传染病员空运医疗后送机上适用关键急救技术指标体系的构建

Construction of key first aid skills index system applied to the aeromedical evacuation for infected patients

目的构建传染病员空运医疗后送机上适用关键急救技术指标体系,提升我军卫勤保障能力。方法本研究通过文献回顾和两轮德尔菲专家咨询构建传染病员空运医疗后送机上适用关键急救技术指标体系。共遴选了19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的回收率均为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0.184,二级指标重要性、可行性的肯德尔协调系数分别为0.289、0.380,第二轮专家咨询,一级指标重要性的肯德尔协调系数为0.263,二级指标重要性、可行性的肯德尔协调系数分别为0.304、0.398。最终构建传染病员空运医疗后送机上适用关键急救技术指标体系,包含生命支持技术、重症护理技术及隔离防护技术3个一级指标,40个二级指标。结论通过两轮德尔菲专家咨询构建的传染病员空运医疗后送机上适用关键急救技术指标体系科学合理,能够为空运医疗后送传染病员的关键急救技术的培训、考核等提供依据,促进我国传染病员空运医疗后送事业发展。

Objective The aim of this study is to develop a comprehensive index system for assessing the key first aid skills required for aeromedical evacuation of infected patients,with the goal of enhancing our army's medical support capabilities.Methods This study combined literature review and two rounds of Delphi expert correspondence to construct the key first aid skills index system of aeromedical evacuation for infected patients.19 experts from relevant disciplines were selected purposively to conduct Delphi expert consultation.Results Both rounds of Delphi expert correspondence achieved a 100%response rate,indicating high effectiveness.The degree of authority among the experts was determined to be 0.87.In the first round,there was a Kendall coordination coefficient value of 0.184 for assessing the importance of primary indicators,while secondary indicators showed coefficients of 0.289 and 0.380 for importance and feasibility respectively.In the second round,these values increased slightly to 0.263,0.304(importance)and 0.398(feasibility),respectively.The final evaluation index system of key first aid skills applied to the aeromedical evacuation of infected patients was constructed,including 3 primary indicators of life support technology,intensive care technology and isolation protection technology,and 40 secondary indicators.Conclusion The evaluation index system of key first aid skills applied to the aeromedical evacuation of infected patients constructed through two rounds of Delphi expert correspondence is scientific and reasonable,which can provide reference for the training and assessment of key first aid skills applied to the aeromedical evacuation of infected patients,so as to promote the development of aeromedical evacuation for infectious patients in China.