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基层医疗卫生人员心肺复苏知识掌握现状及培训效果评估探讨

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目的 分析基层医疗卫生人员心肺复苏知识掌握情况及评估培训效果。方法 选取178名基层医疗卫生人员作为研究对象,调查其心肺复苏知识的掌握情况,对基层医疗卫生人员接受培训前后的心肺复苏知识掌握水平、心肺复苏操作水平进行评价。结果 分析基层医疗卫生人员心肺复苏知识现状,评价结果为优、良、合格的医疗卫生人员分别为44名、82名、52名。心肺复苏知识掌握程度优良的医疗卫生人员与心肺复苏知识掌握程度合格的医疗卫生人员相比,在工作时间、职称、接受培训次数、参与心脏骤停救治次数等方面存在差异性(P<0。05)。在心肺复苏知识掌握程度优良的医疗卫生人员中,工作时间>10年、中高级职称、接受培训次数≥2次(2年内)、参与心脏骤停救治次数≥10次(1年内)的医疗卫生人员比例相对更高(P<0。05)。结合多因素Logistic回归分析结果,提示工作时间(OR=2。583)、职称(OR=3。865)、接受培训次数(OR=4。082)、参与心脏骤停救治次数(OR=4。854)是影响基层医疗卫生人员心肺复苏知识掌握程度的主要因素。评估培训效果,基层医疗卫生人员接受培训后的操作流程和步骤测评得分[(90。49±3。22)分>(82。04±5。67)分,t=17。290]、操作方法测评得分[(92。46±3。05)分>(81。19±4。35)分,t=28。302]、心肺复苏效果判断测评得分[(92。59±3。13)分>(84。23±3。91)分,t=22。269]以及按压力度和频率的控制测评得分[(92。53±3。67)分>(83。14±3。85)分,t=23。553]、人工呼吸方式测评得分[(90。12±4。20)分>(82。06±3。91)分,t=18。740]、辅助设备的使用方法测评得分[(93。61±2。48)分>(82。02±4。08)分,t=32。386]高于培训前(P<0。05)。结论 加强对基层医疗卫生人员的培训,提高其心肺复苏知识水平、操作能力,进而增强其应急处理能力,能够及时、有效地进行救治,帮助心脏骤停、呼吸停止的患者脱离危险,挽救其生命。
Current Status Exploration and Training Effect Evaluation of Cardiopulmonary Resuscitation Knowledge of Grassroots Medical and Health Staff
Objective To analyze the current status of cardiopulmonary resuscitation knowledge of primary healthcare staff and evaluate the effect of training. Methods The paper chose 178 primary healthcare staff as research subjects to investigate and understand their mastery of cardiopulmonary resuscitation knowledge. The level of cardiopulmonary resuscitation knowledge and operation skills of primary healthcare staff before and after training was evaluated. Results Analysis of the current status of cardiopulmonary resuscitation knowledge of grassroots medical and health staff showed,there were 44,82,and 52 medical and health staff with excellent,good,and qualified rate respectively. There was difference between medical and health staff with excellent knowledge of cardiopulmonary resuscitation and those with qualified knowledge of cardiopulmonary resuscitation in terms of working hours,professional titles,training frequency,and participation in cardiac arrest treatment(P<0.05). Among medical and health staff with excellent knowledge of cardiopulmonary resuscitation,there was relatively higher proportion of working for more than 10 years,having intermediate or senior professional titles,receive training at least 2 times (within 2 years),and participating in cardiac arrest treatment at least 10 times (within 1 year) (P<0.05). Multiple logistic regression analysis suggested,working hours (OR=2.583),professional title (OR=3.865),number of trainings (OR=4.082),and number of participating in cardiac arrest treatment (OR=4.854) were the main factors affecting mastery of cardiopulmonary resuscitation knowledge of primary healthcare staff. The training effect evaluation showed,the operational procedures and steps scores of grassroots medical and health staff after training were (90.49±3.22) points>(82.04±5.67) points,t=17.290. The operational methods scores were (92.46±3.05) points>(81.19±4.35) points,t=28.302. The effect diagnosis scores of cardiopulmonary resuscitation were (92.59±3.13) points>(84.23±3.91) points,t=22.269. The control scores of compression force and frequency were (92.53±3.67) points>(83.14±3.85) points,t=23.553. The artificial respiration method scores were (90.12±4.20) points>(82.06±3.91) points,t=18.740. The use scores of auxiliary equipment were (93.61±2.48) points>(82.02±4.08) points,t=32.386,higher than before the training (P<0.05). Conclusion Strengthening the training of grassroots medical and health staff,improving their knowledge and operational ability of cardiopulmonary resuscitation,and enhancing their emergency response capabilities can timely and effectively provide treatment,help patients with cardiac arrest and respiratory arrest escape danger,and save their lives.

Grassroots medical and health staffKnowledge of cardiopulmonary resuscitationTraining effect

尚战阳、张婷尧、陈泽敏、刘小利

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黔南民族医学高等专科学校,贵州 黔南 558000

黔南州人民医院,贵州 黔南 558099

黔南州人民医院荔波县甲良镇中心卫生院,贵州 黔南 558401

基层医疗卫生人员 心肺复苏知识 培训效果

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(27)