直升机医学救援人员核心救护技术指标体系的构建

Research on the construction of core medical skill index system for helicopter medical rescue personnel

目的通过德尔菲专家咨询法构建直升机医学救援人员核心救护技术指标体系。方法本研究通过文献研究和两轮德尔菲专家咨询构建直升机医学救援人员核心救护技术指标体系。共遴选了22名相关专业的专家进行德尔菲专家咨询。结果两轮德尔菲专家咨询有效问卷回收率均为100%;专家权威程度为0.87;第一轮专家咨询,一级指标重要性的肯德尔协调系数为0.380,二级指标重要性、可行性的肯德尔协调系数分别为0.338、0.347,第二轮专家咨询,一级指标重要性的肯德尔协调系数为0.415,二级指标重要性、可行性的肯德尔协调系数分别为0.357、0.354。最终构建直升机医学救援人员核心救护技术指标体系,包含呼吸系统核心救护技术、循环系统核心救护技术、运动系统核心救护技术、其他系统核心救护技术4个一级指标,32个二级指标。结论通过两轮德尔菲专家咨询构建的直升机医学救援人员核心救护技术指标体系科学合理,能够为直升机医学救援人员核心救护技术的培训、考核等提供依据。

Objective To construct core medical skill index system for helicopter medical rescue personnel by Delphi expert consensus method.Methods This study combined literature review and two rounds of Delphi expert correspondence to construct the core skill index system.Total of 22 experts from relevant disciplines were selected purposively to conduct Delphi expert consultation.Results The effective questionnaire recovery rates of the two rounds of Delphi expert correspondence was 100%;the authority coefficient of experts was 0.87;the Kendall coordination coefficients of the importance of the first and second level indexes were 0.380 and 0.338 in the first round of correspondence,and then 0.415 and 0.357 in the second round.the Kendall coordination coefficients of the feasibility of the second level indexes were 0.347 in the first round of correspondence and 0.354 in the second round.The final core skill index system for helicopter medical rescue personnel includes 4 primary indicators:core medical skill for diseases or trauma in respiratory system,circulatory system,sports system and other system,and 32 secondary indicators.Conclusions The core medical skill index system for helicopter medical rescue personnel constructed through two rounds of Delphi expert correspondence is scientific and reasonable,which can provide a scientific basis to accurately understand,describe,analyze,and evaluate the competence level of helicopter medical rescue personnel,as well as serve as a content framework for training programs.