漳州市乡村医生急救知识与技能培训现状及优化策略研究OA
First-aid knowledge and skills training for rural doctors in Zhangzhou City:Status quo and optimization strategies
目的 评估漳州市乡村医生急救知识与技能的掌握现状、培训参与情况及区域差异,明确其培训需求重点,为优化农村急救培训体系提供实证依据.方法 采用分层随机抽样法,于2025年6月对漳州市6类区域的2 654名乡村医生进行问卷调查,采用自行设计的结构化问卷收集数据,通过SPSS 26.0软件进行统计分析.结果 调查对象男性占75.55％,年龄＞50岁者占56.22％,工作年限＞15年者占83.91％;95.85％近2年接受过急救培训,4.15％从未培训,山区/丘陵乡村占比最高,培训≥4次者占21.06％,县城/城区占比最高;徒手心肺复苏(CPR)熟练率最高(67.03％),自动体外除颤器(AED)操作熟练率最低(28.82％)且区域差异有统计学意义(P＜0.05);93.14％愿意参与培训,50.83％倾向"线上学理论+线下实操"混合模式,不同区域培训需求与地域急症谱高度契合.结论 漳州市乡村医生急救技能呈现"基础技能尚可、专项技能薄弱、区域差异显著"特征.未来需构建"分层分类、精准赋能"的培训体系,以提升培训的针对性和实效性.
Objective To evaluate the current status of first-aid knowledge and skills mastery,training participation,and regional differences among rural doctors in Zhangzhou City,and to clarify the priorities of train-ing needs,providing empirical evidence for the optimization of the rural first-aid training system.Methods A stratified random sampling method was adopted to conduct a questionnaire survey among 2 654 rural doctors from 6 types of regions in Zhangzhou City in June 2025.A self-designed structured questionnaire was used to collect data,and statistical analysis was performed using SPSS Statistics 26.0.Results Among the 2 654 rural doctors,males accounted for 75.55％,those aged over 50 years accounted for 56.22％,and those with working experience of more than 15 years accounted for 83.91％.A total of 95.85％had received first-aid training in the past two years,while 4.15％had never received any training,with the highest proportion observed in mountainous/hilly rural areas.Doctors who received training 4 times or more accounted for 21.06％,with the highest proportion in county/urban areas.The proficiency rate of cardiopulmonary resuscitation(CPR)without equipment was the high-est(67.03％),whereas the proficiency rate of automated external defibrillator(AED)operation was the lowest(28.82％),with statistically significant regional differences(P＜0.05).Additionally,93.14％of the doctors were willing to participate in training,and 50.83％preferred the blended training mode of"online theoretical learning plus offline hands-on practice".The training needs in different regions were highly consistent with the lo-cal spectrum of acute diseases.Conclusions The first-aid skills of rural doctors in Zhangzhou City are character-ized by"moderate mastery of basic skills,insufficient proficiency in specialized skills,and significant regional differences".In the future,it is necessary to construct a training system featuring"stratified classification and tar-geted empowerment"to improve the pertinence and effectiveness of training.
郑伟珍;王君;王郑矜;黄跃芬;高文霞
漳州卫生职业学院,福建漳州 363000漳州卫生职业学院,福建漳州 363000漳州卫生职业学院,福建漳州 363000漳州卫生职业学院,福建漳州 363000漳州卫生职业学院,福建漳州 363000
医药卫生
乡村医生急救技能培训现状区域差异培训需求培训体系优化
Rural doctorFirst-aid skillTraining statusRegional differencesTraining needsOptimi-zation of the training system
《中国农村卫生事业管理》 2026 (7)
500-505,6
漳州卫生职业学院校级科研课题(ZWYS202405)漳州市社会科学研究规划课题(LX25204006)
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