杭州市社区医护人员灾害现场急救技能的调查分析

Investigation and analysis on disaster site first aid skills of community healthcare workers

目的：调查了解杭州市社区医护人员灾害现场急救技能掌握现况，为医疗机构对社区医护人员开展灾害现场急救技能培训提供参考。方法采用自行设计的问卷对杭州市4个主城区8所社区卫生服务中心的400名医护人员的灾害现场急救技能掌握程度进行调查。结果发出问卷400份，共收回有效问卷373份，有效回收率为93．5％。社区医护人员灾害现场急救技能平均得分为（3．83±0．28）分，其中简易呼吸器的使用得分（4．33±0．70）分，现代心肺复苏技术（4．21±0．70）分等7个条目掌握比较好；Logistic回归分析显示，参加过灾害救援及男性是社区医护人员灾害现场急救技能的影响因素（ P＜0．05）；100％社区医护人员对学习和接受灾害现场急救技能感兴趣，93．7％社区医护人员表示非常愿意学习相关技能。结论社区医护人员灾害现场急救技能掌握程度总体水平不高，学习需求比较强烈，应加强社区卫生服务中心医护人员灾害现场急救技能培训，积极为社区医护人员提供灾害相关学习继续教育的机会，提高社区医护人员灾害现场急救技能。

Objective The aim of this study was to investigate the status on disaster site first aid skills of community healthcare workers at Hangzhou and to provide medical institution with a reference to train the disaster site first aid skills .Methods The researchers investigated 400 healthcare workers ’ disaster site first aid skills from 8 community health service centers .Results Totals of 373 questionnaires were returned with an effective rate of 93.5%.The average score of disaster site first aid skills of community healthcare workers was （3.83 ±0.28）.The score of using simple breathing bag was （4.33 ±0.70）.The score of performing CPR technique was （4.21 ±0.70）.Logistic regression analysis showed that the influencing factors of disaster site first aid skills were participation in disaster rescue and the male gender （P〈0.05）.100% of the community healthcare workers were interested in learning disaster site first aid skills .93.7% of the community healthcare workers expressed a strong willingness to learn relevant skills .Conclusions The overall level of the disaster site first aid skills of community healthcare workers is not good , but their learning intention are strong .It is necessary to strengthen the disaster site first aid skills training and to take various training programs which cover a wide range of contents , such as disaster rescue simulation exercises , scenario simulation test and participation in the site rescue.Meanwhile, continuing education opportunities should be actively provided to enhance the disaster site first aid skills of community healthcare workers .