Ulus Travma Acil Cerrahi Derg. 2021; 27(2): 174-179 | DOI: 10.14744/tjtes.2020.93947

Acil týbbi yardým ekibi simülasyonunun toplum-temelli afet tatbikatýnda bilgi ve tutumlar üzerindeki etkileri

Chu Hyun Kim¹, Sang Do Shin², Ju Ok Park³, Seong Chun Kim⁴, Phillip L Coule^5
1Inje Üniversitesi Týp Fakültesi, Seoulpaik Hastanesi, Acil Týp Bölümü, Seul-Kore
²Seul Ulusal Üniversitesi Týp Fakültesi, Seul Ulusal Üniversite Hastanesi, Acil Týp Bölümü, Seul-Kore
³Hallym Üniversitesi Týp Fakültesi, Dongtan Sacred Heart Hastanesi, Acil Týp Bölümü, Hwaseong-Kore
⁴Gyoungsang Ulusal Üniversitesi Týp Fakültesi, Gyoungsang Ulusal Üniversite Hastanesi, Acil Týp Bölümü, Gyoungsang-Kore
⁵Georgia Medikal Kolej, Augusta Üniversitesi, Acil Týp Bölümü, Augusta-Amerika Birleþik Devletleri

AMAÇ: Acil týbbi yardým ekibi simülasyonunun toplum-temelli afet tatbikatýnda bilgi ve tutumlar üzerindeki etkisini deðerlendirdik.
GEREÇ VE YÖNTEM: 2006 yýlýndan 2008’e kadar Seul Metropolitan Þehir bölgesindeki toplum saðlýðý merkezleri, acil servisler, itfaiye istasyonlarý, acil týp teknisyenleri akademisi ve acil durum bilgi merkezinden iþe alýnan katýlýmcýlar için didaktik dersler, masabaþý simülasyonu ve açýk alan simülasyonunu içeren sekiz saatlik afet tatbikatlarý geliþtirildi. Tatbikattan önce ve sonra tasarlanmýþ anketi kullanarak bilgi ve tutum üzerine anket yaptýk. Deðiþiklikleri t-testi ve tekrarlayan ölçüm ANOVA analizi ile karþýlaþtýrdýk.
BULGULAR: Çalýþma süresince toplam 14 toplum-temelli tatbikat yapýlmýþtýr. Hem tatbikat öncesi hem de sonrasý ankete 525 (%79.4) kiþi yanýt verdi. Bunlarýn içerisinde doktorluk, gönüllü öðrencilerden (%47.1) sonra ikinci yaygýn meslekti (%26.9). Genel olarak, bilgi ve tutum puaný sýrasýyla 3.9±1.0’dan 4.3±0.9’a (p<0.001) ve 21.4±3.4’ten 22.4±3.2’ye (p<0.001) anlamlý olarak artmýþtýr. Mesleki lisans gruplarý arasýnda tatbikat öncesi ve sonrasý bilgi düzeyi arasýndaki fark anlamlýydý (p=0.03), tatbikat öncesi ve sonrasý tutum açýsýndan meslekler arasýndaki fark ise anlamlý deðildi (p=0.78).
TARTIÞMA: Acil Týbbi Yardým Ekibi’nin kurulmasý ve iþletilmesine iliþkin afet tatbikatý, katýlýmcýlarýn hem bilgi hem de tutumlarýný olumlu etkileyebilir.

Anahtar Kelimeler: Acil Týbbi Yardým Ekibi, afet; eðitim; etkinlik; toplum aðlarý.

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The effects of a community-based disaster drill of simulating Disaster Medical Assistance Team (DMAT) on the knowledge and attitudes

Chu Hyun Kim¹, Sang Do Shin², Ju Ok Park³, Seong Chun Kim⁴, Phillip L Coule^5
1Department of Emergency Medicine, Inje University College of Medicine, Seoulpaik Hospital, Seoul-Korea
²Department of Emergency Medicine, Seoul National University College of Medicine, Seoul National University Hospital, Seoul-Korea
³Department of Emergency Medicine, Hallym University College of Medicine, Dongtan Sacred Heart Hospital, Hwaseong-Korea
⁴Department of Emergency Medicine, Gyoungsang National University College O of f Medicine, Gyoungsang National University Hospital, Gyoungsang-Korea
⁵Department of Emergency Medicine, Medical College of Georgia, Augusta University, Augusta-United States

BACKGROUND: We evaluated the effects of community-based disaster drill of simulating disaster medical assistance team on the knowledge and the attitudes.
METHODS: Eight hours disaster drills, including didactic lectures, table simulation, and outdoor field simulation, were developed for participants who were recruited from community health centers, emergency departments, fire stations, emergency medical technicians’ academy, and emergency information center in the Seoul Metropolitan City area from 2006 to 2008. We surveyed on the knowledge and the attitude using designed questionnaire before and after drill. We compared changes using t-test and repeated measure ANOVA.
RESULTS: In this study, 14 community-based drills were performed and 525 (79.4%) people responded to both pre- and post-drill survey. Of these, the doctor was the second common occupation (26.9%) after volunteer students (47.1%). Overall, knowledge and attitude score significantly increased from 3.9±1.0 to 4.3±0.9 (p<0.001) and from 21.4±3.4 to 22.4±3.2 (p<0.001), respectively. The difference among professional license groups between pre- and post-drill knowledge level was significant (p=0.03), while the difference among jobs for attitude between pre- and post-drill was not different (p=0.78).
CONCLUSION: Disaster drills on the establishment and operation of DMAT may affect both knowledge and attitude of participants positively.

Keywords: Community networks, disaster; DMAT; education; effect.

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