從金秀縣醫(yī)療衛(wèi)生調(diào)查窺見農(nóng)村地區(qū)燒傷快速反應(yīng)機制的現(xiàn)狀與對策

摘要： 目的:通過研究金秀瑤族自治縣燒傷快速反應(yīng)機制所存在的問題,提高我國農(nóng)村地區(qū)整體燒傷防治水平。方法:采用問卷調(diào)查方式,由調(diào)查員統(tǒng)一發(fā)放填寫,然后將調(diào)查表匯總統(tǒng)計并分析。結(jié)果:廣西壯族自治區(qū)金秀瑤族自治縣交通不便,消防知識認(rèn)識不到位,醫(yī)務(wù)人員缺乏燒傷的急救與后送知識;96.3%以上患者對醫(yī)療條件不滿意;在對各級醫(yī)師關(guān)于燒傷急救與后送的調(diào)查中,有83%的醫(yī)師缺乏正確的急救與后送治療經(jīng)驗,其中鄉(xiāng)村醫(yī)師高達100%,不及格者高達67%。結(jié)論:在廣大農(nóng)村地區(qū)完善燒傷監(jiān)控體系,建立統(tǒng)一協(xié)調(diào)、分工明確的燒傷快速反應(yīng)機制,保證快速反應(yīng),提高預(yù)警能力,建立包括救護、消防、傷員運送等各部門在內(nèi)的處理緊急事故一體化機制和體系勢在必行。
Objective:To investigate the problems of mechanism of rapid reaction to burns in Jinxiu County and to discuss the solutions of the problems so as to make the overall level up in burn prevention and treatment in rural area. Method:Questionnaire investigation was conducted by investigators with uniform questionnaire forms.And then filled questionnaire forms were collected,summarized and statistically analyzed.Results:Since the County located in the place with inconvenient transportation,medical staff had lack of the knowledge about burn treatment,including first aid and patient transferring.More than 96.3%of patients were unsatisfied with local medical conditions.The survey showed that 83%of investigated doctors,among whom 100%of rural doctors,had lack of the correct experiences of first aid and patient transferring;67%of rural doctors failed if the investigation as an exam.Conclusion:It is very necessary to establish an improved burn monitoring system in rural area,which should be a system having a capacity of unified coordination and having clear division of burn rapid response mechanism so as to ensure rapid response and improve precaution capacities, and to build integration mechanism including several departments such as hospital,fire brigade and traffic etc.for emergency disaster.