查詢結果分析
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頁籤選單縮合
題 名 | 未完成就醫程序提早離開急診之病患=Patients Who Leave Emergency Departments Prematurely |
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作 者 | 廖訓禎; 胡百敏; 廖浩欽; | 書刊名 | 中華民國急診醫學會醫誌 |
卷 期 | 4:2 2002.06[民91.06] |
頁 次 | 頁40-50 |
分類號 | 419.47 |
關鍵詞 | 未完成急診就醫程序; 急診部門; 自動出院; 自行離院; ED leave prematurely; Non-critical AAD; Leaving without being seen; Escape; |
語 文 | 中文(Chinese) |
中文摘要 | 未完成就醫程序而提鬦離開急診之病患包含了告知醫療人員的自動出院與未告知醫療人員的自行離院兩大類,前者又可分為非病危與病危自動出院,後者則分為未經診視及診視後自行離院。國外研究發現此類病患在個人特質與就醫情況上具有某些共通點,顯示此類行為之發生受節病患與環境雙重相關因素之的。臺灣地區對此類現象僅有少數相關研究報告,而外研究亦極少提及因病危、無床或轉院之自動出院及診視後自行離院,但我們的臨床經驗卻發此類病患並不少,顯示本國之醫療環境及病患就醫行為傾向與國外有差異。 |
英文摘要 | Background and objective:Workers in an Emergency Department (ED) are reputed to have a higher risk of becoming infected with tuberculosis (TB). This study was carried out to obtain epidemiological data on TB among nurses of TCVGH. This was then used to develop strategies to prevent TB infection in this group and allow an estimation of the relative risk of TB infection among nurses working in an ED versus nurses working in other environments at TCVGH. Subject and Methods:The study design was a cross sectional study. Their chest x ray (CXR) reports and TB status in 1998 were collected form their routine physical checkups and chart records. The exposure of the nurses to risk factors for TB infection were collected by a structure questionnaire. This asked for the basic data, whether they had cared for TB patients while working at other hospitals and their smoking habits. Results: Compared with non-ED nurses, ED nurses had a higher prevalence of active pulmonary TB, a higher prevalence of CXR detectable pulmonary TB. By multiple logistic regression analysis, the odds ratio of CXR detectable pulmonary TB for nurses with versus nurses without working exposure to ED was 2.59 (p=0.037, 95% CI=【1.06, 6.34】). Conclusion(1) In TCVGH, compared with non-ED nurses, ED nurses had a higher risk of pulmonary TB. (2) It is clear that it is necessary that continual monitoring of this high-risk professional group for pulmonary TB be carried out. |
本系統中英文摘要資訊取自各篇刊載內容。