Introduction: Like healthcare workers, medical students are also exposed to a risk of accidental contamination during their hospital internships. However, they do not benefit from prevention services in the same way a...Introduction: Like healthcare workers, medical students are also exposed to a risk of accidental contamination during their hospital internships. However, they do not benefit from prevention services in the same way as workers in this sector, although they actively participate in the routine care provided to patients in the various hospital departments. The objective of our study is to determine the incidence of these accidents and their medical and administrative management among these victims (medical students) not classified in the category of workers. Materials and Method: This was a cross-sectional study carried out over three months from January 15 to March 14, 2023. The study population consisted of all medical students at the Faculty of Health Sciences at the University of Bangui. Regularly enrolled students from 2nd to 7th year, on placement in hospitals in the Central African Republic and who gave their informed consent were included. Data were collected through a self-administered questionnaire. Results: A cross-sectional study was carried out among medical students concerning the incidence and management of accidents involving exposure to blood in the Central African Republic. Of the 254 students included, three (9%) had already been correctly vaccinated against the viral hepatitis B virus, 198 (77.9%) reported still having access to personal protective equipment, 133 students (52.4%) reported being victims of OBE in the past 12 months. The main types of OBE were stings (62%), followed by liquid splashes (32%) and cuts (6%). Among the 133 victims, 92.9% carried out immediate hand disinfection or abundant eye washing, 41.9% obtained the serology of the source patient and 37% reported the accident to their supervisor. Conclusion: It is important that students benefit from better prevention and management of these accidents.展开更多
目的基于急性缺血性脑卒中患者发病就医轨迹视角分析并阐明急性缺血性脑卒中患者就医延迟的概念内涵,为相关研究提供理论依据。方法运用Rodgers演化概念分析法分析Cochrane Library、CINAHL、PubMed、Embase、Web of Science、Psyc INF...目的基于急性缺血性脑卒中患者发病就医轨迹视角分析并阐明急性缺血性脑卒中患者就医延迟的概念内涵,为相关研究提供理论依据。方法运用Rodgers演化概念分析法分析Cochrane Library、CINAHL、PubMed、Embase、Web of Science、Psyc INFO、中国知网、万方数据知识服务平台、维普中文科技期刊数据库等建库至2023年5月6日关于急性缺血性脑卒中患者就医延迟的相关文献。结果急性缺血性脑卒中患者发病就医过程经历了院前和院内两个阶段,就医延迟的相关因素包括院前延迟、院内延迟两部分,院前延迟分为患者延迟和转运延迟,患者延迟的相关因素有知识缺乏、社会支持不足、经济条件制约、身心感知差异;转运延迟的相关因素有交通堵塞、就医方式不当、首诊医院、紧急医疗服务反应不良;院内延迟的相关因素有医疗机构诊疗水平、医疗机构管理制度、医患关系等。就医延迟的4个概念属性即院前延迟严重、治疗时间不足、不良预后、病耻感强烈。结论界定急性缺血性脑卒中患者就医延迟的概念,有助于医护人员开展相关理论研究,编制相关适用的测评量表,实施针对性干预措施,降低急性缺血性脑卒中患者就医延迟的发生率,改善患者预后。展开更多
目的分析并阐述急性缺血性脑卒中就医延迟的概念内涵。方法系统检索中国知网、万方、维普、CBM、Pubmed、Web of Science、CINAHL、Embase等数据库。检索时限为建库至2023年4月。应用Rodgers演化概念分析法对纳入文献进行分析。结果急...目的分析并阐述急性缺血性脑卒中就医延迟的概念内涵。方法系统检索中国知网、万方、维普、CBM、Pubmed、Web of Science、CINAHL、Embase等数据库。检索时限为建库至2023年4月。应用Rodgers演化概念分析法对纳入文献进行分析。结果急性缺血性脑卒中就医延迟包括:就医过程时间依赖性、就医决策态度倾向性和健康信念行为转化不适当性等3个概念属性。先决条件涉及患者、家庭及社会、医院层面;结果关注并发症的增加、预后及生活质量、家庭负担和医疗资源浪费等。结论通过概念分析明确了急性缺血性脑卒中就医延迟的概念属性。未来研究者可在完善院内外卒中救治体系的环境下,重视社会支持,以此提高患者自我效能,改善健康信念,增强就医行为意图,并对急性缺血性脑卒中就医延迟行为进行更为全面、深入的了解。展开更多
文摘Introduction: Like healthcare workers, medical students are also exposed to a risk of accidental contamination during their hospital internships. However, they do not benefit from prevention services in the same way as workers in this sector, although they actively participate in the routine care provided to patients in the various hospital departments. The objective of our study is to determine the incidence of these accidents and their medical and administrative management among these victims (medical students) not classified in the category of workers. Materials and Method: This was a cross-sectional study carried out over three months from January 15 to March 14, 2023. The study population consisted of all medical students at the Faculty of Health Sciences at the University of Bangui. Regularly enrolled students from 2nd to 7th year, on placement in hospitals in the Central African Republic and who gave their informed consent were included. Data were collected through a self-administered questionnaire. Results: A cross-sectional study was carried out among medical students concerning the incidence and management of accidents involving exposure to blood in the Central African Republic. Of the 254 students included, three (9%) had already been correctly vaccinated against the viral hepatitis B virus, 198 (77.9%) reported still having access to personal protective equipment, 133 students (52.4%) reported being victims of OBE in the past 12 months. The main types of OBE were stings (62%), followed by liquid splashes (32%) and cuts (6%). Among the 133 victims, 92.9% carried out immediate hand disinfection or abundant eye washing, 41.9% obtained the serology of the source patient and 37% reported the accident to their supervisor. Conclusion: It is important that students benefit from better prevention and management of these accidents.
文摘目的基于急性缺血性脑卒中患者发病就医轨迹视角分析并阐明急性缺血性脑卒中患者就医延迟的概念内涵,为相关研究提供理论依据。方法运用Rodgers演化概念分析法分析Cochrane Library、CINAHL、PubMed、Embase、Web of Science、Psyc INFO、中国知网、万方数据知识服务平台、维普中文科技期刊数据库等建库至2023年5月6日关于急性缺血性脑卒中患者就医延迟的相关文献。结果急性缺血性脑卒中患者发病就医过程经历了院前和院内两个阶段,就医延迟的相关因素包括院前延迟、院内延迟两部分,院前延迟分为患者延迟和转运延迟,患者延迟的相关因素有知识缺乏、社会支持不足、经济条件制约、身心感知差异;转运延迟的相关因素有交通堵塞、就医方式不当、首诊医院、紧急医疗服务反应不良;院内延迟的相关因素有医疗机构诊疗水平、医疗机构管理制度、医患关系等。就医延迟的4个概念属性即院前延迟严重、治疗时间不足、不良预后、病耻感强烈。结论界定急性缺血性脑卒中患者就医延迟的概念,有助于医护人员开展相关理论研究,编制相关适用的测评量表,实施针对性干预措施,降低急性缺血性脑卒中患者就医延迟的发生率,改善患者预后。
文摘目的分析并阐述急性缺血性脑卒中就医延迟的概念内涵。方法系统检索中国知网、万方、维普、CBM、Pubmed、Web of Science、CINAHL、Embase等数据库。检索时限为建库至2023年4月。应用Rodgers演化概念分析法对纳入文献进行分析。结果急性缺血性脑卒中就医延迟包括:就医过程时间依赖性、就医决策态度倾向性和健康信念行为转化不适当性等3个概念属性。先决条件涉及患者、家庭及社会、医院层面;结果关注并发症的增加、预后及生活质量、家庭负担和医疗资源浪费等。结论通过概念分析明确了急性缺血性脑卒中就医延迟的概念属性。未来研究者可在完善院内外卒中救治体系的环境下,重视社会支持,以此提高患者自我效能,改善健康信念,增强就医行为意图,并对急性缺血性脑卒中就医延迟行为进行更为全面、深入的了解。
