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间歇性抵达西班牙南部海岸的移民的院前救护分析。

Analysis of Prehospital Care of Migrants Who Arrive Intermittently at the Coasts of Southern Spain.

机构信息

Centro Universitario de Enfermería de la Cruz Roja, Universidad de Sevilla, 41009 Sevilla, Spain.

Servicios de Asistencia Médica de Urgencias (SAMU), 29006 Málaga, Spain.

出版信息

Int J Environ Res Public Health. 2020 Mar 17;17(6):1964. doi: 10.3390/ijerph17061964.

Abstract

: The aim of this study is to identify the sociodemographic characteristics and the most frequent diseases and nursing interventions carried out on migrants arriving by sea at southern Spain. : Cross-sectional, descriptive, and retrospective study based on the database of the Spanish Red Cross Intervention Activation System. All migrants who arrived on the coasts of a southern province during 2016 and were assisted by the Red Cross were included. : A total of 2027 people were registered, mostly males, aged between 18 and 40 years. Of these, 4.9% required healthcare, and 2.9% were referred to hospital. Highlighted diagnoses were headaches (15.6%), pregnancy (12.8%), and lower-limb wounds (6.4%), and outstanding nursing interventions were "care of wounds" (24.7%), "pain management" (21.9%), and "prenatal care" (15.2%). Statistically significant relationships were found between the diagnosed diseases and gender, geographic area of origin, and seasonal time of the year, as well as between nursing interventions performed and those three variables. : Although in general, a good health condition was observed in most of the migrants treated, the most frequent health situations attended were related to dermatological, gynecological, and headache problems. The most performed nursing interventions were related to skin/wound care and promotion of physical comfort, requiring a low need for hospital transfers. Female gender, origin from sub-Saharan Africa and arrival in the summer period carry a greater risk of suffering health problems when migrants reach Spanish coasts.

摘要

本研究旨在确定抵达西班牙南部的海上移民的社会人口学特征、最常见疾病和护理干预措施。

这是一项基于西班牙红十字会干预激活系统数据库的横断面、描述性和回顾性研究。所有 2016 年在南部省份沿海地区抵达并由红十字会协助的移民都包括在内。

共登记了 2027 人,大多数是男性,年龄在 18 至 40 岁之间。其中,4.9%需要医疗保健,2.9%被转介到医院。突出的诊断包括头痛(15.6%)、怀孕(12.8%)和下肢伤口(6.4%),突出的护理干预措施是“伤口护理”(24.7%)、“疼痛管理”(21.9%)和“产前护理”(15.2%)。所诊断疾病与性别、原籍地理区域和一年中的季节性时间之间以及所实施护理干预措施与这三个变量之间存在显著的统计学关系。

尽管大多数接受治疗的移民总体健康状况良好,但所关注的最常见健康状况与皮肤科、妇科和头痛问题有关。最常进行的护理干预措施与皮肤/伤口护理和促进身体舒适有关,需要转院的需求较低。女性、来自撒哈拉以南非洲的原籍国和夏季抵达西班牙沿海地区的移民面临更大的健康问题风险。

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