開業牙醫師緊急救護認知對牙醫診所急救設施影響之調查

An Investigation of the Knowledge and Attitude to the Facilities of Emergency Rescue Care of Dental Clinics

黃宙達(Jou-Dar Huang) ； 楊奕馨(Yi-Hsin Yang) ； 謝天渝(Tien-Yu Shieh)

《臺灣口腔醫學會雜誌》 17卷1期 (2001/06) Pp. 15-28

摘要

本研究目的是為了解高雄市及屏東縣開業牙醫師緊急報護的知識、態度及 影響設施相關因素,以高雄市及屏東縣開業牙醫診所,在診療過程發生過醫療 危急個例及診所急救相關設施做全面性調查。研究母群體為高雄市429間,屏 東縣92間,共計521間牙科診所,以訪視人員實地訪察,並請診所負責人填寫 問卷。回收問卷共計252份,回收率48.4%。 46.4%的牙科診所曾經遭遇過病患緊急狀況發生,其中病患發生昏厥或暈眩者佔27%(257例) ,發生噁心,嘔吐者佔22.6%( 165例) ,過敏性反應者佔 11.5%(72例) ,其他如糖尿病、凝血障礙症狀、氣喘、癇、心絞痛、呼吸道阻塞等等皆有病例報告。48.4%的牙醫診所備有供氧氣設備, 38.1%備有 epinephrine，兩者皆具備者只佔25.8%。急救設施與緊急救護知識得分有相關。受訪牙科醫師只有6%取得基本救命術證照,有2.8%取得高級心臟報命術證照。大學畢業後有參加急救訓練有29.8%。本研究調查發現牙科診所急救設施與國外相較之下普遍不足,卻有50%的牙科診所認為不需要增設急救設施。 牙醫師平時看診忽略了緊急救護方面之重要性,也缺乏隨時可能發生醫療危急的危機意識。

關鍵字

緊急救護 ； 牙科診所

並列摘要

The aim of this study was to understand the knowledge, attitude and clinic facilities for emergency rescue care of dental clinics in Kaohsiung City and Ping-Tung County. The study result reveals that there is no significant difference between the two areas in the knowledge of emergency rescue care of the clinic dentists. 48.4% of the dental clinics are equipped with oxygen, and 38.1% have epinephrine. Only 25.8% have both oxygen and epinephrine prepared in the clinics. 46% have met the events of emergency rescue conditions in their clinics. Among the emergency conditions, 27%(257 cases) experienced fainting of the patients visiting the clinic, 22.6%(165 cases) vomiting, 11.5%(72 cases) allergic reaction etc. In short, the author found that the clinic dentists are busy in daily clinical practice, but do not pay enough attention to this important emergency rescue work.

並列關鍵字

Emergency rescue care ； dental clinics