在医院前急诊患者中对脆弱性状况和相关影响因素的全面分析:单中心描述性横截面研究
Jiange Zhang1,2, Ning Ding1, Xue Cao3
1Department of Emergency, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, People's Hospital of Henan University, Zhengzhou, China.
Frontiers in public health
|March 15, 2024
概括
中国的医院前急诊患者表现出低至中度的脆弱性. 老年,严重疾病,循环系统疾病和慢性疾病增加了患者在紧急护理中的脆弱性.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健研究 医疗保健研究
- 患者安全 患者安全
背景情况:
- 医院前紧急护理是一个至关重要的,但研究不足的领域.
- 患者的脆弱性显著影响在紧急情况下的结果.
- 了解脆弱性因素对于改善医院前护理至关重要.
研究的目的:
- 评估中国医院前急诊患者的脆弱性状况.
- 确定与患者在医院前环境中的脆弱性相关的因素.
主要方法:
- 在中国进行的截面研究 (2023年4月至7月).
- 使用医院前紧急护理指数 (SPECI) 的安全度量表来评估脆弱性.
- 通过问卷收集人口和疾病数据;使用t测试,ANOVA和多重线性回归分析.
主要成果:
- 包括973名患者;平均SPECI得分为14.46 (弱度低至中等).
- 与年龄较大 (≥60岁) 相关的脆弱性,严重疾病,循环系统疾病,意识改变和慢性疾病.
- 消化系统疾病与脆弱性有负相关性.
结论:
- 患者在医院前护理中的脆弱性需要有针对性的干预措施.
- 缓解策略包括为EMS提供者提供量身定制的培训和跨学科的合作.
- 需要特别注意老年患者和患有严重疾病的患者.
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