艾滋病院前急救和转运流程的建立与循证医学的应用

Establishment of Pre-Hospital First Aid and Transfer Procedures for AIDS and Application of Evidence-Based Medicine

目的:探讨循证医学在艾滋病院前急救和转运流程建立的应用。方法:通过调查采集有关艾滋病院前急救和转运的相关资料,确定存在的问题,建立艾滋病院前急救和转运的基本流程,依据循证医学的方法,对流程进行综合评估、优化流程及流程再造。临床资料分为观察组与对照组,两组进行比较。结果:采用循证方法流程管理前后,危重患者抢救成功率、职业暴露发生及暴露后处理合格率、医护人员防护依从执行率、细菌学检测合格率等各项监测指标相比较,差异有统计学意义。结论:应用循证医学方法,建立健全艾滋病院前急救和转运流程,使传染病院前急救和转运工作更加科学、规范、安全。

Objective: To explore the application of evidence-based medicine in the establishment of pre-hospital first aid and transfer procedures for AIDS. Methods: Through the investigation and collection of relevant information about pre-hospital emergency treatment and transfer of AIDS, the existing problems were identified, and the basic process of pre-hospital emergency treatment and transfer of AIDS was established. According to the method of evidence-based medicine, the process was comprehensively evaluated, optimized and reengineered. The clinical data were divided into observation group and control group, and the two groups were compared. Results: Before and after the adoption of evidence-based process management, there were statistically significant differences in the rescue success rate of critical patients, occupational exposure occurrence and post exposure treatment qualification rate, medical staff protection compliance implementation rate, bacteriological detection qualification rate and other monitoring indicators. Conclusion: Using evidence-based medicine to establish and improve the pre-hospital first aid and transfer procedures for AIDS, so as to make the pre-hospital first aid and transfer of infectious diseases more scientific, standardized and safe..