摘要目的 了解四川省基层医院急诊培训现状,发现薄弱环节,为科学开展急诊知识和技能培训提供依据.方法 采用随机抽样法及匿名问卷调查法,对四川省9个地区1000名急诊医务人员基本情况、目前培训情况、培训需求展开调查.采用Excel软件对数据进行整理,SPSS 17.0软件对数据进行分析.结果 本次调查范围覆盖三级、二级及二级以下医院的急诊科医生、护士、技师,总共发出问答1 000份,回收983份,问卷回收率达98.3％.被调查人员主要以工作时长达10年以上,本科学历,初、中级职称为主.大部分人每年只有1～2次参加培训的机会(63.1％,620人),参加培训的方式主要为,继续教育(59.0％,580人次)、单位内组织的培训(58.5％,575人次)、卫生行政单位组织的培训(39.3％,386人次).培训的内容主要有,基础专业技能学习(66.7％,655人次)、基础专业理论学习(59.2％,582人次)、急诊新技术学习(42.5％,418人次).只有32.0％(314人)的人员认为现阶段的培训基本能满足实际工作需求.导致他们参加培训次数少的因素主要有,单位不安排(36.2％,356人次)、培训与实际工作有差别(31.6％,311人次)、工作无人接替(29.8％,293人次).其最希望培训的方式是实践操作(60.1％,591人次),最希望的培训内容是急诊急救知识(73.7％,724人次).不同级别医院在病例讨论、技术观摩、学术讲座、专题学习培训、学习方式的选择差异有统计学意义(P＜0.05);而在对专业实践方式的选择差异无统计学意义(P＞0.05);而对培训内容的选择在急诊急救知识、全科医学知识、慢性病防治知识、传染病知识、科室管理知识培训内容的选择差异无统计学意义(P＞0.05).而在对护理知识进行培训的选择差异有统计学意义(P＜0.05).结论 四川省基层急诊医务人员缺乏急救知识技能培训的现状无法满足其参加培训愿望的需求,制定一个规范、系统、科学的培训模式,提高基层急诊医务人员急诊急救能力迫在眉睫.

abstractsObjective To get well-informed of the current status of emergency training in primary hospitals in Sichuan Province and to find weaknesses in the system in order to provide scientific basis for emergency knowledge and skills training.Methods A stratified random cluster sampling method as adopted and an anonymous questionnaire survey method was conducted to investigate the basic circumstances of the current training and the training needs of 1 000 emergency medical staff in 9 regions throughout Sichuan Province.Results The scope of the survey covered emergency doctors,nurses and technicians in hospitals of Grade Ⅱ,Grade Ⅲ and below.A total of 1 000 surveys were sent out and 983 were recovered.The questionnaire completion rate was 98.3％.The respondents mainly worked for more than 10 years,most of which with Bachelor degree,junior and intermediate titles.Results of the survey showed,63.1％ Most respondents have only one or two training opportunities per year.The training methods are mainly continuing education (59.0％,580 trips),training organized within the unit (58.5％,575 trips),and training organized by health administrative units (39.3％,386 trips).The main contents of the training are:basic professional skills learning (66.7％,655 trips),basic professional theoretical study (59.2％,582 trips),and new emergency technology (42.5％,418 trips),only 32.0％ of the respondents believe that these methods meet the practical needs.The main factors that influence participation in the training were:not be arranged by employer (36.2％,356 trips);the training was different from actual work (31.6％,311 trips);no replacement for work so they couldn't join training (29.8％,293 trips).The survey showed that the most desirable way of training is:practical application (60.1％,591 trips) and the most desirable training content is:emergency first aid knowledge (73.7％,724 trips).There were significant differences in case discussion,technical observation,academic lectures,special study trainingand learning methods in hospitals of different levels (P＜0.05),but there was no significant difference in the choice of professional practice methods (P＞0.05),and the selection of training contents was in emergency first aid knowledge,general medical knowledge and prevention and treatment of chronic diseases.There was no statistical difference in the selection of training contents of knowledge,infectious disease knowledge and department management knowledge (P＞0.05).There were significant differences in the choice of nursing knowledge training (P＜0.05).Conclusion The current situation showed a lack of first-aid knowledge and skills training for emergency personnel in Sichuan Province.The present situation of skill training can't satisfy the need of their desire to participate in training.It is urgent to develop a standardized,systematic and scientific training mode to improve the emergency first aid ability of primary medical and emergency personnel.