标准化伤员在军校战伤救护综合演练中的应用

目的探讨标准化伤员应用于军校战伤救护综合演练中的效果。方法便利抽样选取某军校战伤救护综合演练中采用标准化伤员参训的73名学员,对其进行训练,并在训练后运用自制问卷进行标准化伤员使用效果的调查。结果学员参训前对标准化伤员的知晓度和使用率不高;对于标准化伤员总体效果评价较高,认为其有助于提高战伤救护演练效果。结论标准化伤员在战伤训练中具有较好的适用性,应推广使用。保密意识不强、反馈能力欠缺等问题是下一步的培训重点。     

基于三维动画的战伤救护五项技术教学软件的开发

结合我军卫勤的新特点和新的使命任务,亟需研究为战争或非战争军事行动卫勤保障做准备的救护训练方式.战伤急救五项技术是伤员快速救治的关键技术.     

战伤救护知识 第一讲 基本原则 止血

一、基本原则止血、包扎、固定和搬运是战伤救护的四项基本技术,也是战伤救护过程的第一部分,它直接影响着伤员的健康恢复和生命安全。战地救护时,我们应遵照毛主席关于“救死扶伤,实行革命的人道主义”的教导,发扬一不怕苦、二不怕死的革命精神,不论在任何艰难复杂的条件下,都要力争对伤员抢得快、救得好、后送及时,胜利地完成救护的战斗任务,为夺取反侵略战争的胜利做出贡     

卫生列车伤病员护理的影响因素及对策

在实践总结的基础上,分析了列车环境、战伤伤员伤情复杂易变和大批量伤病员同时到达等影响卫生列车伤病员护理工作的几个因素,并提出相应的对策：加强护理基本操作技能训练和战伤护理以及战伤分类知识的学习,制定护理预案,规范救护程序等。     

基于战术战伤救治的野战救护实践教学模式在护理本科生《野战护理学》课程中的应用

目的探讨基于战术战伤救治的野战救护实践教学模式在护理本科生《野战护理学》课程中的应用效果。方法便利抽样法选取第二军医大学2012级41名护理本科生为研究对象,在前3次理论课中融入战术战伤救治(tactical combat casualty care,TCCC)理论精华,在后2次实践课中利用动物组织、仿真模拟人、标准化伤员模拟战伤和大规模伤亡,分别开展TCCC关键救护技术实战化训练和野战救护综合模拟演练。演练后对学生进行问卷调查,了解其自我感知变化和对教学质量的评价。结果护生对战创伤救护知识、能力和态度的自我感知均实现了积极的显著性提升,一致认为此次教学改革是一种创新的实践教学模式。结论基于TCCC的野战救护实践教学改革取得了较好效果,今后还需不断贴近战场实际,更新救治理念,完善训练模式,进一步提高训练效果。     

高技术条件下亚热带丛林战伤救护的难点与训练对策

高技术条件下的未来亚热带丛林战争的战伤救治难点,要求战伤护理积极探索研究这一特殊环境中救护训练对策。训练中应针对亚热带丛林地理环境和气候特点,建立健全战伤救护训练对策,开展亚热带丛林战伤救护的模块化与模拟训练,随时做好在我国周边地区可能爆发的未来反侵略战争的准备。     

四所军队医院护士掌握战伤救护知识的现状调查

目的　分析军队医院 2 2 2名军人护士战伤救护知识的掌握情况 ,探讨平时训练战伤救护的方法。方法　采用匿名问卷 ,对 4所军队医院 2 2 2名军人护士进行战伤救护知识掌握情况调查 ,根据调查内容中是否接受过战伤救护培训的答案将 2 2 2份问卷分A组为曾接受过战伤救护培训 ,B组从未接受过战伤救护培训。比较两组在掌握战伤救护基础知识和高新技术知识的得分情况。结果　A组军护在战伤救护基础知识掌握得分高于B组 ( P <0 .0 5 ) ,且年龄与工作年限均长于B组。A、B两组军护在战伤救护高新技术知识掌握得分无差异 (P >0 .0 5 )均较差。结论　军队医院的护士应普及和巩固战伤救护基础知识 ,重点学习战伤救护高新技术知识 ,充分利用现有医院条件 ,开展平战结合训练以提高战时的救护能力     

渡海登陆作战水际滩头的初期救护探讨

目的 寻求渡海登陆作战水际滩头初期救护的最佳路径。方法 在多次模拟野战条件下的海战演习中,对海战战伤特点、水际滩头救护的实施、海战中护理工作的管理进行描述性分析研究。结果 明确海战战伤特点及水际滩头的实施救护要点,重视救护程序及预见性护理管理,提高救护的成功率。结论 重视战前卫勤练兵,抗晕船训练,“五项”战伤急救护理技术训练,熟悉渡海登陆作战水际滩头初期救护的特点、救护程序,提高护士的身体、心理素质,掌握过硬的技术,是提高渡海登陆作战水际滩头初期救护质量的关键。     

海军医院医护人员海战伤救护能力及培训需求的调查研究

目的 调查海军医院医护人员海战伤救护能力的现状及培训需求，为加强海上卫勤保障能力建设提供参考。方法 2022年3-8月，采用目的抽样法选取海军所属12所医院的689名专业技术人员为研究对象，采用自编《医护人员海战伤救护能力及培训需求》问卷对其进行调查。结果 689名医护人员海战伤救护各功能组室胜任情况的总体得分为(3.24±0.76)分，各项技术培训需求总体评分为(4.26±0.64)分；专业、工作年限、有无参加机动卫勤分队训练和有无参加创伤类救护课程培训是医护人员海战伤救护能力的影响因素(均P<0.05)。结论 海军医护人员海战伤救护能力处于中等水平，对海战伤救护技术的培训需求高，应在当前训练基础上增加创伤类救护课程培训，同时探索不脱离临床工作的海战伤救护人才培训机制。     

戈壁沙漠条件下战伤救护训练与效果

目的提高戈壁沙漠条件下战伤救护能力。方法针对戈壁沙漠环境气候特点,高寒、高热、辐射强、湿度低、风沙大、温差大、生态环境恶劣,对人员生存和军队行动构成威胁,对战伤救护带来很大影响,制定了适应沙漠救护的应急机动方案和训练方法。结果护理人员掌握了野战卫生装备和救护技术的实际应用,提高了沙漠条件下战伤救护和防护能力。结论训练经验的积累,操作技巧的改进,人力资源的合理利用,是提高训练质量及展开速度的关键。     

护理急救技能培训方法及效果的探讨

目的探讨护理急救技能培训方法及效果。方法回顾性分析和总结国内护理人员急救技能培训的对象、师资、内容、步骤和方式及培训效果的评价方法。结果护理急救培训可提高护理人员的救护能力,从而提高患者抢救率,降低死亡率。结论扩展培训对象、设置合理培训周期、采取多样化培训方式、建立最佳培训基地对进一步提高护理人员急救技能具有积极的意义。     

依托ICU优势培训急危重症护理技术人才

目的为较快较好经济实用地培训急危重症护理技术人才,使ICU人力资源增值,以满足众多急危重症病人对急救技能的高水平需求,提高各科抢救成功率,令护患双赢。方法论证了依托ICU优势培训急危重症护理技术人才的必要性和可行性,制定了培训计划、内容、期限、考核标准;挑选经过省级以上ICU进修培训的中级职称以上医护人员作为师资,25个护理单元65名骨干为培训对象,以院内3个ICU作为培训基地,每期13人,3个月为1期,共5期,合理利用自己的节假日或休息时间学习,实施监护课件示教再到基地实践。结果受训人员经考核达到ICU专科护士的业务素质,熟练掌握了抢救、监护技术,能默契配合医生抢救。结论依托ICU优势为培训基地,能较快较好、经济、方便造就急危重症护理技术队伍,提高抢救成功率。     

基层卫生单位常见创伤超声快速诊断技术的人才培训研究

目的探讨在基层卫生单位进行常见创伤超声快速诊断技术教学培训的可行性和有效性。 方法培训对象来自基层卫生单位的89名学员,其中超声医学零基础学员81名,占91.0%;理论授课老师为副高级以上超声专家,技能培训老师为熟练掌握超声快速诊断技术的超声医师;培训周期为4ｄ（32学时）;培训内容为基层卫生单位的常见急症和外伤超声快速诊断技能的理论授课和实际操作手把手教学。培训后全部学员参加理论知识笔试（百分制）和技能实际操作考核,并分析考核结果。 结果89名学员对培训的参与度为100%。培训后,81名超声零基础的学员理论平均成绩（93.7±5.0）分,8名有超声基础的学员理论平均成绩（95.5±3.0）分,二者比较,差异无统计学意义（P>0.05）,表明通过培训,即使是超声零基础的学员,对创伤超声快速诊断理论知识的掌握与有超声基础者无差别。技能实际操作成绩,81名零基础的学员中,优秀率76.5%（62名/81名）、良好率23.5%（19名/81名）,8名有超声基础的学员中,优秀率75.0%（6名/8名）、良好率25.0%（2名/8名）二者比较,差异无统计学意义（P>0.05）。 结论通过培训,基层卫生单位的受训者能够迅速掌握常见创伤的超声快速诊断技术的理论知识,掌握实际操作技能。     

举办"准护士岗前培训班"储备护理技术人员

目的 储备护理技术人员,补充护理人员资源,提高护理人员素质.方法 对我院第一批"准护士岗前培训班"68名学员进行为期半年的临床培训,通过理论考试、操作考核、科室测评等方式,按照成绩排名,择优录取42人.结果 该学员班学员进入临床工作后,适应能力明显高于未经培训人员.结论 举办该培训班避免准护士在向执业护士过渡期间的学业荒废,也为医院择优使用护士奠定基础,达到学员、医院双赢的目的.

Abstract：

Objective To reserve nursing technician, supply nursing resources, improve the quality of nursing staffs. Methods A total of 68 trainees who studied in the first batch of" quasi-nurses're-vocational training class" were trained clinically for a period of six months. Then 42 trainees of them were selected through the theory test, operation assessment, departments'evaluation according to their performance ranking. Results These selected trainecs'adaptability was significant higher than that of persons without training. Conclusions To holding the training class can help quasi-nurses to avoid idling professional knowledge away during the transition period and help the hospital select excellent nurses.     

静脉治疗专科护士的临床培训实践

在静脉治疗专科护士临床实践培训中采用专人负责制,即经过专科理论及模拟人操作培训,考核成绩合格的学员才能进入临床实践培训;选拔优秀的护理专家担任临床教师,根据静脉治疗专科护士临床实践的培训目标、计划和量化指标的要求,进行有计划、全面、全程、及时、有效的督导,高标准完成对学员的临床培训。该次培训的13名学员均以优秀的成绩取得静脉治疗专科护士证书,且全部成为各医院静脉治疗护理小组的骨干;学员和教师对专人负责制临床带教模式的总体满意率分别为98.65%和97.70%。     

A Cadaveric Model for Pericardiocentesis Training

Background

Pericardiocentesis is a rare but potentially life-saving procedure. Improper technique can lead to life-threatening complications.

Discussion

Described is a cadaveric training model developed to train providers.

Conclusion

This cadaveric model allows trainees to familiarize themselves with both proper landmark and ultrasound-based pericardiocentesis technique.     

专项护理技术"院级资格认证"模式初探

目的 构建院级专项护理技术操作认证培训模式.方法 建立科学的专项护理技术认证培训体系,包括完善认证制度、人员审核管理、规范培训内容、严格考核认证.结果 资格认证考核规范了护理专项技术,为患者提供安全、高效的护理服务.结论 专项护理技术资格认证促进了护理人才培养,提高了医院专项护理技术水平.     

Objective benefit of a 1-day training course in endoscopic hemostasis using the "compactEASIE" endoscopy simulator

BACKGROUND AND STUDY AIMS: The Erlangen Active Simulator for Interventional Endoscopy (EASIE) was introduced in 1997 as a training model for interventional endoscopy. Objective evidence of the benefits of training with this model has not previously been published. As part of two long-term projects, the benefits of a 1-day training course with the "compactEASIE" simulator were evaluated. MATERIALS AND METHODS: Fourteen American and 18 French gastroenterology fellows were enrolled. These fellows were participants in the intensive groups performing training in endoscopic hemostasis, with a total number of 28 fellows in New York and 36 in France. Gastrointestinal endoscopy faculty members in New York and France evaluated and timed the fellows in four disciplines to establish baseline skills (manual skills; injection and coagulation; Hemoclip application; and variceal ligation) with the compactEASIE simulator. The trainees were reevaluated after an intensive 1-day course (with two or three fellows and one instructor per station), also including preparation and assistance for each procedure. The assessment (overall and parts) was done by expert tutors using an ordinal scale ranging from 1 to 10 (1 = poorest, 10 = best), recording also mistakes and performance time. The compactEASIE simulator, equipped with an upper gastrointestinal organ package and an artificial blood perfusion system, was used as the training tool. RESULTS: A highly significant improvement ( P < or = 0.001) was observed in the performance of all endoscopic techniques. A significant reduction in performance time was also observed with three of the four endoscopic techniques. Successful hemostasis was significantly improved in two out of three techniques. CONCLUSIONS: A 1-day training course on endoscopic hemostasis using the compactEASIE simulator is capable of improving the performance of hemostasis procedures. Long-term effects of repeated training sessions are currently subject of collaborative studies in New York and France.     

Teaching ultrasound-guided invasive procedures in fetal medicine: learning curves with and without an electronic guidance system.

OBJECTIVE: To compare the learning curves of inexperienced junior obstetrics/gynecology registrars for ultrasound-guided invasive procedures on a training model, with and without an electronic guidance system. STUDY DESIGN: Four junior registrars performed their first 100 procedures on a training model with a new electronic guidance system, and four other junior registrars performed their first 100 procedures on the same training model without using the guidance system. All procedures were performed using a free-hand technique. We evaluated the quality of the procedure, which we defined as the time spent with the entire needle clearly visualized on the screen over the total duration of the procedure. We constructed learning curves for the eight junior registrars for comparative analysis. RESULTS: Quality of the procedure increased over time for all trainees. The learning curves were significantly steeper for trainees using the electronic guidance system. Trainees using the electronic guidance system performed better in the middle of their learning curve (procedures 25-75). All trainees reached the same level of quality by the end of their 100 procedures. CONCLUSIONS: The automated electronic guidance system helps faster learning but, after 100 procedures on a training model, both groups reached the same level of quality.     

Training in sigmoidoscopy: the experience of trainees in elderly medicine in East Anglia

To assess the standard of training in postgraduate sigmoidoscopy in East Anglia, a questionnaire was prepared and distributed to pre-registration house officers (JHOs), senior house officers (SHOs) and specialist registrars (SpRs) in eight hospitals. The results suggest that practical instruction in technique is inadequate, and that most trainees perform too few sigmoidoscopies to become competent at either examining or recognising lesions. Many JHOs have not performed sigmoidoscopies or even witnessed important lesions in their early training. The training improved little during the SHO grade, with few trainees feeling happy with their training. The SpRs felt they were competent, although their training was thought inadequate. The current training programme needs detailed reassessment and improvement.