Kalhor Rohollah, Keshavarz Mohamadi Nastaran, Khalesi Nader, Jafari Mehdi
Department of Health Services Management, Iran University of Medical Sciences, Tehran, IR Iran.
School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.
Iran Red Crescent Med J. 2016 Feb 14;18(5):e23075. doi: 10.5812/ircmj.23075. eCollection 2016 May.
Surgery is an essential component of health care, yet it has usually been overlooked in public health across the world.
This study aimed to perform a situational analysis of essential surgical care management at district hospitals in Iran.
This research was a descriptive and cross-sectional study performed at 42 first-referral district hospitals of Iran in 2013. The World Health Organization (WHO) Tool for the situational analysis of emergency and essential care was used for data collection in four domains of facilities and equipment, human resources, surgical interventions, and infrastructure. Data analysis was conducted using simple descriptive statistical methods.
In this study, 100% of the studied hospitals had oxygen cylinders, running water, electricity, anesthesia machines, emergency departments, archives of medical records, and X-ray machines. In 100% of the surveyed hospitals, specialists in surgery, anesthesia, and obstetrics and gynecology were available as full-time staff. Life-saving procedures were performed in the majority of the hospitals. Among urgent procedures, neonatal surgeries were conducted in 14.3% of the hospitals. Regarding non-urgent procedures, acute burn management was conducted in 38.1% of the hospitals. Also, a few other procedures such as cricothyrotomy and foreign body removal were performed in 85.7% of the hospitals.
The results indicated that suitable facilities and equipment, human resources, and infrastructure were available in the district hospitals in Iran. These findings showed that there is potential for the district hospitals to provide care in a wider spectrum.
手术是医疗保健的重要组成部分，但在全球公共卫生领域通常被忽视。
本研究旨在对伊朗地区医院的基本外科护理管理进行现状分析。
本研究为描述性横断面研究，于2013年在伊朗42家一级转诊地区医院开展。采用世界卫生组织（WHO）的急诊与基本护理现状分析工具，在设施与设备、人力资源、外科手术干预及基础设施四个领域收集数据。数据分析采用简单描述性统计方法。
本研究中，100%的被研究医院配备了氧气瓶、自来水、电力、麻醉机、急诊科、病历档案和X光机。100%的被调查医院有外科、麻醉科以及妇产科的专科医生作为全职工作人员。大多数医院都开展了挽救生命的手术。在紧急手术中，14.3%的医院进行了新生儿手术。在非紧急手术方面，38.1%的医院开展了急性烧伤处理。此外，85.7%的医院还进行了一些其他手术，如环甲膜切开术和异物取出术。
结果表明，伊朗地区医院具备合适的设施与设备、人力资源及基础设施。这些发现表明，地区医院有潜力提供更广泛的护理服务。
