal syncope, anaphylaxis, hyperventilation syndrome, and acute coronary syndrome, each of which the participants had to diagnose and treat. The participants were evaluated using a checklist for anaphylaxis diagnosis and treatment skills immediately after and 3, 6, and 12 months after the course. The participants were also surveyed about their confidence in diagnosing and treating these conditions by questionnaire before, immediately after, and 3, 6, and 12 months after the course.
RESULTS: The checklist scores for anaphylaxis were significantly lower at 3, 6, and 12 months after the course than immediately after the course. The percentage of participants who provided a correct diagnosis and appropriate treatment for vasovagal syncope, hyperventilation syndrome, and acute coronary syndrome was lower at all reassessments than immediately after the course.
CONCLUSIONS: Because medical emergency management skills and confidence declined within 3 months, it would be useful to introduce a refresher course approximately 3 months after the initial course to maintain skills and confidence.