在9个撒哈拉以南非洲国家为多名卫生工作者提供创伤培训:从COOL计划中吸取的经验教训
Noel Aaron Peter1, Hermant Pandit1, Grace Le1
1Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford, Nuffield Orthopaedic Centre, Oxford, UK.
Lancet (London, England)
|August 28, 2015
概括
主要创伤护理 (PTC) 培训显著提高了非洲卫生工作者的知识和信心. 然而,儿童创伤等特定领域需要针对不同的医疗保健干部进行有针对性的干预. 对于持续的进步, 复习课程是必不可少的.
科学领域:
- 医学教育
- 创伤护理
- 全球健康
背景情况:
- 非洲的道路交通死亡率很高,
- 由于医生短缺, 护士和临床官员在创伤管理中至关重要.
- 这项计划在9个撒哈拉以南非洲国家提供了初级创伤护理 (PTC) 培训.
研究的目的:
- 评估28个连续的初级创伤护理 (PTC) 课程对撒哈拉以南非洲卫生保健工作者的影响.
- 确定不同医疗保健干部和机构的培训挑战和知识差距.
主要方法:
- 一项涉及1030名医疗保健工作者 (医生,护士,临床人员,医学学生) 的前性研究.
- 在PTC培训之前和之后使用验证的多选择问卷进行知识评估.
- 基于干部,城市/农村机构和性别的得分分析,统计学意义为p<0.05.
主要成果:
- 在培训后,知识 (58%至77%) 和临床信心 (68%至90%) 显著改善.
- 医生和医学学生取得了令人满意的成绩,
- 城市卫生工作者表现优于农村的同行.
结论:
- 培训课程提高了医疗保健工作人员的创伤管理知识和信心.
- 需要有针对性的培训来解决干部特定的缺点,特别是在儿童创伤护理方面.
- 建议定期进行复习培训,以保持和提高该地区的创伤护理技能.
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