摘要
目的全面了解新疆维吾尔自治区二级及三级医院重症监护病房(ICU)基本建设情况,为自治区重症医学发展方向和医疗资源合理配置提供理论基础。方法2020年3月14日采用网络问卷调查形式对新疆维吾尔自治区122家医院的147个ICU进行横断面调查,调查内容包括医院基础情况、ICU概况、ICU人力资源现状、设备配置、技术开展和ICU质量调查6个方面。结果147个ICU中,三级医院ICU 69个,二级医院ICU 78个;75.51%(111/147)为综合ICU,24.49%(36/147)为专科ICU;ICU床位总数1818张,约占医院总床位数的2.43%(1818/74912)。在ICU人力资源方面,医师/床位比为0.54∶1,护士/床位比为1.55∶1;二级医院医师/床位比为0.52∶1,护士/床位比为1.45∶1;三级医院医师/床位比为0.56∶1,护士/床位比为1.79∶1。在ICU管理模式方面,82.99%(122/147)为封闭式管理,三级医院ICU封闭式管理的比例达到88.41%(61/69),高于二级医院ICU的78.21%(61/78)。在ICU设备方面,三级医院ICU有创呼吸机/床位比、肠内营养(EN)输注泵/床位比和血液净化仪/床位比均明显高于二级医院ICU〔分别为0.70(0.46,1.00)比0.45(0.33,0.67)、0.18(0.00,0.56)比0.00(0.00,0.13)和0.08(0.00,0.13)比0.00(0.00,0.10),均P<0.01〕,且三级医院ICU胸部振荡排痰装置、血气分析仪、血液净化仪、转运呼吸机、纤维支气管镜、EN输注泵、床旁B超机、连续性血流动力学及氧代谢监测仪、脑电双频指数(BIS)监护仪、床旁脑电图仪和体外膜肺氧合(ECMO)等设备的配置情况也优于二级医院ICU。在ICU技术方面,三级医院ICU深静脉穿刺、放置空肠营养管、经皮气管切开、有创动脉血压监测、有创血流动力学监测、床旁B超检查、持续血液净化、纤维支气管镜检查、高频通气、主动脉内球囊反搏术(IABP)和ECMO等技术开展情况优于二级医院ICU。在ICU医疗质量控制方面,三级医院ICU为耐药菌患者设置单间或隔离治疗区、为
Objective To comprehensively understand the basic construction of intensive care unit (ICU) in the secondary and tertiary hospitals in Xinjiang Uygur Autonomous Region, and to provide a theoretical basis for the development direction of critical care medicine and the rational allocation of medical resources in our region.Methods On the March 14th, 2020, a cross-sectional survey of 147 ICU in 122 hospitals in Xinjiang Uygur Autonomous Region was conducted using an online questionnaire. The survey included 6 modules: the basic conditions of the hospital, ICU profile, ICU human resources status, equipment allocation, technology development, and ICU quality control.Results Among the 147 ICUs, there were 69 ICUs in tertiary hospital and 78 ICUs in secondary hospital. 75.51% (111/147) were comprehensive ICU and 24.49% (36/147) were specialized ICU. The total number of ICU beds was 1 818, accounted about 2.43% (1 818/74 912) of the total number of hospital beds. In ICU terms of human resourse, physicians/beds ratio was 0.54∶1, and nurses/beds ratio was 1.55∶1. Physicians/beds ratio in the secondary hospitals was 0.52∶1, and nurses/beds was 1.45∶1;physicians/beds ratio in the tertiary hospital was 0.56∶1, and nurses/beds ratio was 1.79∶1. The ICU management model was mainly closed management (82.99%, 122/147), and the proportion of closed management in tertiary hospitals was 88.41% (61/69), which was higher than that in secondary hospitals (78.21%, 61/78). In aspect of ICU equipment, the invasive ventilator/bed ratio, enteral nutrition infusion pump/bed ratio, and blood purifier/bed ratio in the tertiary hospitals were significantly higher than those in the secondary hospitals [0.70 (0.46, 1.00) vs. 0.45 (0.33, 0.67), 0.18 (0.00, 0.56) vs. 0.00 (0.00, 0.13), 0.08 (0.00, 0.13) vs. 0.00 (0.00, 0.10), respectively, all P < 0.01]. In the tertiary hospital, the chest sputum excretion device, blood gas analyzer, blood purification instrument, transport ventilator, fiber bronchoscope, enteral nutrition infusion pump
作者
李祥
古丽巴努木·胡西塔尔
王毅
滑晓莉
杜欣欣
于湘友
Li Xiang;Gulibanumu Huxitaer;Wang Yi;Hua Xiaoli;Du Xinxin;Yu Xiangyou(Critical Medicine Center,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,Xinjiang Uygur Autonomous Region,China;Xinjiang Uygur Autonomous Region Quality Control Center for Critical Care Medicine,Xinjiang Uygur Autonomous Region Institute of Critical Medicine,Critical Care Medicine Union,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,Xinjiang Uygur Autonomous Region,China)
出处
《中华危重病急救医学》
CAS
CSCD
北大核心
2020年第7期854-860,共7页
Chinese Critical Care Medicine
基金
新疆维吾尔自治区高校科研计划项目(XJEDU2018I011)。
关键词
重症监护病房
现况调查
新疆维吾尔自治区
Intensive care unit
Current situation investigation
Xinjiang Uygur Autonomous Region
