摘要
目的:调查评估紧急医学救援人员灾难现场救援胜任力,为应急培训演练的重点方向提供参考。方法:模拟特别重大突发事件批量伤员救援现场,对四川省市(州)、县级救援人员演练表现进行横断面调查,对其完成现场救援表现进行定量测评分析。结果:纳入调查287名救援演练人员,胜任力总体测评得分中位数M(P25,P75)为33.81(26.62,41.37),各模块测评得分:任务评估11.11(3.70,22.22),装备配置55.56(44.44,100),流程执行22.92(18.75,33.33),信息联络19.57(13.04,28.26),现场检伤21.15(11.54,38.46),搜救搬运38.71(25.81,74.19),生命支持57.14(53.57,82.14),社会动员11.11(0,22.22)。社会动员、任务评估与装备配置、流程执行、信息联络、现场检伤、搜救搬运、生命支持间比较,信息联络、现场检伤、流程执行与装备配置、搜救搬运、生命支持间比较,生命支持与装备配置、搜救搬运间比较,差异有统计学意义。结论:本次被调查医学救援人员,现场救援胜任力总体较差,管理类模块胜任力严重不足,医疗类模块中现场检伤表现严重不足,搜救搬运较差,装备配置与生命支持表现一般。情景演练的定量测评可为提升现场救援胜任力提供一种培训和评价模式。
Objective To evaluate the competence of on-site rescue of emergency medical rescue staffs, and provide references for training. Methods A cross-sectional survey was conducted on the performance of rescue staffs in Sichuan, by simulating the scene of massive casualties after disasters. And their performance was evaluated with quantitative method. Results 287 cases of rescue staffs were involved in the survey. The median(P25, P75) score of competence was 33.81(26.62, 41.37). The score of each module was as follows: task evaluation, 11.11(3.70, 22.22), equipment deployment, 55.56(44.44, 100), process implementation, 22.92(18.75, 33.33), information acquirement, 19.57(13.04, 28.26), on-site triage, 21.15(11.54, 38.46), search and transport, 38.71(25.81, 74.19), life support, 57.14(53.57, 82.14), and social mobilization, 11.11(0, 22.22). There had significant differences among the modules of social mobilization, task evaluation and equipment deployment, process implementation, information acquirement, on-site triage, search and transport and life support, the modules of information acquirement, on-site triage, process implementation and equipment deployment, search and transport and life support, and the modules of life support and equipment deployment and search and transport. Conclusion The competence of the rescue staffs was generally lower, in which the management modules were seriously inadequate. For the medical modules, the performance of on-site triage was seriously inadequate, search and transport was poor, equipment configuration and life support was ordinary. Quantitative evaluation by scenario simulation should be a training and evaluation method.
出处
《中国卫生事业管理》
北大核心
2019年第10期753-755,共3页
Chinese Health Service Management
基金
四川省科技支撑计划项目“提高大型突发公共性事件危重伤员救治成功率的研究”(2015SZ0110)
关键词
现场救援
情景模拟
胜任力
on-site rescue
scenario simulation
competence
