湖北省医务人员航空医学救援培训及技能现况调查

Knowledge of aviation rescue among medical staff in Hubei Province:Situation and countermeasures

目的 通过问卷调查湖北省内医务人员航空医学救援的基本状况和技术水平,为开展和提高航空医学救援培训工作提供数据支持和对策建议。方法 对在湖北省内开展航空医学救援相关的医疗机构(三甲医院和急救中心)的工作人员进行问卷调查,包括人员的基本信息,航空医学救援工作的理论、培训及实践情况,自我工作评价及学习需求等,并考察队员对于急救知识、航空飞行知识及航空医学救援工作知识的掌握情况,收集医疗机构航空医学救援开展具体病例情况和工作建议。结果 共有43家医疗机构参与调研,共发送问卷400份,回收有效资料376份,问卷有效率为94.5%。调查对象中18~30岁121名(32.2%),30~40岁156名(41.5%);其中女性213名(56.6%)。部门分布以院前急救人员129名(34.3%)和急诊科人员164名(43.6%)为主。本科学历最多,达240名(63.8%)。305名医务人员(81.2%)参加过正规的急救技能培训;93名医务人员(24.7%)参加短期航空医学救援的理论培训,81名(21.5%)参加过短期航空救援模拟演练培训。有37名医务人员(9.8%)参加过至少一次航空医学救援活动,5名医务人员(1.3%)参加过多次航空医学救援活动。调查对象急救知识得分7.37分(十分制),航空飞行知识得分5.05分,航空医学救援知识得分5.51分(P<0.05)。结论 湖北省航空医学救援后备人员充足,具有一定专业素质,航空飞行知识、航空医学救援的培训、模拟和实践工作需要进一步加强。

Objective Purpose To collect the personal and skill information of aviation medical rescue staff in Hubei Province through questionnaires for the aviation medical rescue training.Methods A questionnaire survey was conducted among the staff of medical institutions(including tertiary hospitals and emergency centers)about aviation medical rescue in Hubei Province,including personnel information,aviation medical rescue,training and practice,selfevaluation and learning demand etc.Collect specific cases and recommendations for aviation medical rescue in the medical institutions.Results A total of 43 medical institutions participated in the survey.400 questionnaires were sent and 376 valid questionnaires were returned.The effective rate was 94.5%.In the survey,121(32.2%)were 18 to 30 years old,and 156(41.5%)were 30~40 years old;213 were women(56.6%).There were 129(34.3%)pre-hospital emergency staff and 164(43.6%)emergency department staff.240(63.8%)have a bachelor degree.305 medical staff(81.2%)had received formal first aid skills training;93 medical staff participated in short-term aviation medical rescue theoretical training(24.7%),and 81(21.5%)participated in short-term aviation rescue simulation training.37 medical staff(9.8%)who have participated in at least one aviation medical rescue activity,and 5(1.3%)have participated in more than two rescue activities.The average score for first aid knowledge was 7.37,for aviation flight was 5.05,and for aviation medical rescue was 5.51(P<0.05).Conclusion Reserve personnel for aviation medical rescue are sufficient in Hubei Province.The personnel are of professional quality.Aviation flight knowledge learning,aviation medical rescue training,simulation and practical learning need to be further strengthened.