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目的:调查分析驻利比里亚维和防暴分队医疗相关情况,为进一步做好卫勤保障提供依据。方法:整群选取驻利比里亚维和警察防暴队官兵140例,采用问卷调查的方法,对维和官兵发病情况、健康知识获取方式、关注热点问题、心理影响因素、战救训练、意见建议等相关情况进行调查。结果:(1)维和官兵发病排名前3位的依次为消化系统、运动系统和神经系统疾病。其中,消化系统疾病中腹泻79例(56.4%)、便秘55例(39.3%)、消化不良41例(29.3%)、胃炎24例(17.1%);运动系统疾病中训练伤39例(27.9%)、肌肉劳损12例(8.6%)、关节炎8例(5.7%)、韧带伤4例(2.9%);神经系统疾病主要是失眠50例(35.7%)。(2)健康知识获取方式依次为听课127例(90.7%)、网络114例(81.4%)、战友相互交流89例(63.6%);关注热点依次为疟疾102例(72.9%)、工作压力96例(68.6%)和休息睡眠92例(65.7%)。(3)出现心理焦虑33例(23.6%),易怒27例(19.3%),健忘23例(16.4%),幻听61例(4.3%),抑郁5例(3.6%);排在前3位的影响因素依次为每日勤务85例(60.7%)、日常管理77例(55.0%)和外部环境58例(41.4%)。(4)出发前参加过战救技术训练121例(86.4%),训练的内容主要为模拟人心肺复苏操作;了解单兵急救包中有三角巾124例(88.6%),知道三角巾用途106例(75.7%),知道止血带117例(83.6%),了解止血带用途94例(67.1%);战救基础知识考核平均得分55.5分。(5)对医疗卫生工作满意131例(93.6%);意见建议排在前3位的依次为增加专科治疗药品品种53例(37.9%),增加专科医师37例(26.4%),增加检查设备29例(20.7%)。结论:维和官兵医疗保障还存在不足,应采取相应措施提高维和官兵卫勤保障水平。
OBJECTIVE: To investigate and analyze the medical conditions of the peacekeeping anti-riot unit in Liberia and provide the basis for further improving the medical service support. Methods: A total of 140 police officers and soldiers of the peacekeeping police stationed in Liberia were selected from the cluster. Questionnaires were used to analyze the incidence of the peacekeeping officers and soldiers, the ways of acquiring health knowledge, the hot issues, psychological factors, training of war salvors, advice and suggestions survey. Results: (1) The rankings of the top three peacekeeping officers and soldiers ranked as digestive system, motor system and nervous system. Among them, diarrhea 79 cases (56.4%), constipation 55 cases (39.3%), indigestion in 41 cases (29.3%), gastritis in 24 cases (17.1%); exercise system disease training injury in 39 cases (27.9% ), Muscle strain in 12 cases (8.6%), arthritis in 8 cases (5.7%) and ligament injury in 4 cases (2.9%). Neurological diseases were mainly insomnia in 50 cases (35.7%). (2) There were 127 cases (90.7%) of listening class, 114 cases (81.4%) of network, 89 cases (63.6%) of comrades-in-arms communication, and 102 cases of malaria (72.9% Cases (68.6%) and rest sleep in 92 cases (65.7%). (3) There were 33 cases (23.6%) of psychological anxiety, 27 cases of irritability (19.3%), 24 cases of forgetfulness (16.4%), 61 cases of auditory hallucinations (4.3%) and 5 cases of depression (3.6% The three influential factors were: daily service of 85 cases (60.7%), daily management of 77 cases (55.0%) and external environment of 58 cases (41.4%). (4) 121 cases (86.4%) participated in war-rescue technical training before departure, and the contents of training included simulating cardiopulmonary resuscitation; 124 cases (88.6%) were aware of the tribe in the first-aid kit and 106 cases %), 117 cases (83.6%) of tourniquet were known, 94 cases (67.1%) of tourniquet use were understood; average score of 55.5 points for basic knowledge of war salvage assessment. (5) 131 cases (93.6%) were satisfied with the medical and health work; among the top 3 opinions and suggestions, 53 cases (37.9%) increased the number of specialty medicines, 37 cases (26.4%) increased the number of specialists and increased the inspection equipment 29 cases (20.7%). Conclusion: There are still inadequacies in the medical security of officers and soldiers in peacekeeping operations. Corresponding measures should be taken to improve the level of medical support for peacekeeping officers and soldiers.