强化急救技术培训对提高社区医生急救水平的效果分析  

EVALUATION ON EFFECTS OF INTENSIVE FIRST AID TRAINING IN IMPROVING FIRST AID TECHNIQUES AMONG COMMUNITY HEALTH WORKERS

作　　者：毛荣[1] 王一镗[2] 任天成[3] 高想[1] 刘晨[1] 

机构地区：[1]南京医科大学附属江宁医院科教处,江苏南京211100 [2]南京医科大学急诊医学教研室,江苏南京210029 [3]南京医科大学附属江宁医院急诊医学科,江苏南京211100

出　　处：《河北医科大学学报》2014年第11期1254-1258,共5页Journal of Hebei Medical University

基　　金：南京市医学科技发展基金项目(YKK12181)

摘　　要：目的评价强化急救技术培训对提高社区医生急救水平的效果。方法将180例社区医生随机分为传统培训组和复训组,每组各90例。2组均采用理论授课、操作练习和情景模拟的培训方式,复训组于培训6个月后给予再培训。2组均于初次培训前,初次培训后即刻、3个月后及1年后进行理论和技能考核。比较2组考核成绩,评价培训效果。结果 2组培训前在急救理论、心肺复苏、电除颤、气管插管、创伤急救技术和总分方面差异无统计学意义(P>0.05);2组培训后即刻以上评分均较训前有显著提高,培训3个月后评分有所下降,培训1年后下降更多,但复训组评分较传统组高;2组在组间、不同时点间以及组间和不同时点间交互作用差异均有统计学意义(P<0.01)。培训1年后复训组急救知识和技能考核及格人数明显高于传统培训组(P<0.01)。结论社区医生的急救技术亟待提高,完善的复训制度是保证和提高社区医生急救水平的有效方法。Objective To evaluate the effects of intensive first aid training on improving the first aid techniques among community health workers.Methods The study enrolled 180 community health workers who were randomly divided into traditional training group and re-training group,each group with 90 members.Physicians in both groups were given a series of training including theory teaching,operational practice and scene simulation exercise.The re-training group accepted the same training once again after six months.Assessments on both theory and practice were conducted before the training,immediately after the training,3 and 12 months after the training separately to compare the training effects.Results The assessment results between the two groups showed no significant differences in the emergency theories, cardio-pulmonary resuscitation,electric defibrillation,trachea cannula,emergency treatment of trauma and the total scores before training （P 〉 0.05）.All workers′ techniques in both groups significantly improved after the training immediately,then the assessment scores slightly decreased 3 months later.The traditional training group had more obviously decline than the re-training group after one year.Significant differences were found between two groups on every time point after training （P 〈0.01）.The qualified workers in the re-training group were much more than the traditional training group on first aid knowledge as well as practical skills （P 〈0.01）. Conclusion The first aid technology among community physicians needs urgent improving,and the re-training method proved to be more effective.

关 键 词：急救医学 教育 社区卫生工作者 

分 类 号：R129[医药卫生—环境卫生学]