查詢結果分析
相關文獻
- Feasibility of Identification of Alcohol Intoxication by Nurses in Emergency Departments
- 合金鐵化學成份X-射線螢光分析法之建立
- 富里鄉境內的史前遺址初探
- Does the Catheter-Tip Position in Cardiac Catheterization Affect Assessment of Aortic Valve Stenosis? An in Vitro Study
- Blood Alcohol Concentration among Injured Drivers in Hualien County
- 「酒精濃度測試」不能也不應成為酒醉駕車罪唯一的認定標準
- 花蓮縣山坡地災害原因探討及因應對策
- 花蓮縣國中小校園網路隨選視訊系統之研究
- 模擬定位片與治療前驗證片間照野中心位移量誤差探討
- 花蓮縣政府推動行政資訊化之歷程
頁籤選單縮合
題 名 | Feasibility of Identification of Alcohol Intoxication by Nurses in Emergency Departments=由急診室護理人員偵察酒醉者可行性之評估 |
---|---|
作 者 | 李燕鳴; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 19:8 2003.08[民92.08] |
頁 次 | 頁391-397 |
分類號 | 419.52 |
關鍵詞 | 護理偵察; 酒醉; 準確性; 花蓮縣; Alcohol intoxication; Nurse detection; Accuracy; Hualien county; |
語 文 | 英文(English) |
中文摘要 | 機動車事故傷害是花蓮縣的重要傷亡原因,而酒後駕駛又是導致車禍事故的重要因素。本文研究之目的為藉由血液酒精檢查的結果,以評估護理人員偵察的準確性,而作為高風險群體的界定。共收集了 1997 年 12 月至 1998 年 5 月間,花蓮縣內兩所教學醫院中於急診求診之車禍事故傷者,進行血中酒精濃度檢查,並請護理人員記錄於傷者身上是否聞到酒味;結果發現在 945 位傷者中, 505 位 (53.4%) 呈血液酒精陽性反應,而 320 位 (33.9%) 被記錄有酒味,以血中酒精濃度 > 50 mg/dL 界定有酒味時,護理評估的準確率為 85.0% (95% CI:82.7,87.3),篩檢的敏感度和特異度分別是 75.4% 和 90.4%。男性、原住民和有頭部受傷者有較高比例有酒味,但偵察的準確度在男女、有否頭傷、或駕駛者和乘客間並無統計之差異。建議護理評估是一項可行的偵察飲酒相關事故的方法,所得資料可供傷害防制之策略界定或活動設計的參考 |
英文摘要 | Vehicle-related injuries are the major cause of death and injuries in Hualien County, and driving under the influence of alcohol plays a major role in such crashes. From December 1997 to May 1998, we determined the blood alcohol concentrations (BAC) of injured individuals from vehicle crashes at two emergency departments in Hualien. Nurses were asked to record whether the patient presented with an alcohol odor. The accuracy of detection by nurses was assessed from the BAC and groups with increased prevalence were identified for screening. Of 945 patients assessed, 505 (53.4%) tested positive by BAC and 320 (33.9%) were identified with an alcohol odor. With a BAC threshold of more than 50 mg/dL, detection sensitivity was 75.4%, specificity was 90.4%, and accuracy was 85.0% (95% confidence interval: 82.7, 87.3). Patients with an alcohol odor were significantly more likely to be men, aborigines, or head-injured patients. The accuracy of detection showed no significant difference by gender, head injury, or driver status. We suggest that detection of alcohol odor by nurses may be a feasible assessment of the role of alcohol in road traffic accidents. This may provide essential data for injury prevention strategies and programs. |
本系統中英文摘要資訊取自各篇刊載內容。