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目的 :调查医院急诊医护人员对实施突发事件监测的意识 ,为寻找合理的监测指标、建立突发事件监测系统提供科学依据。 方法 :选取北京某区医院为研究现场 ,对该区所有二、三级医院的部分急诊医护人员进行问卷调查。 结果 :97.3%(2 91 / 2 99)的医护人员认为有必要监测 ,其中 81 .4 % (2 37/ 2 91 )认为有在门急诊同时建立监测的必要性。 Kruskal- Wallis H检验显示在北京该区所有二、三级医院医护人员关于发热等 9项症状的日常监测预警例数均有显著差异 (P<0 .0 0 0 1 ) ;三级医院及二级医院范围内各院医护人员对于上述问题的回答均有显著差异 (P<0 .0 0 0 1 )。 结论 :SARS暴发后 ,医院急诊医护人员普遍存在对突发事件的监测意识。症状监测要根据各地区各医院的实际情况 ,结合病例数、病情严重程度及其他伴随症状判定和实施
OBJECTIVE: To investigate the awareness of emergency medical staff in hospital on the implementation of emergency monitoring and provide scientific basis for finding reasonable monitoring indicators and establishing emergency monitoring system. Methods: A hospital in a district of Beijing was selected as the research site to conduct a questionnaire survey on some emergency medical staff in all secondary and tertiary hospitals in the district. Results: 97.3% (2 91/299) of the medical staff considered it necessary to monitor. Among them, 81 .4% (2 37/291) considered that there was a need for simultaneous monitoring in both outpatient and emergency department. The Kruskal-Wallis H test showed that there were significant differences (P <0.01) in the daily monitoring and early warning numbers of all the 9 medical and nursing staff in secondary and tertiary hospitals in Beijing in terms of fever. Grade 3 hospitals and secondary hospitals Hospital-level hospitals within the hospital staff to answer the above questions were significantly different (P <0.0001). Conclusion: After the outbreak of SARS, there is a general awareness of emergency monitoring in hospital emergency medical staff. Symptom monitoring according to the actual situation in various hospitals in all regions, combined with the number of cases, the severity of the disease and other symptoms associated with the judgment and implementation