目的了解社区医护人员院前急救知识和技能的培训现状,探讨培训对策。方法分层抽取宁夏回族自治区五个地级市的社区医护人员174人,采用自制调查表,通过小组问卷法于培训前后收集资料。调查内容包括一般情况、院前急救知识和技能相关情况、培训相关情况等。结果本次共调查174人,平均年龄(30.99±7.90)岁。参加过院前急救知识和技能培训者62人(35.6%),共92人次;没有参加过任何形式培训者112人(64.4%)。采用短期集中式培训,选用"十一五"国家级规划教材《急诊医学》为培训教材,三甲医院急诊科高年资医师作为师资,培训形式采用面授讲座、练习、情景教学、考试。培训后社区医护人员的院前急救知识和技能相关问题的正确率与培训前比较,27题间差异有统计学意义(P〈0.05),有不同程度提高。对培训方法满意者148人(85.1%)。结论社区医护人员的院前急救知识和技能水平较低,应采用适宜方式进行培训。
Objective To understand the status of the prehospital medical care knowledge and skills of community doctors and nurses,and approach the training strategy.Methods The stratified random sampling was taken to recruit 174 doctors and nurses from community health services centers of 5 Cities in Ningxia.A self-made questionnaire survey was used to collect the data before and after the short-term training,including general information,prehospital medical care skills and knowledge,and relevant information of training.Results The average age of them was(30.99±7.90).There among them were 62(35.6%) who once attended the training,with a total of 92 times;and 112(64.4%) who did not participated in any form of training.A shirt-term centralized mode of training was adopted;the textbook of emergency medicine in national plan series was taken as the material for training,and senior qualified doctors from emergency departments of the three-graded hospitals as the teacher;the ways of lecture,exercise,scene teaching,and test were applied.After the training,the accuracy rates of 27 questions about prehospital medical care knowledge and skills among the subjects were increased to different degrees(P0.05).There were 148(85.1%) of them who satisfied with the training method.Conclusion The community medical staff have lower levels of prehospital medical care skills and knowledge,so that an appropriate training mode is needed for them.