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目的了解成都市主城区犬伤门诊的配套设施现状,为成都市主城区犬伤门诊配套设施的进一步规范化提供依据。方法 2011-2012年采用定量和定性调查相结合的方法,对多阶段分层抽样的成都市主城区21个狂犬病免疫预防门诊开展问卷调查和现场观察,并对这些门诊的60名医务人员进行个人深入访谈定性调查,调查内容包括犬伤门诊的配套设施现状及存在问题等。结果 21个犬伤门诊都配有基本配套设施包括伤口处理设施、预防接种设施、消毒设施、冷链设施和抢救设施,市、区及社区3个级别门诊的冷链设施、抢救设施的平均得分差异有统计学意义(P<0.05),市级门诊的冷链设施和抢救设施的得分最高,区级门诊的冷链设施得分最低,社区门诊的抢救设施得分最低;在伤口处置设施、预防接种设施和消毒设施方面3级门诊差异没有统计学意义;犬伤处置的配套设施特别是伤口处理设施、冷链设施和抢救设施不够规范化。结论成都市主城区犬伤门诊均配有基本配套设施,冷链和抢救设施各级有差异,需要进一步规范和完善。
Objective To understand the current status of supporting facilities for dog outpatient clinics in the main urban area of Chengdu and provide evidence for the further standardization of supporting facilities for dog outpatient clinics in the main urban area of Chengdu. Methods From 2011 to 2012, 21 rabies immunization prevention clinics in the main urban area of Chengdu were surveyed and observed on site by multi-stage stratified sampling using the combination of quantitative and qualitative surveys. The 60 medical staff of these clinics were individually Qualitative investigation of in-depth interviews, the survey includes the current situation of dog clinic facilities and problems and so on. Results All the 21 canine outpatient clinics were equipped with the basic facilities including the facilities for the treatment of wounds, vaccination facilities, disinfection facilities, cold chain facilities and rescue facilities, cold chain facilities in the three levels of cities, districts and communities, and the average scores of rescuing facilities The difference was statistically significant (P <0.05). The scores of cold chain facilities and rescue facilities in municipal clinics were the highest, lowest in cold chain facilities in district clinics, and lowest in community clinics. In the facilities for wound disposal and vaccination No significant difference was found in the level 3 outpatient facilities for facilities and disinfection facilities; facilities for treatment of canine injuries, especially wound treatment facilities, cold chain facilities and rescue facilities, were not standardized enough. Conclusion The main urban areas of Chengdu dog clinic are equipped with basic facilities, cold chain and rescue facilities at all levels have differences, need to be further standardized and improved.