The Journal of the Convergence on Culture Technology (문화기술의 융합)

The International Promotion Agency of Culture Technology (국제문화기술진흥원)
권호 표지
DOI QR코드

DOI QR Code

Effects of Prehospital trauma life support training

병원 전 외상 소생술 교육 효과

  • 김용석 (건양대학교 응급구조학과) ;
  • 송효숙 (우석대학교 응급구조학과) ;
  • 김진우 (대전보건대학교 응급구조과) ;
  • 윤병길 (건양대학교 응급구조학과)
  • Received : 2024.09.02
  • Accepted : 2024.11.10
  • Published : 2024.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

This study aimed to investigate the effect of pre-hospital trauma resuscitation training on trauma-related knowledge, problem-solving skills, and performance confidence of 119 paramedics. There were 87 participants in the study, 60 men and 26 women. Pre- and post-training questionnaires and assessments were conducted on study subjects to measure trauma-related knowledge, problem-solving skills, and performance confidence. The collected data were SPSS/WIN 21.0 used frequency, percentage, and corresponding sample t tests. The results of the study were 4.34 points to 5.82 (p<.001) in post-training trauma-related knowledge; Problem-solving skills improved from 3.15 to 3.24(p=.033) and performance confidence from 5.55 to 7.78 (p<.001). Therefore, it was found that the pre-hospital trauma resuscitation training had the effect of improving the trauma-related knowledge, problem-solving skills, and performance confidence of the 119 paramedics.

본 연구는 119구급대원들의 병원 전 외상 소생술 교육이 외상 관련 지식, 문제해결 능력, 수행 자신감에 미치는 효과를 알아보고자 하였다. 연구에 참여한 대상자는 87명으로 남자 60명, 여자 26명이었다. 연구 대상자들에게 교육 전·후 사전 설문과 평가를 시행하여 외상 관련 지식, 문제해결 능력, 수행 자신감을 측정하였다. 수집된 자료는SPSS/WIN 21.0을 이용 빈도, 백분율, 대응표본 t검정을 시행하였다. 연구 결과 교육 후 외상 관련 지식 4.34점에서 5.82점(p<.001), 문제해결 능력 3.15점에서 3.24점(p=.033), 수행 자신감5.55점에서 7.78점(p<.001)으로 향상되었다. 따라서 본 병원 전 외상 소생술 교육이 119구급대원의 외상 관련 지식, 문제해결 능력, 수행 자신감을 향상 시키는 효과가 있다는 것을 알 수 있었다.

Keywords

References

  1. M.S. Lee, S.K. Lee, G.W. Kim, "Pre-post comparison Analysis of Patient assessment education for Emergency Medical Technicians(EMTs)", Journal of the Korea Academia-Industrial cooperation Society Vol. 17 No. 7, pp. 211-219, 2016 DOI: 10.5762/KAIS.2016.17.7.211
  2. K.H. Lee, "Current status and future perspective of regional trauma center in Korea", Journal Korean Med Assoc, Vol. 59, No,12pp.917-8,2016. DOI:10.5124/jkma.2016.59.1 2.917
  3. J.S. Sampalis, A. Lavoie, J.I. Williams, "Impact of on-site care, prehospital time, and level of in-hospital care on survival in severely injured patients", Journal Trauma, Vol. 34, pp. 252-61, 1993
  4. S. Feero, J. Hedges, E. Simmons, L. Irwin. "Does out-of hospital EMS time affect trauma survival?", The American Journal of Emergency Medicine, Vol. 13, No. 2, pp. 133-135, 1995. DOI : 10.1016/0735-6757(95)90078-0
  5. T.W. Jeong, J.Y. Jo, S.H. Kim, "Comparative study of geographic differences of severe trauma mortality in Korea", The Korean Journal of Emergency Medical Services, Vol. 25, No. 3, pp. 37-48, 2021. DOI: 10.14408/KJEMS.2021.25.3.037
  6. World Health Organization. The injury chart book : a graphical overview of the global burden of injuries. Available at: https://apps.ho.int/iris/handle/10665/42566
  7. J.H, Kim, Y.D. Lim, J.G. Lee, "An Analysis of Prehospital Care for Major Trauma Patients depending on the number of 119 Ambulance Crews", Journal of the Korea Academia-Industrial cooperation Society, Vol. 19, No. 6, pp. 500-506, 2018. DOI: 10.5762/KAIS.2018.19.6.500
  8. S.J. Kim, "Application of trauma severity indices at pre-hospital stage for evaluation of early prognosis in trauma patients", Korean society for Wellness, Vol. 14, No. 2, pp. 419-429, 2019. DOI:10.21097/ksw.2019.05.14.2.419
  9. K.Y. Jung, J.S. Kim, Y. Kim, "Problems in trauma care and preventable deaths", Journal Korean Soc Emerg Med, Vol. 12, pp. 45-56, 2001.
  10. Y. Kim, K.Y. Jung, K.H. Cho, H. Kim, H.C. Ahn, S.H. Oh, "Preventable trauma deaths rates and management errors in emergency medical system in Korea", Journal Korean Soc Emerg Med, Vol. 17, pp. 385-94, 2006.
  11. J.S. Park, K.J. Cho, "A study on the current status and the obstacles to prehospital spinal motion restriction performed by 119 paramedics to major trauma patients", The Korea Society of Emergency Medical Services, Vol. 24, No. 3, pp. 89-106, 2020. DOI:10.14408/KJEMS.2020.24.3.089
  12. Kunihiro Mashiko. "Trauma system in Japan: History, present status and future perspectives", Journal Nippon Med Sch, Vol. 72, pp. 194-202, 2005.
  13. S.W. Yun, K.Y. Lee. "Prehospital Care of 119 Emergency Medical Technician to Trauma Patients", Korean Journal Emerg Med Ser, Vol. 15, No. 2, pp. 22-42, 2011.
  14. J. H. Park, E. Jung, J. K. Ko, H.B. Yoo, "Delivery Training for Undergraduate Medical Students using Birth Simulator", Korean Journal of Obestrics and Gynecology, Vol. 51, No. 9, pp. 950-956, 2008.
  15. K. Jung, C.J. Lee, "Delayed Transfer of Major Trauma Patients Under the Current Emergency Medical System in Korea", Journal of Trauma and Injury, Vol. 24, No. 1, pp. 25-30, 2011.
  16. L.K. Lindamood, P. Weinstock, "Application of Highfidelity Simulation Training to the Neonatal Resuscitation and Pediatric Advanced Life Support Programs", Newborn and Infant Nursing Reviews, Vol. 11, No. 1, pp. 23-27, 2011.
  17. M..L. Baek, "Implementation Effects of Emergency Trauma Patient Simulation", Journal of the Korean Society of Emergency Medical Technology, Vol. 15, No. 2, pp. 43-54, 2011.
  18. R.A. Brown, S. Guinea, P.A. Crookes, M. McAllister, T. Levett-Jone, M. Kelly, K. Reid-Searl, C. Churchouse, "Clinical simulation in Australia and New Zealand: Through the Lens of an Advisory Group", Collegian, Vol. 19, No. 1, pp. 177-186, 2012.
  19. T.Y. Moon, "The Effects of Trauma-patient Training Education Using Simulation on Knowledge, Satisfaction and Problem-solving in Emergency medical Students", Journal of the Korea Academia-Industrial cooperation Society, Vol. 17, No. 4, pp. 710-717, 2016. DOI:10.5762/KAIS.2016.17.4.710
  20. M.S. Kang, "Survey of the Need for the Development of a Simulated Training Program that Reproduces Automobile Accidents", Fire Science and Engineering, Vol. 33, No. 1, pp. 179-187, 2019.DOI: 10.7731/KIFSE.2019.33.1.179
  21. T. Michel, L. Nikolaus, B. Martin, "Improved pre-hospital care efficiency due to the implementation of pre-hospital trauma life support (PHTLS(R)) algorithms." European Journal of Trauma and Emergency Surgery, Vol. 46, pp. 1321-1325, 2020. https://doi.org/10.1007/s00068-019-01141-1
  22. M. Manuel, N. Ulrik, M. Matthias, "Assessment of hypovolaemic shock at scene: is the PHTLS classification of hypovolaemic shock really valid?.", Emergency Medicine Journal, Vol. 31, No. 1, pp. 35-40, 2014. DOI: 10.1136/emermed-2012-202130
  23. Frank, B. Christian, "PHTLS(R)(Prehospital Trauma Life Support) provider courses in Germany-who takes part and what do participants think about prehospital trauma care training?.", Journal of trauma management & outcomes, Vol. 8, No. 1, pp. 1-7, 2014.
  24. O.S. Lee, Y.G. Noh, "A comparative study Program Outcome between nursing college students before and After Integrated Clinical Practice", The Journal of the Convergence on Culture Technology, Vol. 9, No. 4, pp. 23-30, 2023. DOI: 10.17703/JCCT.2023.9.4.23
  25. J. Kim, "Maternal Nursing Online Practice Experience", International Journal of Advanced Culture Technology, Vol. 9, No. 3, pp. 16-22, 2021. DOI : 10.17703/IJACT.2021.9.3.16