初级创伤救治模式在提高社区居民创伤急救能力中的应用

发布时间：2019-03-18 18:01

【摘要】：目的探讨初级创伤救治(PTC)模式在社区居民创伤急救能力培训中的效果。方法以世界卫生组织《初级创伤救治手册》为参考教材,运用PTC模式采用单组自身前后对照的类实验设计的方法,对120名南宁市青秀区桂雅社区居民分6期培训,每期20人,实施急救知识和急救技能培训,重点讲解创伤急救相关概念、黄金救命时间、第一目击者的含义;心跳、呼吸骤停的判断以及心肺复苏术、止血包扎、骨折固定、搬运技术等创伤急救基本技能。评价培训前后居民急救知识和急救技能、急救态度、自我效能、急救意愿的情况。结果 120名居民中只有47人(39.2%)参加过急救培训;培训后社区居民的创伤急救原则、心肺复苏、止血包扎、骨折固定、搬运技能考核得分和急救态度、自我效能及急救意愿得分均高于培训前,差异有统计学意义(P0.05)。结论社区居民急救知识和急救技能培训率低,在社区居民创伤急救能力培训中应用PTC模式能提高培训效果,具有一定的推广价值。
[Abstract]:Objective to explore the effect of primary trauma treatment (PTC) model in training the first aid ability of community residents. Methods the WHO Manual of Primary Trauma treatment was used as a reference teaching material and the PTC model was used to design a single group of self-control experiments. 120 residents of Guiya community in Qingxiu District, Nanning City, were divided into 6 training sessions, 20 in each period. Implement first aid knowledge and first aid skills training, focusing on the concept of trauma first aid, golden life-saving time, the meaning of the first witness; Heart rate, respiratory arrest judgment and cardiopulmonary resuscitation, hemostatic bandaging, fracture fixation, handling techniques, and other basic skills of trauma first aid. Evaluate residents' first aid knowledge and first aid skills, first aid attitude, self-efficacy and first aid willingness before and after training. Results among 120 residents, only 47 (39.2%) had attended first aid training. After training, community residents' principles of trauma first aid, cardiopulmonary resuscitation, hemostatic bandaging, fracture fixation, handling skills assessment, first aid attitude, self-efficacy and first aid willingness scores were significantly higher than those before training (P0.05). Conclusion the training rate of first aid knowledge and first aid skills of community residents is low, and the application of PTC model in the training of community residents' first aid ability can improve the training effect, and has certain popularization value.
【作者单位】：广西医科大学第一附属医院急诊科;广西医科大学第一附属医院护理部;
【基金】：南宁市青秀区科学研究与技术开发计划项目(编号:2015S05)
【分类号】：R641

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