| 摘要: |
| 目的 了解海军基层卫生人员对战伤救治技术的掌握程度，为改进战伤救治训练提出建议。方法 结合海军开展的群众性战伤救治技术练兵活动，针对新大纲、新考核标准的要求，自制调查问卷，对172名海军基层卫生人员进行调查，区分熟练、较熟练、不熟练和难以掌握的技术及其构成比，重点分析战伤救治训练开展情况和战伤救治技术掌握情况。结果 回收有效问卷172份，有效回收率100%。海军基层卫生人员掌握较好的技术为止血、通气、包扎、固定、搬运、基础生命支持六大传统技术，而经骨输液技术、高级气道管理等技术掌握不熟练、甚至难以掌握。结论 应持续开展群众性战伤救治技术练兵活动，改进现代战伤急救理念，加强培训，建立实战化战伤救治训练和考评系统，以提高海军基层卫生人员战伤救治能力。 |
| 关键词: 基层卫生人员 战场救治 急救 海军医学 |
| DOI：10.16781/j.0258-879x.2019.07.0798 |
| 投稿时间：2018-11-05修订日期：2018-12-14 |
| 基金项目:海军军医大学（第二军医大学）2016年度校级教学研究与改革重大项目（JYA2016013）. |
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| Survey of on-spot first-aid training status of primary naval healthcare personnels |
| FANG Hong-mei1,XIANG Yang1,ZHANG Yun-feng2,DENG Yue-xian1,JIANG Lei1,QIN Chao1* |
(1. Department of Health Services, Faculty of Health Services, Naval Medical University(Second Military Medical University), Shanghai 200433, China;
2. Health Service Team of Ningbo Airport, China Eastern Airlines, Ningbo 315021, Zhejiang, China
*Corresponding author) |
| Abstract: |
| Objective To known about the status of first-aid techniques among naval primary healthcare personnels, providing reference for improving the related first-aid training. Methods A self-made questionnaire was created based on the naval training activities of mass war wound rescue and the requirements of new guidelines and assessment standards. The questionnaire was used to investigate 172 primary naval healthcare personnels. The first aid techniques were divided in well-mastered, mastered, unskilled and un-mastered. And our analysis focused on the first-aid training of war wound and the mastery of first-aid techniques. Results The naval primary healthcare personnel well mastered the six traditional first-aid techniques, including hemostasis, ventilation, bandaging, fixation, handling, and cardiopulmonary resuscitation. Techniques such as infusion via bone, advanced airway management were not well-mastered, or even hard to master. Conclusion To improve war wound rescue capability of primary naval healthcare personnels, we should continue the training activities of mass war wound rescue, improve the related theory, strengthen the related training, and establish a practical war wound rescue training and evaluation system. |
| Key words: primary health personnel combat casualty rescue first aid naval medicine |
