海军基层军医战伤救治培训调查与考核分析  

Investigation on the training of combat casualty care in the grass-root Navy surgeons and analysis of evaluation results

作　　者：高子涵 欧阳晶 陈瑞丰 朱敏[1] 刘平[1] 杨颖[1] Gao Zihan;Ouyang Jing;Chen Ruifeng;Zhu Min;Liu Ping;Yang Ying(No.6 Medical Center,General Hospital,PLA,Beijing 100048,China)

机构地区：[1]解放军总医院第六医学中心,北京100048

出　　处：《海军医学杂志》2022年第9期918-920,共3页Journal of Navy Medicine

基　　金：军队后勤重点项目(BHJ16J008;JJ2020A06-B017)。

摘　　要：目的了解海军基层军医战伤救治技术现状及培训效果。方法2017年6-9月采用自制测试卷对海军基层148名军医进行战伤救治技术测试,之后进行战伤救治培训。培训后进行课后测试和课程评估,了解培训的课程满意度及培训需求。结果培训前148名基层军医战伤救治技术理论得分(56.69±12.61)分,合格率为48.65%;培训后基层军医战伤救治技术理论得分(72.57±11.27)分,合格率为83.78%,差异均有统计学意义(t=-12.58,χ^(2)=55.014,P<0.05)。战伤救治技术理论考核涉及7个方面,其中止血、休克、海上批量落水人员生存与自救互救、常见海洋生物伤救治处置、热射病5个方面培训前后得分比较差异有统计学意义(P<0.05)。143名军医表达对战伤救治培训充满热情并希望今后能有更多此类培训并延长授课时间,课程满意度达96.6%。课程内容上基层军医最想掌握的是常见战伤处置;培训方式希望理论与实践结合,增加模拟演练机会。结论目前基层军医战伤救治技术水平合格率不够理想,战伤伤情判断能力欠佳,知识区短板尚有提升空间,开展规范化培训对提高基层军医战伤救治水平具有重要意义。Objective To know the current situation of the combat casualty care training in the grass-root navy surgeons and training effects.Methods Professional evaluations and or examinations on combat casualty care skills were performed among the 148grass-root navy surgeons from June to September,2017,by using self-designed questionnaire.Then,training of combat casualty care were conducted.Following training,examinations and course evaluations were performed to know the rate of course satisfaction and further training demands.Results The average test scores of the 148 grass-roots surgeons were(56.69±12.61)before training,with a qualified rate of 48.65%.After training,the theoretical scores of combat casualty care among them were(72.57±11.27),with a qualified rate of 83.78%,with statistical significance(t=-12.58,χ^(2)=55.014,P<0.05).Theoretical tests on combat casualty care included 7 aspects.Significant differences in the scores of hemostasis,shock,survival at sea,self-aid and mutual-aid,first aid and treatment of common marine life injuries and heat stroke before and after training could be seen,statistical significance could be found when comparisons were made between them(P<0.05),and the rate of training satisfaction was as high as 96.6%.143 surgeons expressed great enthusiasm for combat casualty care training,and hoped there would be more such training and the length of such training could be prolonged.What they desired most to master was the treatment of those commonly-seen combat injuries.The training mode they longed to have was“theory combining with practice”,and have more simulated training exercises.Conclusion,ty to assess the seriousness of injury.There is still much room for improvement concerning knowledge in combat casualty care.The implementation of standardized training is of great significance to improve their ability in combat casualty care.

关 键 词：海军基层军医 战伤救治 培训 考核 现状调查 

分 类 号：R821.13[医药卫生—临床医学]