海南省二级综合医院规范化脑死亡临床判定培训方案与质控  

Training Program and Quality Assurance on Standardized Clinical Diagnosis of Brain Death in Tier-2 General Hospitals of Hainan Province

作　　者：陈敏 李鹏翔 吴孝文 许钟中 黄少珠 陈擘璨 高苗 张小云 游咏 宿英英[2] CHEN Min;LI Pengxiang;WU Xiaowen;XU Zhongzhong;HUANG Shaozhu;CHEN Bocan;GAO Miao;ZHANG Xiaoyun;YOU Yong;SU Yingying(Department of Neurology,Second Affiliated Hospital of Hainan Medical University,Haikou 570311,China;Department of Neurology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]海南医科大学第二附属医院神经内科,海口570311 [2]首都医科大学宣武医院神经内科,北京100053

出　　处：《神经损伤与功能重建》2024年第12期752-755,共4页Neural Injury and Functional Reconstruction

摘　　要：目的:探索二级综合医院规范化脑死亡临床判定培训的方法与重点,以保障培训质量。方法:海南医科大学第二附属医院作为全国二级综合医院规范化脑死亡临床判定培训试点单位,对全省17个县市33家二级综合医院的79名学员展开了4期培训。培训分为培训前基线资料调查、培训目标设定与培训重点调整、培训后意见反馈调查3个步骤。对培训方案、成果、满意度等进行分析总结。结果:培训后,79位学员均达到脑死亡临床判定培训合格标准(答题正确率>70%),合格率100%。学员对培训计划和方案满意度为88.7%,对授课内容和授课水平满意度分别为93.6%和91.9%,对培训综合评估满意度为93.6%。随着培训方案的持续改进与优化,各期参培学员考核成绩逐步提升,差异有统计学意义(F=8.89,P<0.01);两两比较结果显示,第2、3、4期分别高于第1期(P<0.05),第4期高于第2期(P<0.05)。结论:海南省二级综合医院规范化脑死亡临床判定培训试点方案的培训质量高,为高质量完成脑死亡判定提供了保障,可给全国大范围展开二级综合医院规范化脑死亡临床判定培训提供借鉴。Objective:To investigate the methodologies and focal points of standardized clinical training programs for brain death diagnosis in secondary general hospitals,ensuring the quality of such training.Methods:The Second Affiliated Hospital of Hainan Medical University served as a pilot site for this standardized training initiative,offering a four-phase course to 79 trainees from 33 secondary general hospitals spanning 17 counties and cities within the province.The training comprised three stages:pre-training baseline assessment,establishment of training goals and adaptation of key training elements,and post-training feedback collection.An analysis and summary of the training protocol,achievements,and satisfaction levels were conducted.Results:Post-training,all 79 trainees achieved the qualifying criteria for brain death diagnosis training(with a correct response rate exceeding 70%),yielding a 100%pass rate.Satisfaction rates with the training schedule and format stood at 88.7%,while the content and delivery of instruction received satisfaction ratings of 93.6%and 91.9%respectively;the overall evaluation of the training garnered a satisfaction rate of 93.6%.With ongoing refinement and optimization of the training scheme,there was a statistically significant incremental improvement in assessment scores across the phases(F=8.89,P<0.01).Pairwise comparisons revealed that scores in phases 2,3,and 4 were significantly higher than in phase 1(P<0.05),with phase 4 also surpassing phase 2(P<0.05).Conclusion:The pilot training program of Hainan Province for standardized clinical determination of brain death in secondary general hospitals exhibited superior training quality,thereby securing the proficient execution of brain death determinations.This model can inform the broad implementation of standardized clinical training for brain death diagnosis in secondary general hospitals across the nation.

关 键 词：脑死亡 判定标准 技术规范 培训方案 质量控制 二级综合医院 

分 类 号：R741[医药卫生—神经病学与精神病学] R742[医药卫生—临床医学]