军队医院护理人员前沿外科手术队护理技术现况研究

Research on the Current Status of the Nursing Technology of the Forward Surgical Team of the Nursing Staff in Military Hospital

目的 探索军队护理人员前沿外科手术队(forward surgical team, FST)护理技术的掌握现况,为制定FST护理核心技术培训体系提供参考。方法 2023-02/2023-05月采用整群抽样法选取14所军队三甲医院718名护理人员作为调查对象,采用一般资料调查表与护理技术测评表对其进行调查。结果 军队医院护理人员卫勤训练方式以线下理论培训最多(71.73%),卫勤任务类型以单位组织卫勤演练为主(72.14%),参加过的机动卫勤力量类型以野战医疗所(30.08%)、野战医疗队(29.53%)为主,卫勤任务中组室训练类型以其他组室(32.45%)、重伤救治组(26.46%)为主,94.57%的人员希望增加卫勤方面的培训。718名军队护理人员对FST护理技术中的通用技术模块掌握程度条目均分、培训需求条目均分最高,特殊技术模块掌握程度条目均分、培训需求条目均分最低。不同年龄、工作年限、职称的军队医院护理人员对通用技术和急救技术的掌握程度评分差异具有统计学意义(P均<0.05);不同工作年限、人员类别的军队医院护理人员对损伤控制技术和特殊技术的培训需求评分差异具有统计学意义(P均<0.05)。FST护理技术掌握程度与培训需求呈正相关关系。结论 军队护理人员对FST护理技术整体掌握程度属于中等偏上水平,对技术条目的培训需求意愿强烈,应构建完善的FST护理技术培训体系,着重加强损伤控制技术和特殊技术模块知识的培训,为培训一专多能的FST护理队员提供重要参考。

Objective To explore the current situation of the nursing technology of the forward surgical team(FST)of military nursing staff,and to provide reference for the development of the FST nursing core technology training system.Methods A total of 718 nursing staff from 14 military grade A tertiary hospitals were selected as the survey sub-jects by cluster sampling from February,2023 to May,2023,and they were investigated by general information question-naire and nursing technology evaluation scale.Results The most common form of medical service training among nursing staff in military hospitals was offline theoretical training(71.73%),the main type of medical service task was medical service exercise organized by the unit(72.14%),and the main types of mobile medical service force were field medical clinic(30.08%)and field medical team(29.53%),the main types of training were other groups(32.45%)and severe injury treatment group(26.46%),94.57%of the nursing staff wanted to increase the training in medical support.Among 718 military nursing staff,the average score of mastery degree of general technology module and training needs in FST nursing technology was the highest,and the average score of mastery degree of special technology module and train-ing needs was the lowest.There were statistically significant differences in the mastery of general and first aid technology modules among nursing staff of different ages,working years and professional titles(all P<0.05);there were statistically significant differences in the scores of injury control technology and special technology training needs among nursing staff in military hospitals with different working years and personnel categories(all P<0.05).The mastery degree of FST nursing technology was positively correlated with the training demand.Conclusion The overall mastery of FST nursing technology among military nursing personnel was above the average level,and they had a strong will for training on tech-nical items,a perfect FST nursing technology training system should be built,with emphasis on injury control technology and special technology,so as to provide an im-portant reference for the training of specialized and versa-tile FST nursing staff.