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目的:评估中美联合院前急救培训课程的培训效果,进一步优化培训方法,促进中国院前急救培训的标准化与规范化发展。方法:联合培训组选取参加2010年度中美联合院前急救培训课程的浙江省院前急救医生共113名,采用专门编写的《浙江省院前急救知识与技能规范化培训教材》和以模拟情景教学方法为主的综合教学方法,就“理论知识”、“止血+包扎+固定+搬运”、“气管插管”、“心肺复苏”等方面进行授课。中美双方师资配比为1∶2,理论与技能培训时间比为1∶2。培训前后进行理论与技能考核,考核后对所有学员进行课程评估问卷调查。对照组选取同期参加其它地市急救中心举办的院前急救培训班学员共85名,培训教材选用本科教材《急诊医学》,培训师资由中方院前急救高年资医生组成,培训方法以除模拟情景教学方法以外的其它综合教学方法,培训内容、时间、考核方法等同联合培训组。t检验比较每组学员培训前后得分与两组学员培训前后得分差值的差异,以P<0.05为差异具有统计学意义。结果:每组学员培训后理论知识与各项技能得分均明显优于培训前。联合培训组学员的理论知识、止血+包扎+固定+搬运、气管插管等项目得分优于对照组(P<0.05),心肺复苏与心律失常处理项目两组得分无显著差异(P>0.05)。结论:中美联合培训课程能显著提高中国院前急救医生对急救知识与技能的掌握,尤其在理论知识、止血+包扎+固定+搬运、气管插管等项目培训效果优于传统培训方法,但对心肺复苏与心律失常处理等项目无明显优势。
OBJECTIVE: To evaluate the effectiveness of the training of joint pre-hospital emergency training courses in China and the United States, further optimize the training methods and promote the standardization and standardization of pre-hospital training in China. Methods: The joint training team selected 113 pre-hospital emergency doctors who participated in the 2010 Sino-US joint pre-hospital emergency training course. The special training materials for standardized knowledge and skills of pre- Method-based integrated teaching methods, “theoretical knowledge ”, “hemostasis + bandaging + fixed + handling ”, “tracheal intubation ”, “cardiopulmonary resuscitation ” and other aspects of teaching. The teacher-teacher ratio between China and the United States is 1: 2, and the ratio of theory and skills training is 1: 2. Before and after the training of theory and skills assessment, assessment of all students after the course assessment questionnaire. In the control group, a total of 85 trainees of pre-hospital emergency training were enrolled in the emergency centers held by other cities in the same period. The training materials were selected from the undergraduate teaching materials “Emergency Medicine” Situational teaching methods other than integrated teaching methods, training content, time, assessment methods equivalent joint training group. t test to compare the differences between before and after training scores and before and after training scores between two groups of students, P <0.05 was considered statistically significant. Results: The theoretical knowledge and skill scores of each group of trainees were significantly better than those before training. There was no significant difference between the two groups in CPR and arrhythmia treatment items (P> 0.05). The scores of hemostasis + bandaging + fixation + handling and intubation were superior to those of the control group (P <0.05) . Conclusion: The Sino-U.S. Joint training program can significantly improve the mastery of first aid knowledge and skills among pre-hospital emergency doctors in China. In particular, training in theoretical knowledge, hemostasis + bandaging, fixation, handling and endotracheal intubation is superior to traditional training methods. Cardiopulmonary resuscitation and arrhythmia treatment projects no obvious advantage.