基层卫生单位常见创伤超声快速诊断技术的人才培训研究

Talent training for ultrasound rapid diagnosis of common traumas in primary health care institutions

目的探讨在基层卫生单位进行常见创伤超声快速诊断技术教学培训的可行性和有效性。方法培训对象来自基层卫生单位的89名学员,其中超声医学零基础学员81名,占91.0%;理论授课老师为副高级以上超声专家,技能培训老师为熟练掌握超声快速诊断技术的超声医师;培训周期为4 d(32学时);培训内容为基层卫生单位的常见急症和外伤超声快速诊断技能的理论授课和实际操作手把手教学。培训后全部学员参加理论知识笔试(百分制)和技能实际操作考核,并分析考核结果。结果89名学员对培训的参与度为100%。培训后,81名超声零基础的学员理论平均成绩(93.7±5.0)分,8名有超声基础的学员理论平均成绩(95.5±3.0)分,二者比较,差异无统计学意义(P>0.05),表明通过培训,即使是超声零基础的学员,对创伤超声快速诊断理论知识的掌握与有超声基础者无差别。技能实际操作成绩,81名零基础的学员中,优秀率76.5%(62名/81名)、良好率23.5%(19名/81名),8名有超声基础的学员中,优秀率75.0%(6名/8名)、良好率25.0%(2名/8名)二者比较,差异无统计学意义(P>0.05)。结论通过培训,基层卫生单位的受训者能够迅速掌握常见创伤的超声快速诊断技术的理论知识,掌握实际操作技能。

Objective To evaluate the feasibility and validity of teaching training for ultrasound rapid diagnosis of common trauma in primary health care institutions.Methods A total of 89 trainees from primary health care institutions received a 4-day intensive training,of whom 81(91.0%)had little or no prior ultrasound training experience.The theory teachers were ultrasound experts with a professional title above deputy senior level,and the skill teachers were ultrasound residents who were skilled in ultrasound rapid diagnosis technology.The teaching was mainly based on theory teaching and practical hand-in-hand teaching with the purpose of letting the trainees learn to diagnose common emergency and trauma by ultrasound.After the training,all trainees took theoretical knowledge written exam(centesimal system)and skill operation test,and the assessment results were analyzed.Results The participation rate of 89 trainees was 100%.After the training,the mean score of 81 trainees without ultrasound experience was(93.7±5.0),and that of 8 trainees with ultrasound basis was(95.5±3.0).The difference between the two groups was not statistically significant(t=1.55,P>0.05).The results showed that there was no difference in the mastery of the theoretical knowledge of ultrasound rapid diagnostic techniques for common trauma,even if the trainees had little or no prior ultrasound training experience.Among the 81 trainees without ultrasound experience,the rate of excellence in practical operation test was 76.5%(62/81),and the rate of goodness was 23.5%(19/81).Among the 8 trainees with ultrasound basic,the rate of excellence in practical operation test was 75.0%(6/8),and the rate of goodness was 25.0%(2/8).The difference between the two groups was not statistically significant(χ^2=0.01,P>0.05).It showed that through training,trainees without ultrasound knowledge can basically master the operation essentials of ultrasound rapid diagnostic techniques for common trauma as well as those with basic ultrasound knowledge.Conclusion Through the training,the trainees of primary health care institutions can quickly master the theoretical knowledge and the practical skills of ultrasound rapid diagnostic techniques for common trauma.