摘要
目的 探讨急诊院前移动急救系统建设。方法 采用回顾性分析方法,选取南方医科大学第七附属医院2021年1-12月院前急救患者260例作为参照组(未使用院前移动急救系统),另取2022年1-12月院前急救患者260例作为试验组(启用急诊院前移动急救系统)。比较组间抢救质量(急诊例员安排、设备管理、急诊例员业务能力、检查能力)评分以及到院接受医治时间、死亡率及医患纠纷和家属满意度情况。结果 经启用急诊院前移动急救系统后,试验组急诊人员安排、设备管理及急诊人员业务能力和检查能力优于参照组,差异有统计学意义(t=61.385、45.876、22.768、48.350,P <0.05)。试验组到院接受医治时间、死亡率及医患纠纷发生率低于参照组,差异有统计学意义(t/χ^(2)=63.194、37.098、5.540、18.531,P <0.05)。试验组家属总满意度(96.53%)高于参照组(80.77%),差异有统计学意义(χ^(2)=32.138,P <0.05)。结论 对院前急救患者应用科学性、实践性强的院前移动急救系统运行模式,可有效提升急诊服务能力,降低急救患者的死亡率并获得群众认可度极高。
Objective To explore the construction of pre-hospital mobile emergency system.Methods By retrospective analysis,a total of 260 pre-hospital emergency patients in the Seventh Affiliated Hospital of Southern Medical University from January to December,2021 were selected as the reference group(no prehospital mobile emergency system was used),and another 260 prehospital emergency patients from January to December,2022 were selected as the experimental group(emergency pre-hospital mobile emergency system was enabled).The quality of rescue between groups was compared(emergency case arrangement,equipment management and emergency case staff's professional ability).Results After the emergency pre-hospital mobile emergency system was put into use,the arrangement of emergency caseworkers,equipment management,professional ability and inspection ability of emergency caseworkers in the experimental group were better than those in the reference group,and the differences were statistically significant(t=61.385,45.876,22.768,48.350,P<0.05).The treatment time,mortality rate and the incidence of doctorpatient disputes in the experimental group were lower than those in the reference group,and the differences were statistically significant(t/χ^(2)=63.194,37.098,5.540,18.531,P<0.05).In addition,the total satisfaction of family members in the experimental group(96.53%)was higher than that in the reference group(80.77%),and the difference was statistically significant(χ^(2)=32.138,P<0.05).Conclusion Applying the scientific and practical operation mode of pre-hospital mobile emergency system to pre-hospital emergency patients can effectively improve the emergency service ability,reduce the mortality rate of emergency patients and gain high recognition from the masses,so it should be popularized.
作者
曾辉
陈海生
杨剑星
连佳伟
谭健新
陈明
ZENG Hui;CHEN Haisheng;YANG Jianxing;LIAN Jiawei;TANJianxin;CHEN Ming(Department of Emergency,the Seventh Affiliated Hospital of Southern Medical University,Foshan Guangdong 528200,China)
出处
《中国卫生标准管理》
2024年第3期40-43,共4页
China Health Standard Management
关键词
急诊院前移动急救系统
系统建设
抢救质量
死亡率及致残率
满意度
应用效果
emergency pre-hospital mobile emergency system
system construction
quality of rescue
mortality and disability rate
satisfaction
application effect
