2019年临朐县院前心肺复苏急救知识及实践技能操作培训效果评估

Evaluation on effect of pre-hospital cardiopulmonary resuscitation first aid knowledge and practical skills training,Linqu county,2019

目的对比性研究医护人员培训前后的院前心肺复苏急救知识及实践技能操作能力提升程度,为探索临床急救工作模式提供科学依据。方法2019年采用整群随机抽样方法抽取168名医护人员作为研究对象,进行心肺复苏院外急救知识及实践操作培训前后效果的对比性分析。结果培训医护人员168名,其中中专82名、大专43名、本科及以上43名;全科医生72名、住院医师39名、护士(师)55名;<10年的52名、10~年的33名、20~年的50名、30年以上的33名。培训后急救知识知晓率和急救实际操作技能力合格率都有所提高,以中专学历、全科医生、执业20~年人员提高明显,知识知晓率分别由47.56%、40.54%、56.00%提高到79.49%、76.47%、87.50%(P<0.01);技能操作合格率分别由50.00%、44.44%、48.48%提高到82.05%、79.41%、85.42%(P<0.01)。心肺复苏院前急救知识单项核心知识培训前"简述胸外心脏按压的手法"、"简述开放气道的方法"、"心肺复苏按压中断的时间应控制的范围?"3题答对率最低,分别为53.57%、61.31%、63.10%。培训后各单项核心知识均有不同程度提高,以"胸外按压的频率是多少?"、"简述胸外心脏按压的手法"、"简述心肺复苏的部位"提高明显,分别由79.76%、53.57%、77.98%提高到90.24%、73.17%、92.07%(P<0.01)。结论定期组织基层医护人员医疗知识培训能有效提高其业务知识水平和实践技能操作能力。

Objective To comparative study on the improvement of pre-hospital cardiopulmonary resuscitation first aid knowledge and practical skills before and after training of medical staff,so as to provide scientific basis for exploring clinical first aid work mode.Methods Random cluster sampling method was used to select 168 medical staff as the research objects to comparative analyze the effects before and after the training of cardiopulmonary resuscitation first aid knowledge and practice in 2019.Results A total of 168 medical staff were trained,including 82 with secondary school education,43 with junior college education and 43 with undergraduate and above education;72 general practitioners,39 residents and 55 nurses;52 worked less than 10 years,33 worked for 10-20 years,50 worked for 20-30 years and 33 worked more than 30 years.After training,the awareness rate of first aid knowledge and the qualified rate of first aid practical operation skills have been improved,especially those with secondary school education,general practitioners and worked for 20-30 years,the awareness rate increased from 47.56%,40.54%and 56.00%to 79.49%,76.47%and 87.50%respectively(P<0.01);qualified rate of skill operation increased from 50.00%,44.44%and 48.48%to 82.05%,79.41%and 85.42%respectively(P<0.01).Before the training of single core knowledge of pre-hospital first aid knowledge of cardiopulmonary resuscitation,the correct rate of"briefly describe the technique of chest compressions","briefly describe the method of opening airway"and"what should be the control range of the interruption time of cardiopulmonary resuscitation compressions?"was the lowest,which was 53.57%,61.31%and 63.10%respectively.After training,the core knowledge of each individual item has been improved to varying degrees."What is the frequency of chest compressions?""briefly describe the technique of chest compressions"and"briefly describe the position of cardiopulmonary resuscitation"increased significantly,from 79.76%,53.57%and 77.98%to 90.24%,73.17%and 92.07%respectively(P<0.01).Conclusion Organizing regular medical knowledge training for grassroots medical staff can effectively improve their professional knowledge and practical skills.