CAJ | 학술논문

目的对9231例院间转诊患儿的准备时间进行分析,以此来探讨我国院间转诊模式是否及时、快速、有效,以便进一步针对影响准备时间的因素提出有效的改进措施.方法采用横断面研究的方法,收集9231例院间转诊患儿的性别、年龄、接电话时间、准备时间等基本资料,采用SPSS 18.0进行频数分析、x2检验、Wilcoxon秩和检验和Kruskal-Wallis检验.结果本次研究的9231例院间转诊患儿的男女性别比为2.24:1,以新生儿和婴儿为主.准备时间的中位数和四分位间距为30 min(20～50 min).不同年龄、转诊时间、转诊往返路程、年份和季节对转诊过程中的准备时间有影响,经统计学分析差异具有统计学意义(P＜0.01).结论本院自开展院间转诊重症患儿以来,随着技术条件和管理机制的改善,准备时间明显缩短,但还存在很大的缩短空间.
목적 대9231례원간전진환인적준비시간진행분석,이차래탐토아국원간전진모식시부급시、쾌속、유효,이편진일보침대영향준비시간적인소제출유효적개진조시.방법 채용횡단면연구적방법,수집9231례원간전진환인적성별、년령、접전화시간、준비시간등기본자료,채용SPSS 18.0진행빈수분석、x2검험、Wilcoxon질화검험화Kruskal-Wallis검험.결과 본차연구적9231례원간전진환인적남녀성별비위2.24:1,이신생인화영인위주.준비시간적중위수화사분위간거위30 min(20～50 min).불동년령、전진시간、전진왕반로정、년빈화계절대전진과정중적준비시간유영향,경통계학분석차이구유통계학의의(P＜0.01).결론 본원자개전원간전진중증환인이래,수착기술조건화관리궤제적개선,준비시간명현축단,단환존재흔대적축단공간.
Objective To evaluate the mode of referral by response time for inter-hospital transfer of critically ill pediatric patients,and subsequently some measures taken for minimizing the response time in referral process.Methods A total of 9231 patients (≤14 years) transferred from primary hospital were included in a cross-section study.Information about age,sex,referral radius,the seasonal variation for inter-hospital transport of critically ill pediatric patients,time of referral telephone call and response time were collected.All computations were performed using the Statistic Package for Social Sciences for Windows version 18.0.Differences between groups were assessed by x2 tests or Wilcoxon test or Kruskal-Wallis for categorical data.Results Among all critically ill pediatric patients for the inter-hospital transfer,male to female ratio was 2.24:1,and the majority of patients were neonates and infants.Median retrieval mobilization time was 30 min (interquartile range,20-50 min).This study has demonstrated that referral time,age categories,referral radius,different years and seasons were associated with response time.Conclusions With the improvement of technologies and management mechanism,the response time was apparently minimized since the beginning of interhospital transportation.But there is still plenty of room for shortening rsponse time compared with advanced Westem countries.