利用战救训练模式培训灾害护理救援技术的效果分析

Analysis on effect of training disaster nursing and rescue technology by using war injury treatment training model

目的利用战救训练模式针对聘用制护士开展灾害护理救援技术培训。方法2019年8—9月,对天津康复疗养中心240名聘用制护理人员展开灾害护理救援技术培训。采用随机数字表法分为观察组125人和对照组115人。对照组采用常规方式培训,观察组采用战救训练模式培训。培训后随堂操作技能考核并做护士灾害准备度问卷,比较2组结果。结果观察组检伤分类、止血、包扎、固定、搬运5项专项成绩分别为(96.15±3.17)、(94.75±5.41)、(95.17±4.58)、(95.87±3.44)、(91.68±4.58)分,均高于对照组的(87.56±6.75)、(87.22±4.35)、(90.12±5.44)、(89.78±5.89)、(80.12±5.68)分,差异有统计学意义(t值为3.140~3.652,P<0.01)。灾害准备度2组得分均处于灾害准备度中等水平,观察组在总得分、灾害知识、灾害技术阶段得分分别为(4.66±0.16)、(4.83±0.72)、(5.11±0.87)分,高于对照组的(3.73±0.27)、(4.13±0.27)、(4.42±0.67)分,差异有统计学意义(t值为2.714、2.516、2.891,P<0.01)。结论利用战救训练模式开展灾害护理救援技术培训可以提高护士灾害现场急救技术水平及灾害准备度,但在灾后管理方面还需要强化培训。

Objective To use the war rescue training mode to carry out disaster nursing and rescue technical training for employed nurses.Methods Totally 240 employed nurses in our center were trained in disaster nursing and rescue techniques from August to September 2019.The patients were divided into observation group and control group by random number method.115 subjects in the control group received conventional training.125 people in the observation group used the combat rescue training mode.After the training,the in-class operation assessment and disaster preparedness questionnaire were conducted to compare the results of the two groups.Results The scores of five special items of examination,hemostasis,bandaging,fixation and handling in the observation group were(96.15±3.17),(94.75±5.41),(95.17±4.58),(95.87±3.44),(91.68±4.58)points,which were higher than(87.56±6.75),(87.22±4.35),(90.12±5.44),(89.78±5.89),(80.12±5.68)points in the control group,the difference was statistically significant(t values were 3.140-3.652,P<0.01).The scores of the two groups were in the middle level of disaster preparedness.The scores of the observation group were(4.66±0.16),(4.83±0.72),(5.11±0.87)points in the total score,disaster knowledge and disaster technology stage,which were higher than(3.73±0.27),(4.13±0.27),(4.42±0.67)points of the control group.The difference was statistically significant(t values were 2.714,2.516,2.891,P<0.01).Conclusion The technical training of disaster nursing and rescue can be used to improve the technical level of first-aid and disaster preparedness in the disaster-saving training mode,but the training needs to be strengthened in the aspect of post-disaster management.