基层医护人员急救知识培训与效果评价

First-aid training of the doctors and nurses in township hospitals and assessment of effects

目的了解本地区基层卫生院医护人员的急救知识培训需求,探讨可行的培训方法。方法在2013年1月发放调查表446份到各卫生院对医、护人员进行急救理论、急救技能培训需求等相关急救信息调查。根据实际需求制定一套培训计划,开展规范的强化培训。培训后,抽考120名医护人员急救理论知识,对培训前、后考核成绩,小组模拟急救案例考核知晓率等进行统计学分析。结果理论考核成绩由平均分59.5上升至83.5,培训前、后考核成绩差异有统计学意义(P<0.05);小组模拟急救案例考核知晓率由43.5%上升至85.0%、团体平均分由41.5上升至85,成绩差异有统计学意义(P<0.05)。结论通过调查,全面了解基层医护人员的急救基本情况和培训共性需求,体现了急救知识缺乏和对培训需求的迫切性。通过开展规范的强化培训,全面的提升本地区的急救水平,使危重患者的急救在基层医院得到有效的保障,这种强化培训法值得在急救技能培训中推广,尤其适用于基层医疗单位的技能培训。

Objective To understand the first-aid training needs of the doctors and nurses in township hospitals and explore the possible training methods. Methods A survey including 446 questionnaires was done on the training needs of the first-aid theory and first-aid skills of the doctors and nurses in the township hospitals in January 2013. A set of training programs was made to carry out the standardized intensive training according to the actual needs. After training,an emergency theoretical examination was made in 120 doctors and nurses to analyze the scores and awareness rate before and after training. Results The score of theoretical examination was increased from pre-training 59. 5 points to posttraining 83. 5 points,with statistical difference( P < 0. 05). The awareness rate of the group with simulated emergency case was increased from 43. 5% to 85% and the overall score of the team was increased from51. 5 points to 85 points,with statistical difference( P < 0. 05). Conclusion The results of the survey help us comprehensively understand the basic first-aid situation and common training needs of the doctors and nurses in the township hospitals,indicating lack of emergency first-aid knowledge and urgency of training needs. The standardized intensive training of the doctors and nurses in township hospitals is carried out to improve the first-aid level in the region and provide effective protection for the critical patients,which is worthy of further application,especially in the primary care units.