自信是否反映出竞争力? 在世俗社区成员的Stop the Bleed®培训后的结果
Allison R Jones1, Rebekah D Day2, Penni I Watts3
1Occupational Health Nursing Program, Deep South Center for Occupational Health and Safety, Department of Acute, Chronic & Continuing Care, School of Nursing, University of Alabama at Birmingham, Birmingham, AL, United States of America.
Applied nursing research : ANR
|March 14, 2025
概括
停止出血 (STB) 培训提高了轮知识,但揭示了学员信心和实际出血控制干预技能的差距. 进一步的模拟可能会提高掌握度.
科学领域:
- 紧急医疗 紧急医疗
- 公共卫生培训 公共卫生培训
- 创伤护理教育教育 创伤护理教育
背景情况:
- 停止出血® (STB) 培训旨在改善非专业人士对医院前出血紧急情况的反应.
- 虽然STB增强了行动意愿和信心,但它对基于知识的结果的影响不太了解.
研究的目的:
- 为了比较与流血控制知识,行动意愿和信心相关的训练前和训练后结果.
- 评估STB培训对世俗社区成员为出血紧急情况做好准备的有效性.
主要方法:
- 使用了测试前/测试后观察性研究设计.
- 参与者 (N=31) 完成了"停止出血训练调查" (STB-TS),评估知识和自我感知的信心和意愿.
- 统计分析包括配对的t测试和麦克纳马尔测试,以比较训练前和训练后的反应.
主要成果:
- 总体STB-TS分数显示非显著增加 (p=.26),表明知识,信心和意愿的适度增长.
- 观察到正确的回应率在正确的围应用 (27.6%至69.2%,p=.003) 的正确反应率显著改善.
- 接受培训的人报告说,他们以前对控制出血的经验有限.
结论:
- 在学员的信心/干预意愿与他们对血液控制技术的实际知识之间存在差异.
- 高保真模拟和标准化评估工具可能有利于提高STB培训中的技能掌握.
相关概念视频
Introduction to Hemostasis
4.7K
Hemostasis is a complex physiological process that prevents excessive bleeding when a blood vessel is injured. It's crucial for maintaining the integrity of the circulatory system, as it ensures that our blood remains fluid while still within the vascular network and yet clots to prevent blood loss upon vessel injury.
The three phases of hemostasis involve many clotting factors present in plasma and several substances released by platelets and injured tissue cells. It is a fast, localized,...
The three phases of hemostasis involve many clotting factors present in plasma and several substances released by platelets and injured tissue cells. It is a fast, localized,...
4.7K
Extrinsic and Intrinsic Pathways of Hemostasis
4.5K
Blood clotting or coagulation involves extrinsic and intrinsic pathways, which ultimately merge into the common pathway, forming a fibrin clot.
The Extrinsic Pathway
The extrinsic pathway of coagulation is typically initiated by tissue damage that exposes blood to tissue factor (TF), a protein released by the damaged tissue cells outside the blood vessels—this interaction with TF triggers biochemical reactions involving specific clotting factors. The key player here is Factor VII, which...
The Extrinsic Pathway
The extrinsic pathway of coagulation is typically initiated by tissue damage that exposes blood to tissue factor (TF), a protein released by the damaged tissue cells outside the blood vessels—this interaction with TF triggers biochemical reactions involving specific clotting factors. The key player here is Factor VII, which...
4.5K
Formation of the Platelet Plug
3.5K
The platelet phase, the second stage of hemostasis, commences around 15-20 seconds after an injury. It follows and overlaps with the vascular phase, during which blood vessels constrict to minimize blood loss.
As the injured blood vessel contracts, endothelial cells undergo contraction, revealing collagen fibers in the basement membrane and underlying connective tissue. Furthermore, the plasma membrane of endothelial cells becomes adhesive, preparing the site for platelet adhesion. Platelets...
As the injured blood vessel contracts, endothelial cells undergo contraction, revealing collagen fibers in the basement membrane and underlying connective tissue. Furthermore, the plasma membrane of endothelial cells becomes adhesive, preparing the site for platelet adhesion. Platelets...
3.5K
Bystander Effect
9.5K
The discussion of bullying highlights the problem of witnesses not intervening to help a victim. This is a common occurrence, as the following well-publicized event demonstrates. In 1964, in Queens, New York, a 19-year-old woman named Kitty Genovese was attacked by a person with a knife near the back entrance to her apartment building and again in the hallway inside her apartment building. When the attack occurred, she screamed for help numerous times and eventually died from her stab wounds.
9.5K
Epistaxis
114
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
114
Clot Retraction and Fibrinolysis
3.1K
After a fibrin clot is formed, the next step is clot retraction, a vital process facilitated by platelet contractile proteins, such as actin and myosin. These proteins pull the fibrin strands closer together and condense the clot. This action reduces the size of the clot, creating a smaller, denser structure that effectively seals off the damaged vessel. Clot retraction consolidates the clot and helps with wound healing by bringing the edges of the damaged blood vessel closer together.
3.1K


