119 구급대원의 중증도 분류 지식 정도 및 교육 전·후 비교
Comparison of knowledge level of triage in 119 EMTs
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Purpose : The purpose of this study was to provide appropriate direction for triage education by investigating the knowledge level of triage in 119 EMTs before and after the triage education. Methods : The questionnaire was filled out by newly assigned 33 EMTs in the fire service academy in I metropolitan city from November 1, 2013. The data were analyzed using SPSS WIN 21.0 program. Results : The lowest knowledge level by 119 triage was the potential emergency related question, but that by case-based triage was the semi-emergency related questions. The knowledge score by case-based triage before education was 51.14 points. This was lower than knowledge score by 119 triage, that is, 75.70 points. After education, the knowledge level by 119 triage was significantly improved(p=.000). However, there was no significant difference in the knowledge level by case-based triage(p=.236). Conclusion : It is necessary to provide systematic and periodic education and training for 119 EMTs toward triage to improve triage accuracy and efficient circulation of the emergency medical service system. Especially, it is very important to provide case-based triage education for field application.
Abstract
Purpose : The purpose of this study was to provide appropriate direction for triage education by investigating the knowledge level of triage in 119 EMTs before and after the triage education. Methods : The questionnaire was filled out by newly assigned 33 EMTs in the fire service academy in I metropolitan city from November 1, 2013. The data were analyzed using SPSS WIN 21.0 program. Results : The lowest knowledge level by 119 triage was the potential emergency related question, but that by case-based triage was the semi-emergency related questions. The knowledge score by case-based triage before education was 51.14 points. This was lower than knowledge score by 119 triage, that is, 75.70 points. After education, the knowledge level by 119 triage was significantly improved(p=.000). However, there was no significant difference in the knowledge level by case-based triage(p=.236). Conclusion : It is necessary to provide systematic and periodic education and training for 119 EMTs toward triage to improve triage accuracy and efficient circulation of the emergency medical service system. Especially, it is very important to provide case-based triage education for field application.
참고문헌 (25)
- 윤재철, "원저 : 서울아산병원의 재난대책: 중증도 분류법 및 중증도 분류표", 대한응급의학회지, 14(5), pp.569~574 (2003), 대한응급의학회
- Waeckerle JF, "Disaster planning and response", N Engl J Med, 324(12), pp.815~821 (1991)
- 김태근, "중증도 분류 도구로 mESI-2의 효용성 평가", 대한응급의학회지, 17(2), pp.154~164 (2006), 대한응급의학회
- Lee KH, "How to developed and use the KTAS(Korean Triage and Acuity Scale)", Proceedings of 2013 autumn annual conference. J Korean Soc Emerg Med, 1, pp.417~424 (2013)
- Kang KS, "Validity of Korean Triage and Acuity Scale (KTAS) in trauma", proceedings of 2013 autumn annual conference, 2, pp.343~344 (2013), J Korean Soc Emerg Med
- Kim OH, "Validity of Korean Triage and Acuity Scale (KTAS): multicenter study", proceedings of 2013 autumn annual conference, 2, pp.347~ (2013), J Korean Soc Emerg Med
- National Emergency Management Agency, "The Standard Protocols for 119 Emergency Medical Services Providers", National Emergency Management Agency, ~ (2013)
- 김순심, "한국의 응급구조과 교과과정", 한국응급구조학회지, 13(2), pp.17~59 (2009), 사단법인 한국응급구조학회
- Lee JI, "A comparison of the four-year emergency paramedic training programs of South Korea and the United States", 석사, pp.2011
- 김효식, "3년제 대학 응급구조과의 교육과정 비교 분석", 한국응급구조학회지, 11(2), pp.29~50 (2007), 사단법인 한국응급구조학회
- Gilboy N, "Emergency severity index, version 4: Implementation handbook" (2005), AHRQ Publication
- 하상욱, "응급실에서 중증도가 낮게 평가된 undertriage 환자들의 임상적 특징과 나쁜 예후 발생: 일개 대학병원 관찰연구", 대한응급의학회지, 22(6), pp.701~708 (2011), 대한응급의학회
- Derlet RW, "Refusing care to patients who present to an emergency department", Ann Emerg Med, 19(3), pp.262~267 (1990)
- Derlet RW, "Triage of patients out of the emergency department: three-year experience", Am J Emerg Med, 10(3), pp.195~199 (1992)
- 윤성우, "119구급대원의 외상환자에 대한 병원전 응급처치와 업무수행현황", 한국응급구조학회지, 15(2), pp.27~42 (2011), 사단법인 한국응급구조학회
- Wuerz RC, "Reliability and validity of a new five-level triage instrument", Acad Emerg Med, 7(3), pp.236~242 (2000)
- Van Gerven R, "Systematic triage in the emergency department using the Australian national triage scale:a pilot project", Eur J Emerg Med, 8(1), pp.3~7 (2001)
- Buschhorn HM, "Emergency medical services triage using the emergency severity index: is it reliable and valid?", J Emerg Nurs, 39(5), pp.55~63 (2013)
- Fernandes CM, "Reliability of the Canadian triage and acuity scale: interrater and intrarater agreement from a community and an academic emergency department", CJEM, 15(4), pp.227~232 (2013)
- 박유석, "중증도 분류도구로서 변형 emergency Severity Index의 평가자간 신뢰도", 대한응급의학회지, 13(3), pp.324~328 (2002), 대한응급의학회
- Wuerz R, "Emergency severity index triage category is associated with six-month survival. ESI triage study group", Acad Emerg Med, 8(1), pp.61~64 (2001)
- Park MJ, "An evaluation on the implementation of problem-based learning in medical education", 석사, pp.2010
- Kim YK, "The effects of problem-based learning instruction on student's intrinsic motivation and sociality", 석사, pp.2001
- 오희진, "중학교 과학 수업에서 문제중심학습이 창의력에 미치는 효과", 한국지구과학회지, 26(1), pp.1~8 (2005), 한국지구과학회
- Hwang SY, "Effects of problem-based learning on the knowledge achievement, critical thinking ability, attitude and motivation toward learning of nursing students", 박사, pp.2003
