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为灾民提供远程护理:引入灾难中护理干预可能性的模拟研究。

Providing telenursing care for victims: a simulated study for introducing of possibility nursing interventions in disasters.

机构信息

Student Research Committee, Kerman University of Medical Sciences, Kerman, Iran.

Health in Disasters and Emergencies Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

BMC Med Inform Decis Mak. 2022 Mar 2;22(1):54. doi: 10.1186/s12911-022-01792-y.

Abstract

INTRODUCTION

Uncertainty occurrence of disasters requires special attention and a shortage of health care specialists is a challenge for health care systems; therefore, the use of telenursing care during a disaster is an appropriate way to provide care. This study aimed to investigate telenursing operational possibilities in disasters.

METHODS

A cross-sectional study was performed by implementing a functional exercise (Drill) for the possibility of nursing interventions in the response phase to disasters at Kerman University of Medical Sciences in 2021. Two evaluators examined and scored the possibility of providing telenursing care using a researcher-made checklist and we surveyed Inter-rater agreement between two evaluators by Cohen's kappa coefficient. Data were analyzed using descriptive tests and SPSS 20 software.

RESULTS

Findings showed that implementation of telenursing care would be helpful in future disasters. The scores received from assessment of the evaluation checklist for this simulated exercise program by the first evaluator was 83.25 and for the second evaluator was 72.00. The results of the study showed that the mean score of the possibility of telenursing in disasters was at a high level 77.50. Thus, the quality of the telenursing care in simulated conditions was satisfactory.

CONCLUSION

Today, disaster management is almost impossible without using new technologies. This study found that due to the lack of specialized nursing staff in the deprived areas affected by disasters, the most important way to provide health care for a large group of the population is to develop effective health services so that everyone can use these services equally and fairly.

摘要

简介

灾害发生的不确定性需要特别关注,而医疗保健专家的短缺是医疗保健系统面临的挑战;因此,在灾害期间使用远程护理是提供护理的一种合适方式。本研究旨在调查灾害期间远程护理的运作可能性。

方法

2021 年,在克尔曼医科大学进行了一项横断面研究,通过实施一项功能性演习(演练),调查在灾害应对阶段护理干预的可能性。两名评估员使用研究者制定的检查表检查和评分远程护理的可能性,并通过 Cohen's kappa 系数调查两名评估员之间的 Inter-rater 一致性。使用描述性测试和 SPSS 20 软件对数据进行分析。

结果

研究结果表明,在未来的灾害中实施远程护理将是有帮助的。第一位评估员对该模拟演习方案评估检查表的评分得分为 83.25,第二位评估员的得分为 72.00。研究结果表明,灾难中远程护理可能性的平均得分为 77.50,处于较高水平。因此,模拟条件下远程护理的质量令人满意。

结论

如今,没有新技术的参与,灾难管理几乎是不可能的。本研究发现,由于受灾贫困地区缺乏专业护理人员,为大量人口提供医疗保健的最重要方式是开发有效的卫生服务,以便每个人都能平等、公正地使用这些服务。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc6c/8889689/238a59183dde/12911_2022_1792_Fig1_HTML.jpg

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