CAJ | 학술논문

目的：调查台州市基层医护人员台风灾害现场急救能力及培训需求，为针对性开展培训提供参考。方法随机整群抽取台州市部分乡镇卫生院和社区卫生服务中心的178名医护人员为调查对象，采用自制问卷进行调查。结果基层医护人员除了对台风高发时段知晓率较高（86.5%）外，其余各项台风相关知识知晓率均不足50%；现场急救能力除了对氧气袋的使用熟练掌握率较高（61.2%）外，其余项目熟练掌握率为2.8%~41.6%；不同职业、职称、学历的基层医护人员现场急救技能掌握情况存在统计学差异（P<0.01），但不同工作年限之间无显著差异；培训需求前五位依次为急救仪器使用、休克急救、心肺复苏、外伤包扎止血和急救药品使用等临床常用项目。结论基层医护人员灾害知识及现场急救能力不足，不能满足频发的灾害对现场救援的需求。相关部门应因地制宜，按需培训，以提高基层医疗系统灾害应对能力。
목적：조사태주시기층의호인원태풍재해현장급구능력급배훈수구，위침대성개전배훈제공삼고。방법수궤정군추취태주시부분향진위생원화사구위생복무중심적178명의호인원위조사대상，채용자제문권진행조사。결과기층의호인원제료대태풍고발시단지효솔교고（86.5%）외，기여각항태풍상관지식지효솔균불족50%；현장급구능력제료대양기대적사용숙련장악솔교고（61.2%）외，기여항목숙련장악솔위2.8%~41.6%；불동직업、직칭、학력적기층의호인원현장급구기능장악정황존재통계학차이（P<0.01），단불동공작년한지간무현저차이；배훈수구전오위의차위급구의기사용、휴극급구、심폐복소、외상포찰지혈화급구약품사용등림상상용항목。결론기층의호인원재해지식급현장급구능력불족，불능만족빈발적재해대현장구원적수구。상관부문응인지제의，안수배훈，이제고기층의료계통재해응대능력。
Objective To understand the primary level medical assistants’on-site first aid techniques and training demand for hurricane disaster, and provide valuable preference for creating specific trainings. Methods A self-created questionnaire was answered by 178 primary level medical assistants randomly selected from the hygiene institutes and hygiene services in Taizhou. Results It reflected a 86.5%accuracy on hurricane occurrence time frame, a less than 50%of understanding on a comprehensive knowledge of hurricane;61.2%of being capable for using oxygen bag;between 2.8%and 41.6%for all rest subjects, among the 178 people. The primary level medical assistants who were in different profession and educational backgrounds also reflected a statistical difference on first aid knowledge (P<0.01), with no difference found in years of working. Demands for training were how to use first aid equipment, resuscitation, CPR, trauma dressing, and how to use the first aid kit. Conclusion The primary level medical assistants reflected an insufficient capability in on-site first aid knowledge which cannot meet the demand in case of a hurricane occurrence. It requests a localized and specific training program in order to straighten the first aid capability.