摘要
目的了解秦巴山区医疗机构的航空医学救援情况及技术水平。方法2023年6月—9月选择位于秦巴山区湖北省十堰市人民医院医疗联合共同体(医联体)医疗机构的工作人员进行问卷调查。问卷调查内容包括基本信息、航空医学救援开展情况、需求及知识掌握情况。结果共45家医疗机构参与调研,发出问卷500份,回收有效问卷479份,有效率95.8%。其中,三级医院7家,二级医院23家,乡镇卫生机构15家;11家参与过航空医学救援,17家参与过航空救援演练。调查对象主要来自急诊科、重症医学科,年龄以>30岁且≤40岁为主,多为女性、本科学历、中级职称、医生。21名医务人员接受过正规航空医学救援技能培训,77名接受过短期理论及实践培训,123名参与过航空救援演练,93名参与过航空医学救援活动。急救知识、航空飞行知识、航空医学救援知识得分比较,差异有统计学意义(9.34±0.35 vs.4.65±2.91 vs.3.28±3.44;F=15.048,P=0.001)。急救知识与航空飞行知识、航空医学救援知识比较,差异均有统计学意义(P<0.05);航空飞行知识与航空医学救援知识比较,差异无统计学意义(P>0.05)。结论秦巴山区医疗机构航空救援需求迫切,专业人员紧缺,需加强航空医疗救援培训、演练及实践。
Objective To understand the situation and technical level of aeromedical rescue in medical institutions in Qinling-Daba mountainous area.Methods A questionnaire survey was conducted on the staff of medical institutions of the medical consortium of Renmin Hospital of Hubei University of Medicine,located in Qinling-Daba mountainous area between June and September 2023.The basic information and development,demand,and knowledge mastery of aeromedical rescue were investigated.Results A total of 45 medical institutions participated in the research,500 questionnaires were sent out,and 479 valid questionnaires were recovered,with an effective rate of 95.8%.Among them,there were 7 tertiary hospitals,23 secondary hospitals,and 15 township health institutions;11 medical institutions had participated in aeromedical rescue,and 17 hospitals had participated in aerial rescue drills.The survey subjects were mainly from emergency departments and intensive care medicine departments,women,aged>30 and≤40 years old,undergraduate students,intermediate professional titles,and doctors.Twenty-one medical workers had received formal training in aeromedical rescue skills,77 had received short-term theoretical and practical training,123 had participated in short-term simulation exercises,and 93 had participated in aeromedical rescue activities.There was a statistically significant difference among the scores of first aid knowledge,aviation flight knowledge,and aeromedical rescue knowledge(9.34±0.35 vs.4.65±2.91 vs.3.28±3.44;F=15.048,P=0.001).There were statistically significant differences between first aid knowledge and aviation flight knowledge,as well as between first aid knowledge and aeromedical rescue knowledge(P<0.05).There was no statistically significant difference between aviation flight knowledge and aeromedical medical rescue knowledge(P>0.05).Conclusion There is an urgent demand for aviation rescue in medical institutions in Qinling-Daba mountainous area,and there is a shortage of professionals,so it is necessary to streng
作者
柏勇
黄光庆
李虎年
赵旭
郭文萍
BAI Yong;HUANG Guangqing;LI Hunian;ZHAO Xu;GUO Wenping(Department of Intensive Care Unit,Shiyan Renmin Hospital(Renmin Hospital,Hubei University of Medicine),Shiyan,Hubei 442000,P.R.China;Department of Emergency,Shiyan Renmin Hospital(Renmin Hospital,Hubei University of Medicine),Shiyan,Hubei 442000,P.R.China;Department of Aeromedical Rescue,Renmin Hospital,Hubei University of Medicine,Shiyan,Hubei 442000,P.R.China)
出处
《华西医学》
CAS
2024年第9期1465-1469,共5页
West China Medical Journal
基金
湖北省教育厅科学技术研究项目(B2020103)。
关键词
秦巴山区
医疗机构
航空医学救援
调查分析
Qinling-Daba mountainous area
medical institutions
aeromedical rescue
investigation and analysis
