为社区卫生领导人做好安全转移易受洪水影响的灾民的准备

P. Songwathana, W. Sae-Sia, Jintana Damkliang, C. Kongkamol
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摘要

目的:泰国有越来越多的洪水灾民,特别是那些需要物质援助的人,他们被转移到安全的社区项目;然而,安全处理技术方面的培训项目仍然很少。这项泰国研究干预研究是旨在培养社区卫生领导人在灾害期间将脆弱的洪水受害者群体转移到更安全地区的发展项目的一部分。方法:选取Hat Yai市9个洪涝地区的CHLs (n = 37)作为研究对象。所有人以前都参加过一个城市社区发展项目。由护士制定安全转院培训课程,结果测量包括:(1)患者转院知识;(二)吊装、搬运技能;(三)观测记录的使用情况;(4)测量人体工学吊装技术。定量资料采用描述性统计进行分析。结果:结果表明,与计划开始时相比,CHLs在计划结束时对安全转移洪水受害弱势群体的知识有所增加(p < 0.01)。此外,与干预前的评分相比,chl显著提高了他们在安全人体工程学举重技术方面的技能(p < 0.01)。结论:护士可以在提高自身技能和社区卫生工作者技能方面发挥积极作用,以确保弱势洪水灾民和志愿者群体在面对自然灾害时的安全。
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Preparing community health leaders to safely transfer vulnerable flood victims
Aim: There are increasing numbers of vulnerable flood victims in Thailand, particularly those who require physical assistance with being transferred to safe community programs; however, training programs in safe handling techniques remain scarce. This Thai research intervention study is part of the development aimed at preparing community health leaders (CHLs) to transfer vulnerable groups of flood victims to safer areas during disasters. Methods: CHLs representing nine flooding areas of the Hat Yai Municipality (n = 37) participated in this study. All had taken part previously in an urban community development project. The safe patient transfer training course was developed by nurses and the outcome measures included: (1) knowledge about patient transfers; (2) skills in lifting and transferring; (3) the use of observation records; and (4) measuring ergonomic lifting techniques. Quantitative data were analyzed using descriptive statistics. Results: The results demonstrate that CHLs’ knowledge about safely transferring vulnerable groups of flood victims increased at the end of the program, compared to what is was in the beginning ( p < .01). In addition, compared to scores before the intervention, CHLs significantly increased their skills in safe ergonomic lifting techniques ( p < .01). Conclusion: Nurses can take an active role in improving their skills and the skills of community health workers in order to ensure safety for both vulnerable flood victims and volunteer groups when facing natural disasters.
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