摘要
目的为全面了解新疆重症医学专科联盟成员发展现况,为今后联盟发展提供理论支持。方法通过问卷星在线网络对联盟成员对科室基本情况、人力资源、设备及技术、信息化建设、镇静镇痛及营养评估调查等方面进行调查。结果联盟成员以综合ICU为主,在病房基本建设方面,二级医院及三级医院ICU在使用面积、单间病房数量存在统计学差异(均P<0.05),负压病房配置率均较低。人力资源方面:联盟医务人员数量较全疆及指南要求具有一定差距。年龄及职称结构在医师、护士之间存在差别。人才培养方面较全疆情况较好。设备及技术方面:二级医院及三级医院在常规监测设备及开展技术方面并无明显差别。但对于技术难度较高(持续血液净化治疗、经皮气管切开、纤维支气管镜、动态血糖测定、主动脉球囊反搏等)及特殊设备(纤维支气管镜、B超、呼末CO_(2)监测仪等)时,二者之间仍存在一定统计学差异。信息化建设方面:远程查房系统及ICU特护系统在二级及三级医院ICU存在较大发展空间。镇静、镇痛、营养评估方面:二级及三级医院ICU对镇静、镇痛、营养方面如何评估及评估方式之前存在一定差别。结论联盟成员间发展不均衡,需在人才培养、技术开展及培训、医疗质量管理等方面需进一步完善,以促进联盟成员同质化发展。
Objective To fully understand the current development of members of the Critical Care Specialty Alliance in the first affiliated hospital of Xinjiang medical university, and to provide theoretical support for the future development of the alliance.Methods Through the questionnaire star network, the members of the alliance were surveyed on the basic situation of the department,human resources, equipment and technology, information construction, sedation and analgesia, and nutritional assessment survey.Results The alliance members mainly worked integrated ICU. In terms of ward infrastructure, there were statistical differences in the use area and the number of single wards between the secondary hospitals and tertiary hospitals(all P < 0.05), and the configuration rate of negative pressure ward was low. Considering human resources, the number of medical staff in the alliance was far from the requirements of the guidelines. There were differences in ages and job title between physicians and nurses. The situation in personnel training was better than that in the whole Xinjiang. There was no obvious difference between the secondary hospital and tertiary hospitals in terms of routine monitoring equipment and development technology. However, for the high difficult technique(such as continuous blood purification treatment, percutaneous tracheotomy, fiberoptic bronchoscopy, dynamic blood glucose measurement, aortic balloon counterpulsation, etc.)and special equipment(fiberbronchoscope, B-ultrasound, end-tidal CO_(2) monitor Etc.), there were still statistical differences between the secondary hospitals and tertiary hospitals. Considering information construction, the remote ward round system and the ICU special care system still had a large development space in the ICU of the secondary and tertiary hospitals. Respect of Sedation, analgesia, and nutritional assessment, there were some differences about how to evaluate sedation, analgesia, and nutrition in the ICU of secondary and tertiary hospitals. Conclusion The developme
作者
李祥
于湘友
LI Xiang;YU Xiang-you(The First Affiliated Hospital of Xinjiang Medical University,Uiurnqi 830054,China;Quality Control Center,Critical Care Medicine of Xinjiang Uygur Autonomous Region,Institute of Critical Medicine in Xinjiang Uygur Autonomous Region,Critical Care Medicine Union,the First Affiliated Hospital of Xinjiang Medical University,Urumqi,830054,China)
出处
《新疆医学》
2021年第4期371-377,共7页
Xinjiang Medical Journal
基金
新疆维吾尔自治区高校科研计划(XJEDU2018I011)
新疆医科大学临床医学高峰学科校内配套经费(项目编号:33-0104006020801)。
关键词
重症医学
现况调查
专科联盟
Critical Care Medicine
Status Survey
Specialty Alliance
