Praxistest anaphylaxie - Beschreibung der handlungskompetenz in der selbsttherapie der anaphylaxie

Background: Research on the performance of self-therapy in the emergency care of patients with ana-phylaxis are sparse. The aim of this study was to de-velop a test for the evaluation of the performance of self therapy in anaphylaxis. Patients and Methods: Based on the examination method "Objective Structured Clinical Examinati-on" (OSCE) the Test of Skills in Anaphylaxis" was developed for individuals with previous anaphy-laxis. The "Test of Skills in Anaphylaxis" was tested on insect venom allergic patients and students of a German Medical School. Results: In total 63 patients and 7 medical students participated in the "Test of Skills in Anaphylaxis". Patients that were trained according to the .,Insect Sting Emergency Plan" reached a mean of 26.8% of the maximum score, patients trained according the concept .,Anaphylaxis Emergency Plan" reached 41.5% and medical students 82.6%. School education turned out to be the most im-portant confounder. The examination of medical students and the intervention group showed that decision-making and self-responsibility could be improved by this training and that it was reproducible.