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Pre-post comparison Analysis of Patient assessment education for Emergency Medical Technicians(EMTs)

구급대원을 대상으로 한 환자평가 교육 전·후 수행도의 비교

  • Lee, Moo-Sang (Department Of Public Health, Ajou University Graduate School Of Public Health) ;
  • Lee, Seul-Ki (Department Of Emergency Medical Technology, Dong-Eui Institute Of Technology) ;
  • Kim, Gi-Woon (Department Of Emergency Medicine, Sooncheonhyang University Hospital Bucheon Gyeonggido)
  • 이무상 (아주대학교 보건대학원 보건학과) ;
  • 이슬기 (동의과학대학교 응급구조학과) ;
  • 김기운 (순천향대학교 부천병원 응급의학과)
  • Received : 2016.05.24
  • Accepted : 2016.07.07
  • Published : 2016.07.31

Abstract

The current study was conducted to make pre-post comparisons of education done for 119 emergency medical technicians (EMT) on the patient assessment performance. The data are expected to offer applicable training methods and educational resources for emergency medical services. Twenty six EMT from four cities and provinces participated in the study, which was carried out from 14 to 17 December, 2015. The technicians performed a patient assessment and marked reports on simulated patients. In the course of the assessment, a pre-post evaluation of education was done using a checklist regarding the respective symptoms, such as headache, chest pain, and dyspnea. The median value (quartile value) was used as the descriptive analysis. While patient assessment scores marked 66 points (54.00-80.25) out of 100 (p<0.01) before education, there was a significant increase in the after-education scores, which reached 88.5 points (80.00-93.00). The patient assessment performances revealed a significant increase (p<.0.01) in 5 chest pain, 7 headache, and 9 dyspnea items after education. Similarly, there was an increase in wanting to meet the EMT again scale in regards to categories involved in developing positive relations with patients. Moreover, the adequacy in the patient condition reports all marked a significant increase (p<0.01) in assessment categories. The present study shows that education based on simulation practices are necessary for improvements in patient assessment performance of 119 EMT. Therefore, practical and systematic patient assessment educations may serve as a prerequisite. Further opportunities should be provided for the EMT consistently.

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