目的 了解湖北省高速公路紧急医疗救援培训工作现状,探讨管理策略与改进措施。方法 采用问卷调查、电话回访、实地调研等方式分析培训需求、培训效果和培训管理中存在的问题。结果 培训需求前两位的为创伤紧急处置与心肺复苏。大多数学员认为需要开展复训。培训后学员对较为隐匿的症状需紧急处置的认知率有所增加,如面色苍白或紫绀[88.5%(123/139)比44.6%(62/139)]、呼吸急促[51.8%(72/139)比38.8%(54/139)]、胸痛或腹痛[85.6%(119/139)比33.1%(46/139)]等,其差异均具有统计学意义(均P＜0.05)。高速公路警察接受培训的人数仅占全省高速公路警察总人数的4.7%(63/1341)。部分高速公路医疗救护站存在着缺乏练兵,忽视继续教育等问题。结论 明确学习需求有利于保障培训质量,网络教学复训模式值得探索。培训强化了学员应急处置意识,但紧急医疗救援技能仍需提升。有必要扩大受训人群范围、开展分级分类培训。创新教学方式方法是提升培训效果的重要手段。

Objective Review the training of emergency medical rescue for expressways traffic accidents victims in Hubei province, and to develop management and improving strategies. Methods Questionnaires, telephone calls and field surveys were used to analyze training needs, training outcomes and problems in training management. Results The top two training needs were trauma emergency management and cardiopulmonary resuscitation. Most of the trainees thought that retraining was necessary. The trainees' cognitive rate of masked symptoms after training was higher, and the difference were statistically significant, such as pale or cyanosis [88.5%(123/139) vs 44.6%(62/139)], shortness of breath [51.8%(72/139) vs 38.8%(54/139)], chest or abdominal pain [85.6%(119/139) vs 33.1%(46/139)], all P<0.05. Only 4.7% (63/1341) of the traffic policeman in this province received training of accident rescue. There were problems such as lack of training and continuing education in some highway medical ambulance stations. Conclusions Defining learning needs is conducive to ensuring the quality training and network retraining mode deserves to be explored. The training strengthened the awareness of the trainees' first aid, inspite of the fact that emergency medical rescue skills need to be improved. It is necessary to expand the scope of the trainees, carry out grading and classification training. Innovation of training methods is an important means to improve the outcomes of training.