CAJ | 학술논문

目的通过急救基本理论、急救基本操作技能的培训,提高临床医务人员的急救水平；通过急救模拟演练,培养医护、临床与医技之间的协作精神,提高医院整体应急能力.方法先派遣儿科及妇产科优秀骨干医师分别参加“2010版新生儿窒息复苏、儿科高级生命支持、2010版心肺复苏及高级产科生命支持教程”四个国家级医学继续教育培训班作为师资储备,由上述师资负责在院内进行相关内容的再培训.开展符合儿科、妇产科特点的急救模拟演练.分别对医务人员在培训及演练前后进行考核.并且通过比较培训前(2010年)及培训后(2012年)的新生儿窒息发生率、新生儿重度窒息发生率、全院危重病人抢救成功率来评价培训达到的实际效果.结果培训后参培人员的急救基本理论、急救基本操作技能及急救模拟演练成绩均明显好于培训前(P＜0.01),对比培训后(2012年)与培训前(2010年)新生儿窒息(包括重度窒息)的实际发生率明显降低(P＜0.01),全院危重病人抢救成功率明显提高(P＜0.01).结论急救基本理论、急救基本操作技能培训配合急救模拟演练的培训模式是提高个人和医院整体急救综合能力的有效方法,是进行系统急救培训的一个可行参考模式.
목적 통과급구기본이론、급구기본조작기능적배훈,제고림상의무인원적급구수평；통과급구모의연련,배양의호、림상여의기지간적협작정신,제고의원정체응급능력.방법 선파견인과급부산과우수골간의사분별삼가“2010판신생인질식복소、인과고급생명지지、2010판심폐복소급고급산과생명지지교정”사개국가급의학계속교육배훈반작위사자저비,유상술사자부책재원내진행상관내용적재배훈.개전부합인과、부산과특점적급구모의연련.분별대의무인원재배훈급연련전후진행고핵.병차통과비교배훈전(2010년)급배훈후(2012년)적신생인질식발생솔、신생인중도질식발생솔、전원위중병인창구성공솔래평개배훈체도적실제효과.결과 배훈후삼배인원적급구기본이론、급구기본조작기능급급구모의연련성적균명현호우배훈전(P＜0.01),대비배훈후(2012년)여배훈전(2010년)신생인질식(포괄중도질식)적실제발생솔명현강저(P＜0.01),전원위중병인창구성공솔명현제고(P＜0.01).결론 급구기본이론、급구기본조작기능배훈배합급구모의연련적배훈모식시제고개인화의원정체급구종합능력적유효방법,시진행계통급구배훈적일개가행삼고모식.
Objective To improve the first aid level of clinical staff through the first aid training of basic theory and basic operation skills.To improve the whole hospital emergency response capacity through high simulation first aid exercise and cultivating the spirit of collaboration between the health care works,clinicians and medical technicians.Methods Pediatrics and obstetrics and gynecology excellent backbone physicians respectively participating in four national continuing medical education courses (2010 edition of neonatal resuscitation,pediatric advanced life support,the 2010 edition of the tutorial of cardiopulmonary resuscitation and senior obstetric life support) were dispatched as faculty reserves and responsible for retraining in the hospital.Emergency simulation exercises matching with obstetrics and gynecology characteristics were carry out.Medical staff were assessed before and after training and exercises.Incidence of neonatal asphyxia and neonatal severe asphyxia and the success rate hospital critically ill patients before training (in 2010) and after training (in 2012) were compared to evaluate actual effect through training.Results Basic first aid theory,basic first aid operation skills and first aid simulation exercise scores of the medical staff participating in the training were better than before training(P＜0.01).Compared with pre-training's,the incidence of neonatal asphyxia (including severe asphyxia) was significantly lower (P ＜ 0.01) and the success rate of the hospital critically ill patients improved significantly (P＜0.01).Conclusions First aid simulation exercise matching with basic first aid theory and basic first aid operation skills training was effective method to improve individual and overall hospital emergency comprehensive ability and a viable mode of system first aid training.