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目的:加深医务人员对于危重患者院前及院内的衔接的认识。方法:对于本县随机抽取15家院前急救单位的医生和护士(拒绝参加调查的急救单位除外)200人;选择急诊科的医生和护士作为本研究院内急救人员的调查对象。采用自行设计的调查问卷对研究对象展开调查,问卷的内容包括:病例资料的衔接、信息平台衔接、医疗技术的衔接、管理制度的衔接等等。问卷的总体印象分为不满意、基本满意、非常满意三个选项。医务人员对于院前和院内的衔接重要程度的认识分为,不重要、不太重要、一般、重要、非常重要五个层次。结果:有89%的人认为病例资料的衔接比较重要,79%的医务人员认为医疗技术的衔接非常重要。但是90%以上的医务人员认为信息平台和管理制度的衔接是应该加强的。仅仅只有5%的人员对院前急救非常满意,有36%的人不满意。对于院内有27.5%的医务人员非常满意,院前、院内的急救的满意程度有明显的统计学差异。对于参与急救的人员对于院前急救和院内急救以及院前和院内的衔接重要程度的认识统计学没有明显的差异。结论:多数医务人员都能认识到院前急救,院内急救,院内院前急救衔接的重要性。院前急救和院内院前的衔接还是有待进一步的提高。
OBJECTIVE: To deepen the understanding of medical staff on the connection between pre-hospital and intra-hospital critically ill patients. Methods: A total of 200 doctors and nurses (excluding first aid units who refuse to participate in the survey) were randomly selected from 15 prehospital emergency units in this county. The emergency department doctors and nurses were selected as the respondents in this study. Investigate the research object with self-designed questionnaire. The contents of the questionnaire include the connection of case data, the convergence of information platform, the convergence of medical technology, the connection of management system and so on. The overall impression of the questionnaire is divided into not satisfied, basically satisfied, very satisfied with the three options. The medical staff’s understanding of the importance of cohesion between the hospital and the hospital is divided into five levels: unimportant, unimportant, general, important and very important. Results: 89% of people think that the connection of case data is more important, and 79% of medical staff think the connection of medical technology is very important. However, more than 90% of medical staff believe that the convergence of information platform and management system should be strengthened. Only 5% of staff were very satisfied with the first aid before hospital, 36% were not satisfied. There were 27.5% of the medical staffs in the hospital were very satisfied. There was a significant statistical difference in the satisfaction of first aid before and after hospitalization. No statistically significant differences were found in the statistical knowledge about the importance of prehospital and first aid and prehospital and intra-hospital cohorts among first responders. CONCLUSIONS: Most medical workers are aware of the importance of prehospital care, first aid in the hospital, and bridging the hospital first aid. Prehospital care and prehospital cohesion still needs to be further improved.