نوع مقاله : مقاله پژوهشی
نویسندگان
1 دانشجوی کارشناسی ارشد پرستاری اورژانس، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران
2 دانشیار پرستاری، دانشکده پرستاری مامایی، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران
3 استادیار پرستاری، دانشکده پرستاری، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران
چکیده
زمینه و هدف: طول مدت اقامت بیماران، یکی از مهمترین شاخصهای عملکرد در بخش اورژانس محسوب میشود. مطالعه حاضر با هدف تعیین عوامل تأثیرگذار بر طول زمان بستری در اورژانس و بیمارستان در تصادفات جرحی موتورسیکلتسواران غرب استان خراسان رضوی در سال 1402 انجام شده است.
مواد و روشها: این مطالعه از نوع توصیفی-تحلیلی است که جامعه آماری آن را گروهی از بیماران ناشی از تصادفات جرحی موتورسیکلتسواران غرب استان خراسان رضوی تشکیل میدهند که در بازه زمانی شش ماهه اول سال 1402به مرکز آموزشی، پژوهشی و درمانی شهید بهشتی سبزوار مراجعه کردهاند. 244 نفر به روش نمونهگیری در دسترس انتخاب شدند. ابزار گردآوری دادهها، چک لیست محققساخته بود. دادههای جمعآوریشده در نرمافزار آماری Stata 17 تحلیل شد.
یافتهها: میانگین سنی مصدومین مورد مطالعه 19/17 ± 04/29 سال بود. 220 نفر (90%) از افراد مورد مطالعه مرد و 24 نفر (10%) زن بودند. میانگین طول مدت زمان اقامت در اورژانس و بیمارستان به ترتیب 9/103 ± 3/152 دقیقه بود. 8/1 ± 6/2 روز بود. بین مدت اقامت در بیمارستان و نیاز به عمل جراحی (P=0.001). طول مدت اقامت در اورژانس با ضربه سر (P=0.009) و داشتن تروماهای متعدد (P=0.002) ارتباط آماری معنیداری مشاهده شد.
نتیجهگیری: با توجه به یافتههای پژوهش، بهبود فرایندهای تشخیصی و درمانی، تسریع در انجام مشاورهها و مداخلات تخصصی و همچنین توجه ویژه به بیماران دچار آسیبهای شدید و چندگانه، میتواند در کاهش مدت بستری و استفاده بهینه از منابع بیمارستانی مؤثر باشد.
تازه های تحقیق
https://scholar.google.com/citations?hl=en&user=oa5EBd8AAAAJ
https://pubmed.ncbi.nlm.nih.gov/?term=sohaila+hossinpour
https://scholar.google.com/citations?hl=en&user=oFoWVO4AAAAJ
https://pubmed.ncbi.nlm.nih.gov/?term=mojgan+ansari
https://scholar.google.com/citations?hl=en&user=oa5EBd8AAAAJ
https://search.eitaa.com/?url=https://www.ncbi.nlm.nih.gov/myncbi
کلیدواژهها
موضوعات
عنوان مقاله [English]
Factors Affecting Length of Stay in the Emergency Department and Hospital Among Injured Motorcyclists in the West of Razavi Khorasan Province
نویسندگان [English]
- Sohila Hossin poor 1
- Mojgan Ansari 2
- Samira Foji 3
1 Master’s student of Emergency Nursing, School of Nursing, Sabzevar University of Medical Sciences, Sabzevar, Iran
2 Associate Professor of Nursing, School of Nursing, Sabzevar University of Medical Sciences, Sabzevar, Iran
3 Assistant Professor of Nursing, School of Nursing, Sabzevar University of Medical Sciences, Sabzevar, Iran
چکیده [English]
Background and Objective: Length of stay (LOS) is considered one of the most important performance indicators in emergency departments. Therefore, this study aimed to determine the factors affecting LOS in the emergency department and hospital among injured motorcyclists in the west of Razavi Khorasan Province, Iran, in 2023.
Materials and Methods: This descriptive-analytical study was conducted among patients injured in motorcycle-related traffic accidents who were admitted to Shahid Beheshti Educational, Research, and Treatment Center in Sabzevar during the first six months of 2023. A total of 244 patients were selected through convenience sampling. Analyzed in Stata version 17, relevant data were collected using a researcher-developed checklist.
Results: The mean age of the injured patients was 29.04 ± 17.19 years. Of the participants, 220 (90%) were male and 24 (10%) were female. The mean length of stay in the emergency department was 152.3 ± 103.9 minutes, while the mean hospital LOS was 2.6 ± 1.8 days. Hospital LOS was significantly associated with the need for surgery (p < 0.001). In addition, there was a significant relationship between emergency department LOS and head injuries (p = 0.009) and multiple trauma (p = 0.002).
Conclusion: Based on the results, improving diagnostic and therapeutic processes, accelerating consultations and specialized interventions, and providing greater attention to patients with severe and multiple injuries may reduce LOS and optimize hospital resource utilization.
کلیدواژهها [English]
- "؛ Motorcycle"؛ Injury"؛
- "؛ Length of Stay"
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