Shupyk National Healthcare University of Ukraine, Department of Disaster Medicine and Military Medical Training, Kyiv, 04112Ukraine.
Prehosp Disaster Med. 2023 Dec;38(6):807-812. doi: 10.1017/S1049023X23006398. Epub 2023 Sep 29.
The Russian invasion of Ukraine in 2022 has affected more people and destroyed a local public health facility. When some territories in Ukraine were de-occupied, national and international mobile clinics (MCs) were involved for medical assistance to local inhabitants. Knowledge about population health, medical, and humanitarian needs after they have been de-occupied has to improve planning for health system response.
The aim of this study was to summarized the MC experience at the first month after the area was de-occupied, as well as to show out-patient visits and to identify a need for medicines and medical equipment in the MC.
The information related to the missions was obtained by direct observation and estimation on empirical data gathering in the field during a twelve-day mission in April-May 2022. All patients were divided by age, sex, and diseases according to the International Classification of Diseases-10 (ICD-10). During the twelve-day MC mission, medical assistance was provided for 478 out-patients. Descriptive statistical methods were undertaken using Microsoft Office 2019, Excel with data analysis.
All out-patients were evaluated clinically. Personal medical cards were completed for each patient. Glucose testing as well as tests for coronavirus disease 2019/COVID-19 had been done, if it was necessary. All sick persons were treated for their disease.
The priority needs for emergency and primary medical care, medicines, and hygienic and sanitation supplies after the area was de-occupied were fixed. The most frequent reasons for visiting the МС were: hypertension (27.6%), musculoskeletal-related (arthritis) diseases (26.9%), heart and peripheral vascular diseases (12.1%), upper gastrointestinal disorder (5.4%), upper respiratory infection (5.0%), and diabetes Type-2 (3.7%). Other diagnoses such as lower respiratory tract infection, diagnoses of the digestive system (hemorrhoids and perianal venous thrombosis), chronic obstructive pulmonary disease/COPD or asthma, eye diseases, gynecology-related condition, menstrual condition, and urinary tract disorder were distributed almost equally (0.21%-2.51%) among the patient population.
In the de-occupied territories, a health responder could be ready for medical assistance to patients with noncommunicable diseases (NCDs) as well as to support a person with psychological reactions who asked for sedatives and sleep-inducing medicines. These data clearly demonstrate that MCs must be equipped by blood pressure (BP) monitor, stethoscope, pulse oximeter, and diabetes testing kit glucose with essential medicines. This study improves health response planning for local civilian populations in de-occupied territory.
2022 年俄罗斯对乌克兰的入侵影响了更多的人，并摧毁了当地的公共卫生设施。当乌克兰的一些领土被夺回后，国家和国际流动诊所（MC）参与了对当地居民的医疗援助。了解被占领地区后的人口健康、医疗和人道主义需求，必须改进卫生系统应对规划。
本研究的目的是总结该地区被夺回后第一个月 MC 的经验，展示门诊就诊情况，并确定 MC 中对药品和医疗设备的需求。
通过在 2022 年 4 月至 5 月为期 12 天的实地考察中直接观察和估算获得与任务相关的信息。所有患者均根据国际疾病分类第 10 版（ICD-10）按年龄、性别和疾病进行分类。在为期 12 天的 MC 任务中，为 478 名门诊患者提供了医疗援助。使用 Microsoft Office 2019、Excel 进行数据分析的描述性统计方法。
对所有门诊患者进行临床评估。为每位患者填写个人病历。根据需要，进行血糖检测和 2019 年冠状病毒病/COVID-19 检测。所有患病者均接受疾病治疗。
确定了被占领地区紧急和初级医疗保健、药品以及卫生和环境卫生用品的优先需求。就诊 MC 的最常见原因是：高血压（27.6%）、肌肉骨骼相关（关节炎）疾病（26.9%）、心脏和外周血管疾病（12.1%）、上消化道紊乱（5.4%）、上呼吸道感染（5.0%）和 2 型糖尿病（3.7%）。其他诊断，如下呼吸道感染、消化系统诊断（痔疮和肛周静脉血栓形成）、慢性阻塞性肺病/COPD 或哮喘、眼部疾病、妇科相关疾病、月经状况、尿路感染等，在患者人群中的分布几乎相等（0.21%-2.51%）。
在被占领地区，医疗响应者可以准备好为非传染性疾病（NCDs）患者提供医疗援助，并为有镇静和助眠药物需求的心理反应人员提供支持。这些数据清楚地表明，MC 必须配备血压（BP）监测仪、听诊器、脉搏血氧仪和糖尿病检测试剂盒葡萄糖，以及基本药物。本研究改善了被占领地区当地平民人口的卫生应急规划。
