应用标准化伤员提高战现场火线救治训练效果

Effect of Using Standardized Wounded Soldiers in Combat Trauma First Aid Training

目的探究应用标准化伤员进行战现场火线救治训练的方法及效果。方法在6个合成旅采用标准化伤员进行战现场火线救治训练,实验组应用标准化伤员进行战现场火线救治训练,对照组使用传统方式训练,训练前后对所有学员进行火线救治理论考试,训练后所有学员随机参与火线救治操作考核,考核过程中分别由教员及标准化伤员对学员的操作进行打分,由学员进行满意度评分。结果培训前,实验组与对照组学员的理论考核平均分无差异(40.30±9.26vs 47.30±12.98,P>0.05);培训后,实验组理论分数明显高于对照组(63.80±9.84vs55.60±12.03,P<0.05)。在操作考核中,教员对实验组学员平均打分明显高于对照组(72.29±14.12vs53.17±11.98,P<0.05),标准化伤员对实验组学员打分为好或很好占比明显高于对照组(63.79%vs41.38%,P<0.05),学员对标准化伤员的表演满意度为96.55%,对于病例的呈现形式满意度为98.71%,对使用标准化伤员的考核训练形式满意度为96.98%。结论标准化伤员参与的教学训练方式能够提高基层部队学员火线救治理论与实操水平,学员满意度高,值得推广。

Objective To investigate the effect of using standardized wounded soldiers(SWS)in combat trauma first aid training and its outcome.Methods Standardized wounded soldiers were used in 6 mixed brigades for combat trauma first aid training.The study group were trained with SWS,while the control group were trained in traditional way.All participators were asked to finish a theory test before and after training and were asked to attend a clinical test after training.SWS and instructors rated their performance during the test.After the test,all medics were asked to complete a satisfaction evaluation.Results Before training,test scores from the 2 groups showed no difference(40.30±9.26 vs 47.30±12.98,P>0.05).After the training,theory test scores from the study group were significantly higher than the control group(63.80±9.84 vs55.60±12.03,P<0.05).In the clinical test,the scores from the instructors of study group were significantly higher(72.29±14.12 vs 53.17±11.98,P<0.05)than the control group,and the proportion of SWS who rated good or very good for the study group(63.79%vs41.38%,P<0.05)was also significantly higher.For satisfaction rates,medics had a 96.55%satisfaction rate for SWS performance,a 98.71%rate for case presented and a 96.98%satisfaction rate for testing and training form.Conclusion Using standardized wounded soldiers in combat trauma first aid training can elevate both theoretical and clinical combat trauma treatment skills of medics from basic military units.The training system is of high satisfaction rates and worth to be promoted.