渔民现场急救培训戴明环管理效果评价

Evaluation of the effectiveness of on-site first-aid training among fishermen using the Deming Circle

目的评价戴明环管理在渔民现场急救培训中的效果,为提高渔民现场急救知识和技能水平提供参考。方法选择浙江省舟山市普陀区男性出海作业渔民为研究对象,分别纳入干预组和对照组。对照组采用常规急救知识讲座培训,干预组采用戴明环管理;通过问卷调查和现场急救技能操作评估培训前后2组渔民现场急救知识、现场急救意识、现场急救技能和急救培训满意度。结果纳入调查327人,有效调查273人,调查有效率为83.49%。对照组132人,干预组141人。2组渔民的年龄和文化程度差异均无统计学意义(P>0.05)。干预组现场急救知识得分,主动学习现场急救知识、主动消除安全隐患和主动开展现场急救的比例,心肺复苏、创伤急救、气道异物处置和报警技巧的具备率的提升幅度均大于对照组(P<0.05)。培训后,干预组满意度评分[(9.13±0.49)分]高于对照组[(7.08±0.72)分,P<0.05];继续纳入戴明环管理意愿评分[(65.13±3.11)分]高于对照组[(43.62±3.79)分,P<0.05]。结论运用戴明环管理的渔民现场急救培训效果优于传统急救培训。

Objective To evaluate the effectiveness of the Demin Circle in on-site first-aid training among fishermen,so as to provide insights into improving the on-site first-aid knowledge and skills among fishermen.Methods Deepsea male fishermen were sampled from Putuo District of Zhoushan City,Zhejiang Province and randomly assigned to the intervention and control groups.Participants in the control group received training pertaining to conventional first-aid knowledge,while participants in the intervention group were given the Deming Circle.The knowledge,awareness and skills of on-site first-aid,and satisfaction with the first-aid training were evaluated among fishermen before and after the training using questionnaire surveys and on-site first-aid skill operations.Results A total of 327 questionnaires were allocated,and 273 valid questionnaires were recovered,with an effective recovery rate of 83.49%.There were 132 respondents in the control group and 141 in the intervention group,and there were no significant differences between the two groups in terms of age or educational level(P>0.05).The increase of the score of on-site first-aid knowledge,proportion of active learning of on-site first-aid knowledge,proportion of active elimination of potential dangers and pro⁃portion of active implementation of on-site first-aid,and seizing the skills of cardiopulmonary resuscitation,trauma firstaid,airway foreign body disposal and calling the police were all higher in the intervention group than in the control group(P<0.05).Following training,the score of satisfaction with the training was significantly higher in the interven⁃tion group than in the control group[(9.13±0.49)vs.(7.08±0.72)points,P<0.05],and the score of willingness to continue the enrollment in the Deming Circle was significantly greater in the intervention group than in the control group[(65.13±3.11)vs.(43.62±3.79)points,P<0.05].Conclusion Deming Circle is superior to conventional firstaid training for improving the effectiveness of on-site first-aid training among fishermen.