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准备矿业事故致伤的同伴第一反应:一项横断面研究。

Preparedness for peer first response to mining emergencies resulting in injuries: a cross-sectional study.

机构信息

Department of Surgical and Perioperative Sciences, Surgery, Umeå University, Umeå, Sweden.

Department of Surgical and Perioperative Sciences, Anesthesiology and Intensive Care Medicine, Umeå University, Umeå, Sweden

出版信息

BMJ Open. 2020 Nov 12;10(11):e036094. doi: 10.1136/bmjopen-2019-036094.

Abstract

OBJECTIVE

Identify factors of preparedness for peer first response to underground mining emergencies with injured victims.

DESIGN

Cross-sectional questionnaire study of Swedish underground mineworkers.

SETTING

Seven out of nine Swedish underground mines.

PARTICIPANTS

A total of 741 mineworkers out of 1022 (73%) participated in this study.

INTERVENTIONS

None.

OUTCOME MEASURES

Level of preparedness for emergencies with injuries in underground mines.

RESULTS

Three factors influenced the preparedness of mineworkers for a peer first response: (1) familiarity with rescue procedures during emergencies with injuries; (2) risk perception of emergencies with injuries and (3) experience of using self-protective and first aid equipment. Mineworkers who believed that they knew how to handle emergencies with injuries (OR 1.30, 95% CI 1.22 to 1.38) and those who were trained in the use of self-protective and first aid equipment (OR 1.19, 95% CI 1.07 to 1.32) considered themselves to be better prepared for a peer first response than those who were unfamiliar with the rescue procedures or who had not used self-protective and first aid equipment. However, mineworkers who rated the risk for emergencies with injuries as high considered themselves to be less prepared than those who rated the risk as low (OR 0.95, 95% CI 0.91 to 0.98).

CONCLUSION

This study identified three factors that were important for the peer-support preparedness of underground mineworkers. More research is needed to adapt and contextualise first aid courses to the needs of underground peer responders.

摘要

目的

确定准备同伴对地下矿山紧急情况下受伤人员进行第一反应的因素。

设计

瑞典地下矿工的横断面问卷调查研究。

地点

瑞典九个地下矿山中的七个。

参与者

共有 1022 名地下矿工中有 741 名(73%)参加了这项研究。

干预措施

无。

结局测量

地下矿山紧急情况下受伤的准备程度。

结果

有三个因素影响了矿工对同伴第一反应的准备程度:(1)在紧急情况下受伤时熟悉救援程序;(2)对紧急情况受伤的风险感知和(3)使用自我保护和急救设备的经验。认为自己知道如何处理紧急情况受伤的矿工(OR 1.30,95%CI 1.22 至 1.38)和接受过自我保护和急救设备使用培训的矿工(OR 1.19,95%CI 1.07 至 1.32)认为自己比不熟悉救援程序或未使用自我保护和急救设备的矿工更有准备应对同伴第一反应。然而,将紧急情况受伤的风险评为高的矿工认为自己的准备程度低于将风险评为低的矿工(OR 0.95,95%CI 0.91 至 0.98)。

结论

这项研究确定了对地下矿工同伴支持准备至关重要的三个因素。需要进一步研究,以适应和调整急救课程以满足地下同伴响应者的需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff84/7662425/a4f91cdcfb84/bmjopen-2019-036094f01.jpg

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