摘要
目的优化单人心肺复苏培训与考核策略,提高非临床科室医务人员急救水平。方法制定标准心肺复苏操作流程,拍摄标准操作视频,使用心肺复苏模型对我院385位非临床科室医务人员进行单人心肺复苏培训与考核,并分析成绩。结果 385位非临床科室医务人员考核全部合格,最终得分中位数为86.0分,四分位数间距9.5分。所有步骤中,复苏前后判断患者呼吸和脉搏、胸外心脏按压/人工呼吸和复苏质量控制三个方面的得分率和满分比例最低。年龄与步骤12得分率(复苏后判断患者呼吸和脉搏)正相关(r=0.1,P=0.049 6)。性别和职称级别对考核成绩无明显影响(P>0.05)。结论加强全体非临床科室医务人员对心肺复苏技能的重视,建立完善的培训与考核制度,运用先进的培训方法,反复培训,定期考核。特别要加强年轻的非临床科室医务人员判断患者生命体征的意识,从而切实提高非临床科室医务人员的整体急救水平。
Objective To explore better management of cardiopulmonary resuscitation（CPR）skill train-ing and assessment and to improve CPR skills of non-clinical medical staff. Methods We developed standardCPR process and produced operating video,and CPR models were used to train and assess 385 non-clinical medi-cal staff then the results were analyzed. Results All the 385 non-clinical medical staff were qualified. The medi-an score was 86.0,and quartile spacing 9.5. Scoring rate and full mark rate were the lowest in assessing for breath-ing and pulse before and after rescue,followed by chest compressions/rescue breathing and quality of CPR. Agehad significant positive correlation with the score of step 12（assessing for breathing and pulse after rescue）,（r=0.1,P 0.05）. Gender and different professional titles had no significant effect on the results of the assessment.Conclusions Non-clinical medical staff need to pay more attention to CPR skill. Sound system,advanced and ef-fective training methods,repeated training and regular assessment are conducive to the improvement of CPR skillof young non-clinical medical staff.
出处
《实用医学杂志》
CAS
北大核心
2017年第20期3494-3497,共4页
The Journal of Practical Medicine
关键词
心肺复苏
成绩分析
医院管理
cardiopulmonary resuscitation skill
result analysis
hospital management
