摘要
目的针对西藏高原环境的特殊性,调查伤病员低体温转运评估处置现状,为西藏高原低体温伤病员的管理提供参考。方法2021年6月采用分层抽样与便利抽样结合的方法,选取军队医院、卫生连、前伸医疗队/手术队的护士长、护士、医师、卫生员共122名参与调查。问卷的主要框架是围绕医护人员对低体温伤病员的管理重视程度、低体温管理装备及装备使用情况进行构建。结果36.89%的医护人员认为低体温是36℃;19.67%的医护人员会测量伤病员的耳温;56.56%的医护人员会对收缩压<90mmHg的伤病员进行体温监测;分别有40.16%、45.08%、35.32%的医护人员会使用加温输液、电热毯、升温毯对高原低体温伤病员进行复温;目前复温设备存在的不足主要是71.31%的人员认为携带不方便、58.20%的人员认为设备不能调节温度、58.20%的人员认为转运途中能源供应不足;82.79%和71.31%的医护人员建议采用蓄电池和太阳能作为高原复温装置的能源供给。结论西藏高原伤病员低体温的评估、监测、复温情况均不容乐观,管理者应积极引进有效的复温装备,并开展针对低体温相关知识的培训,以便提高相关卫生人员的高原低体温认知水平和低体温复温装备的使用能力,完善西藏高原伤病员救治时的低体温管理。
Objective To investigate the status quo of hypothermia transport,evaluation and disposal of patients in Tibet plateau,and to provide reference for the management of hypothermia patients in Tibet plateau.Methods In Jun.2021,122 head nurses,nurses,doctors and hygienists from military hospitals,health companies and forward extension medical teams/surgical teams were selected to participate in the survey by stratified sampling and convenience sampling.The main framework of the questionnaire was constructed around the importance of medical staff to the management of hypothermia patients and the use of hypothermia management equipment.Results Totally 36.89%of the medical staff thought the hypothermia was 36℃,19.67%of medical staff would measure the patients’ear temperature;56.56%of medical staff would monitor the body temperature of patients with blood pressure mmHg;40.16%,45.08%and 35.32%of medical staff used warm infusion,electric blanket and heating blanket to rewarm patients with hypothermia at high altitude,respectively.At present,the deficiencies of the reheating equipment were mainly as follows:71.31%of the staff thought it was inconvenient to carry,58.20%of the staff thought that the equipment cannot adjust the temperature,and 58.20%of the staff thought that the energy supply was insufficient in the transit.Totally 82.79%and 71.31%of medical staff suggested using battery and solar energy as energy supply for the plateau reheating device.Conclusion The evaluation,monitoring and thawing situation are not optimistic for patients with low temperature in Tibetan plateau.Managers should actively introduce effective rewarming equipment,and carry out training on knowledge related to hypothermia,so as to improve the awareness of plateau hypothermia and the ability to use hypothermic rewarming equipment of relevant health personnel,and improve the management ability of hypothermia for patients in Tibet plateau.
作者
解雨
李春梅
贺小丽
罗艳
王艳
王亚玲
Xie Yu;Li Chunmei;He Xiaoli;Luo Yan;Wang Yan;Wang Yaling(State Key Laboratory of Trauma,Burns and Combined Injuries,Medical Center of Trauma and War Injury,Daping Hospital,Army Medical University,Chongqing 400042,China;Department of Nursing,Daping Hospital,Army Medical University,Chongqing 400042,China)
出处
《创伤外科杂志》
2022年第9期650-653,664,共5页
Journal of Traumatic Surgery
基金
陆军后勤专项一般项目(2019HQZX14)。
关键词
高原
低体温
评估
监测
复温
plateau
hypothermia
assessment
measurement
rewarming
