保育所における食物アレルギー児のアナフィラキシー初期対応研修プログラムの評価  [in Japanese] Evaluation of a training program on initial actions against anaphylaxis in children with food allergies in nursery schools  [in Japanese]

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Abstract

<p> 【目的】保育所職員が感じているアナフィラキシーショックの対応に対する知識不足や不安感・自信のなさを軽減し, アナフィラキシー対応の救急処置体制を整備することを目的としたアナフィラキシー初期対応研修プログラムを実施し, その効果を検証する.</p><p> 【方法】研修を受講した保育所職員を対象に, Kirkpatrickの4段階評価測定モデルを用いて研修前・研修後・研修6か月後にアンケート調査を実施した.</p><p> 【結果】155名から回答を得た. 保育所職員のアナフィラキシー対応に関するネガティブな意識は, 研修前と比較して研修後, 研修6か月後に有意に軽減されていた. 「一般向けエピペン<sup>®</sup>適応」 の13の症状について研修前後, 6か月後に, 「息がしにくい」 以外のすべての症状において有意な差が認められた. シミュレーション訓練後, 保育所の救急処置体制の改善点が具体的に抽出され, 研修6か月後は具体的な改善が行われていた.</p><p> 【結論】シミュレーション訓練を組み込んだ研修プログラムは, 保育所職員の知識・技術の向上と維持, 救急処置体制の改善を促進した.</p>

<p> Objective : The present study aimed to evaluate the effectiveness of a training program on initial action to anaphylaxis for nursery school employees.</p><p> Methods : We developed and implemented a training program on initial actions against anaphylaxis aimed at compensating for a perceived knowledge deficit and reducing anxiety and lack of confidence among nursery school employees. A questionnaire survey was administered to nursery school employees who participated in the training program at pre-training, post-training, and 6 months post-training. Effectiveness of the program was evaluated using Kirkpatrick's Four Levels of Training Evaluation Model.</p><p> Results : 155 participants completed the questionnaire. The level of hesitancy among nursery school employees in anaphylactic emergency action decreased significantly at post-training and 6 months post-training compared with pre-training. Understandings of 13 symptoms for which EpiPen<sup>®</sup> use is recommended improved significantly, although this was not the case for the symptom "difficulty breathing". After simulation training, specific areas for improvement in the nursery schools' emergency action plans were identified. These improvements were actually implemented by 6 months post-training.</p><p> Conclusions : The training program, which included simulation training, improved and maintained the levels of knowledge and technique among nursery school employees and promoted improvements in the emergency action plan.</p>

Journal

  • Nihon Shoni Arerugi Gakkaishi. The Japanese Journal of Pediatric Allergy and Clinical Immunology

    Nihon Shoni Arerugi Gakkaishi. The Japanese Journal of Pediatric Allergy and Clinical Immunology 32(4), 674-689, 2018

    THE JAPANESE SOCIETY OF PEDIATRIC ALLERGY AND CLINICAL IMMUNOLOGY

Codes

  • NII Article ID (NAID)
    130007502089
  • Text Lang
    JPN
  • ISSN
    0914-2649
  • Data Source
    J-STAGE 
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