摘要
目的探讨初级创伤救治(PTC)教学模式在特种职业心肺复苏(CPR)指南培训中的应用价值。方法采用整群抽样法,由居委会从宁夏回族自治区南部山区各个城镇/街道办事处抽取特种职业人群进行CPR培训。2019年1月至12月每月举办1期,以2019年1月至6月采用传统操作示教联合个人练习方法培训的人员作为对照组,以2019年7月至12月借鉴PTC教学模式进行培训的人员作为观察组。两组培训师资、培训目标及考核标准一致。在每期培训开始、结束时进行问卷调查,包括急救知识与技能掌握程度、自我效能水平等,以评价培训效果。结果两组学员各503名,在性别、年龄、学历、职业分布上均无差异。培训前两组急救原则与CPR技能以及自我效能水平差异均无统计学意义。培训后两组急救原则与CPR技能掌握水平以及自我效能均有所提高,且观察组急救原则与CPR技能掌握水平明显高于对照组〔急救相关概念(分):4.39±0.76比3.87±0.89,黄金救命时间(分):5.71±0.49比4.53±0.62,第一目击者的含义(分):5.33±0.82比4.18±0.78,心搏、呼吸骤停的判断(分):5.12±0.73比4.07±0.73,CPR技能(分):5.29±0.64比4.15±0.71,均P<0.05〕,且观察组自我效能评分也明显高于对照组〔急救态度(分):18.17±1.24比17.35±1.25,自我效能(分):13.56±1.54比11.35±1.26,行为意愿(分):9.56±0.84比8.92±0.95,均P<0.05〕。结论采用PTC教学模式在特种职业CPR指南培训中的应用效果显著,可有效帮助特种职业人员掌握CPR知识和技能,具有推广价值。
Objective To explore the application value of primary trauma treatment(PTC)teaching mode in special professional cardiopulmonary resuscitation(CPR)guide training.Methods Cluster sampling method was adopted,and the residents'committee selected special occupation population from every town/sub-district office in the southern mountainous area of Ningxia Hui Autonomous Region for CPR training.A monthly session was held from January to December 2019,with personnel trained by traditional operation teaching and individual practice method from January to June 2019 as the control group and personnel trained by PTC teaching mode from July to December 2019 as the observation group.The two groups of trainers,training objectives and assessment standards were consistent.Questionnaire survey was conducted at the beginning and end of each training period,including the degree of mastery of first-aid knowledge and skills and the level of self-efficacy,etc.,to evaluate the training effect.Results There were 503 trainees in each group,and there was no significant difference in gender,age,education and occupation distribution between the two groups.There was no significant difference in the first aid principles,CPR skill level and self-efficacy between the two groups before the training.The first aid principle,CPR skills level and self-efficacy of the two groups after training were all improved,and the principle of first aid and CPR skills level in the observation group was obviously higher than that in the control group(first aid related concepts:4.39±0.76 vs.3.87±0.89,gold life-saving time:5.71±0.49 vs.4.53±0.62,the meaning of the first witnesses:5.33±0.82 vs.4.18±0.78,cardiac,respiratory cardiac arrest in the judgment:5.12±0.73 vs.4.07±0.73,CPR skills:5.29±0.64 vs.4.15±0.71,all P<0.05).The self-efficacy score of the observation group was significantly higher than that of the control group(emergency attitude:18.17±1.24 vs.17.35±1.25,self-efficacy:13.56±1.54 vs.11.35±1.26,behavioral intention:9.56±0.84 vs.8.92±0.95,all P<0.05).Conclusion The application of PTC teaching mode in the training of CPR guidelines for special professions has significant effects,which can effectively help special professions to master CPR knowledge and skills,and has promotion value.
作者
马静
马玉龙
李海霞
鲁惠玲
梁沛枫
张玲
丁涛
马丽荣
Ma Jing;Ma Yulong;Li Haixia;Lu Huiling;Liang Peifeng;Zhang Ling;Ding Tao;Ma Lirong(Department of Emergency,People's Hospital of Ningxia Hui Autonomous Region,Yinchuan 750002,Ningxia Hui Autonomous Region,China)
出处
《中华危重病急救医学》
CAS
CSCD
北大核心
2020年第10期1265-1268,共4页
Chinese Critical Care Medicine
基金
宁夏自然科学基金(2018AACO3170)。
关键词
初级创伤救治教学模式
特种职业
心肺复苏
培训
Primary trauma treatment teaching mode
Special profession
Cardiopulmonary resuscitation
Training
