院内战(烧)创伤中心护士救护技能培训方案的构建  

Construction of the rescue skills training program for nurses in the civil war(burn)trauma center

作　　者：王园 戴昕吭 余婷 冯苹 李雅鑫 周霖 肖仕初 Wang Yuan;Dai Xinhang;Yu Ting;Feng Ping;Li Yaxin;Zhou Lin;Xiao Shichu(Burns and Trauma Center,the First Affiliated Hospital of Naval Medical University,Shanghai 200433,China)

机构地区：[1]海军军医大学第一附属医院烧创伤中心,上海200433

出　　处：《中华损伤与修复杂志(电子版)》2025年第1期30-35,共6页Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)

基　　金：海军军医大学护理系首批深蓝护理教学研究与改革项目(2022JXQ13);2024年度教学成果立项培育项目(JPY2024B10)。

摘　　要：目的构建院内战(烧)创伤中心护士救护技能培训方案,为提高院内创伤救护水平及质量提供参考和依据。方法基于海军军医大学第一附属医院战(烧)创伤中心病种数据调研,以循证为基础,构建共性指标与专科指标相结合的培训方案。经研究小组讨论后初步构建函询问卷,应用德尔菲法进行2轮专家函询,通过优序图法确定各指标权重,并以层次分析法进行一致性检验。结果2轮函询问卷有效回收率均为100%,专家权威系数为0.877~0.933,肯德尔和谐系数分别为0.123、0.208(P<0.001),通过一致性检验。最终构建院内战(烧)创伤中心护士救护技能培训方案,包括分类伤情指标6项;共性指标:一级指标6项、二级指标23项、三级指标88项;专科指标:烧伤二级指标12项、三级指标31项;颅脑损伤二级指标5项、三级指标14项;多发骨折二级指标6项、三级指标15项;腹部损伤二级指标2项、三级指标9项;胸部损伤二级指标5项、三级指标10项;脊柱脊髓损伤二级指标7项、三级指标15项。结论院内战(烧)创伤中心护士救护技能培训方案构建方法科学合理,指标内容全面,且专科性、实用性强,在持续完善无缝链接救治平台的有利条件下,为有效提高护士救护能力及质量提供参考和依据。Objective To establish a comprehensive nursing training program focused on trauma care to serve as a reference and foundation for enhancing the standards and quality of trauma management within the hospital.Methods Drawing on the disease data survey from the War(Burn)Trauma Center at the First Affiliated Hospital of Naval Medical University,a training program integrating generic and specialty indicators was developed based on an evidence-based approach.Following this,a preliminary questionnaire was formulated by the research team,and two rounds of expert consultations were conducted using the Delphi method to ascertain the weights of each indicator.The consistency of the program was subsequently validated through Analytic Hierarchy Process.Results The response rates for both rounds of questionnaires achieved 100%,with expert authority coefficients ranging from 0.877 to 0.933.The Kendall′s coefficient of concordance was recorded at 0.123 and 0.208(P<0.001),indicating successful consistency testing.A comprehensive nursing emergency care skills training program for the in-hospital trauma center had been established,encompassing classification indicators for six types of injuries;common indicators comprising six primary indicators,23 secondary indicators,and 88 tertiary indicators;specialty indicators including 12 secondary and 31 tertiary indicators for burn injuries;five secondary and 14 tertiary indicators for craniocerebral injuries;six secondary and 15 tertiary indicators for multiple fractures;two secondary and nine tertiary indicators for abdominal injuries;five secondary and ten tertiary indicators for chest injuries;as well as seven secondary and 15 tertiary indicators pertaining to spinal cord injuries.Conclusion The nursing training program for trauma care within the hospital′s intensive care unit is meticulously designed,incorporating comprehensive indicators and content that emphasize both specialty and practicality.Given the advantageous conditions of an ongoing enhancement of a seamless treatment l

关 键 词：创伤 护士 技能 培训 

分 类 号：R473.6[医药卫生—护理学]