- 學位論文
老人與非老人求救原因與使用消防救護資源關係之研究－以臺南市政府消防局 安南分隊為例
The Relationship between Elders’ and Non-elders’ Asking-for-help Reasons and Their Use of Fire-ambulance Resources: A Case of Annan Branch of Tainan City Government Fire Bureau
摘要
消防救護常是民眾緊急傷病時，最佳的政府資源，基於本國人口結構逐漸老化，消防救護勤務越來越繁重。本研究旨在探究老人與非老人使用消防救護資源狀況，並以臺南市安南區為研究範圍。 本研究收集自民國103年1月1日至4月4日期間，臺南市政府消防局安南分隊所執行的救護案件，共計1,001件，進行分析比較。救護案件分為「老人」與「非老人」，從空跑案件、年齡、性別、過去病史、出勤時間、出勤花費時間、醫院選擇、求救原因、急救處置、受傷部位、生命徵象等，用SPSS 16.0版for Windows電腦軟體，採用敘述性統計、獨立樣本t檢定以及X2等方法，分別進行分析與比較。 根據分析結果顯示空跑案件裏之疾病分類與空跑原因皆有顯著關係，送醫案件裏之過去病史、出勤通知時間、出勤花費時間、醫院選擇、求救原因、急救處置、受傷部位、傷口分類、疼痛腫脹、生命徵象均有顯著關係。 最後，本研究對民眾、緊急醫療救護系統（EMS）、政府及後續研究者提出建議，期許能將消防救護資源作最有效之運用。
並列摘要
Fire-ambulance resources are always regarded as the best government resources for the patients in urgent need of medical care. Due to Taiwan’s population is gradually aging and aging, the fire-ambulance duties are increasingly heavy. This study aims to explore elders’ and non-elders’ use of fire-ambulance resources offered by Annan District in Tainan City. A total of 1,001 fire-ambulance cases dealt by Annan Branch of Tainan City Government Fire Bureau from January 1, 2014 to April 4, 2014 was collected for a comparative analysis. All the study cases divided into two categories of “elders” and “non-elders” were analyzed in terms of non-transports, age, gender, medical history, duty time, times on duty, selection of hospitals, asking-for-help reasons, emergency treatment, injury locations, vital signs, and so forth. SPSS 16.0 for Windows was used to analyze the cases collected. The statistical methods including descriptive statistics, independent samples t test, and 2 were adopted in this study. According to the results, this study found that there was a significant relationship between reasons for non-transports and the classification of diseases. There was also a significant relationship between transports and significant relationship with medical history, duty time, times on duty, selection of hospitals, asking-for-help reasons, emergency treatment, injury locations, wound classifications, pain and swelling, as well as vital signs. Finally, in order to make the most efficient use of fire-ambulance resources, some suggestions has been proposed for the public, Emergency Medical Services (EMS), the Government, as well as further researchers.