高原地区不同级别医院医务人员接受急危重症诊治培训的现状及需求分析  

Current situation and demand analysis of emergency and critical care training for medical staff in different levels of hospitals in plateau areas

作　　者：何亚荣[1,2] 罗丹 唐颂龄 姚鹏[1,2] 马雯 周婷圆[1,2] 曾利辉 余海放 曹钰[1,2] HE Yarong;LUO Dan;TANG Songling;YAO Peng;MA Wen;ZHOU Tingyuan;ZENG Lihui;YU Haifang;CAO Yu(Department of Emergency Medicine and Laboratory of Emergency Medicine,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Disaster Medical Center,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Department of Outpatient,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西医院急诊科/急诊医学研究室,成都610041 [2]四川大学灾难医学中心,成都610041 [3]四川大学华西医院门诊部,成都610041

出　　处：《华西医学》2023年第12期1902-1907,共6页West China Medical Journal

基　　金：四川省科学技术厅重点研发项目(2021YFS0023,2017FZ0104);成都市科学技术局技术创新研发项目(2021-YF05-01576-SN)。

摘　　要：目的了解高原地区医务人员急危重症诊治相关培训的现状及需求,为进一步开展高原地区医务人员急危重症诊治相关培训提供参考。方法2018年7月1日-2020年7月31日对西藏地区医院医务人员(包括医师、护理人员及其他医务工作人员)进行匿名问卷调查,调查高原地区医务人员接受急危重症诊治培训的内容及需求,并进一步比较不同级别医院医务人员接受急危重症诊治培训的内容及需求。结果本研究共发放45份问卷,回收有效问卷共43份,有效回收率为95.6%。医务人员的平均年龄为(35.67±9.17)岁,男∶女比例为1∶1.5,医务人员所属三级、二级及二级以下医院的占比分别为23.3%、27.9%和48.8%。医务人员接受胸痛、心力衰竭、卒中、消化道出血、呼吸衰竭、代谢性疾病危象、脓毒症疾病培训的人数(占比)分别为25(58.1%)、25(58.1%)、24(55.8%)、23(53.5%)、20(46.5%)、14(32.6%)和12(27.9%);认为需要加强心力衰竭、呼吸衰竭、代谢性疾病、卒中、消化道出血、胸痛和脓毒症诊治培训的人数(占比)分别为38(88.4%)、36(83.7%)、35(81.4%)、34(79.1%)、34(79.1%)、33(76.7%)和29(67.4%);13人(30.2%)希望通过讲授获得知识和技能。参与调查的三级、二级及二级以下医院医务人员的性别、年龄、岗位类型、职称、科室类型差异无统计学意义(P>0.05)。二级以下医院医务人员接受胸痛相关诊治培训的比例低于二级医院(38.1%vs.91.7%),二级以下医院医务人员接受心力衰竭相关诊治培训的比例低于二级医院和三级医院(38.1%vs.75.0%vs.80.0%),二级以下医院医务人员接受呼吸衰竭相关诊治培训的比例低于三级医院(28.6%vs.80.0%),二级以下医院医务人员对脓毒症诊治培训的需求高于三级医院(85.7%vs.30.0%),其余的培训内容及需求差异无统计学意义(P>0.05)。结论高原地区医务人员接受急危重症诊治相关培训的内容无法满足其需求,尤其�Objective To analyze the current situation and demand of emergency and critical care training for medical staff in plateau areas,and to provide a reference for further emergency and critical care training for medical staff in plateau areas.Methods From July 1,2018 to July 30,2020,medical staff(including physicians,nursing staff,and other medical staff)from hospitals in various regions of Tibet were surveyed anonymously,to investigate the content and demand of medical staff in plateau areas receiving emergency and critical care training.The content and demand of medical staff from different levels of hospitals receiving emergency and critical care training were further compared.Results A total of 45 questionnaires were distributed in this study,and a total of 43 valid questionnaires were collected,with an effective response rate of 95.6%.The average age of medical staff was(35.67±9.17)years old,with a male to female ratio of 1∶1.5.The proportion of tertiary,secondary,and lower level hospitals to which medical staff belong were 23.3%,27.9%,and 48.8%,respectively.The number and proportion of medical staff receiving training on chest pain,heart failure,stroke,gastrointestinal bleeding,respiratory failure,metabolic crisis,and sepsis diseases were 25(58.1%),25(58.1%),24(55.8%),23(53.5%),20(46.5%),14(32.6%),and 12(27.9%),respectively.The number and proportion of medical staff who believed that training in the heart failure,respiratory failure,metabolic diseases,stroke,gastrointestinal bleeding,chest pain,and sepsis needed to be strengthened were 38(88.4%),36(83.7%),35(81.4%),34(79.1%),34(79.1%),33(76.7%),and 29(67.4%),respectively.Thirteen medical staff(30.2%)hoped to acquire knowledge and skills through teaching.There were no statistically significant differences in gender,age,job type,professional title,and department type among medical staff from tertiary,secondary,and lower level hospitals participating in the survey(P>0.05).The proportion of medical staff in hospitals below secondary receiving training on chest

关 键 词：高原地区 急危重症 培训 需求 

分 类 号：C975[经济管理—劳动经济] R-4[医药卫生]