基于战术战伤救治培训模式在军队医院战场救治练兵中的应用

Application of tactical combat casualty care training model in mass troop training

  • 摘要: 目的 验证基于战术战伤救治(tactical combat casualty care,TCCC)培训模式在军队医院战场救治练兵中的应用效果。方法 2019年5-10月,采取便利抽样法选取某三级甲等医院行政管理人员、医生、护士、技师、战士共479名作为研究对象,随机分为常规训练组与TCCC组进行战场救治练兵培训。常规训练组采用理论讲授结合技能练习的传统培训方法,TCCC组应用基于TCCC的综合培训与演练的形式。共培训20次,每次3 h,通过考核成绩和接受度问卷全面评价两组培训效果。结果 常规训练组240人,TCCC组239人,全员培训通过率100%。TCCC组技能考核成绩显著高于常规训练组:止血包扎与固定技术得分(100±0.00 vs 97.85±2.53)、紧急气道管理技术得分(98.33±1.45 vs 96.63±3.20)、液体复苏技术得分(96.39±2.85 vs 93.07±2.81)、保温技术得分(98.65±1.10 vs 96.14±3.51)、搬运技术得分(99.04±1.27 vs 96.29±3.24)、个人防护技术得分(98.58±1.55 vs 94.78±3.37)、心肺复苏综合训练得分(97.45±2.44 vs 94.37±3.32)、检伤流程得分(96.51±3.12 vs 93.86±3.56)、团队综合演练得分(95.82±3.35 vs 92.17±2.46)TCCC组均高于常规训练组(P均<0.05)。TCCC组发放239份基于TCCC培训模式接受度问卷,问卷回收率100%,有效率100%,对基于TCCC培训模式整体评价为4.45±0.71分,介于满意与非常满意之间。结论 基于TCCC培训模式的应用能够显著提升医院各类人员的急救技能,丰富学习环节,为实现"人人都是急救员"的理想目标提供有效方法。

     

    Abstract: Objective To apply Tactical Combat Casualty Care (TCCC) training model in mass troop training and evaluate the training model. Methods From May 2019 to October 2019,a total of 479 administrative staff,doctors,nurses,technicians and soldiers of a tertiary hospital were selected by the convenient sampling method.They were randomly divided into conventional training group and TCCC group.The conventional training group received the traditional training method of "theoretical combined skill group practice",while the TCCC group received the tactical combat casualty care training model on the basis of the conventional training group.It adopted the form of "combination of battlefield emergency technical training with comprehensive exercises",grouping,layering,Split training exercises.After the intervention,the subjects of the TCCC group were evaluated by the acceptance questionnaire to comprehensively evaluate the training effect. Results A total of 479 participants were included in the study,of which 240 were in the conventional training group and 239 were in the TCCC group.After training,all the participants passed the evaluation,and the TCCC group had higher score in all the dimensions compared to the conventional training group:hemostatic bandaging and fixed technology (100±0.00 vs 97.85±2.53);emergency airway management technology (98.33±1.45 vs 96.63±3.20);technical fluid resuscitation (96.39±2.85 vs 93.07±2.81);insulation technology (98.65±1.10 vs 96.14±3.51);handling technology (99.04±1.27 vs 96.29±3.24);personal protection technology (98.58±1.55 vs 94.78±3.37);the CPR comprehensive training (97.45±2.44 vs 94.37±3.32);the CABCDE injury process (96.51±3.12 vs 93.86±3.56);comprehensive exercise (95.82±3.35 vs 92.17±2.46) (all P<0.05).Totally 239 questionnaires about acceptance to TCCC training were delivered and 100% were returned;The overall score of satisfaction was 4.45±0.71 points,and the score of each item ranged 4 to 5. Conclusion The application of Tactical Combat Casualty Care training model in mass troop can significantly improve students' first aid skills,enrich the learning process,and provide a strong basis for achieving the ideal goal of "everyone is a rescuer".

     

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