我国烧伤专业医护人员对Ⅱ度烧伤创面的早期处理的横断面调查与分析  

A cross-sectional investigation and analysis of early treatment of partial-thickness burn wounds by professional burn medical staff in China

作　　者：黄洁 李书原 王雪欣 李林辉 叶小飞[3] 纪世召 Jie Huang;Shuyuan Li;Xuexin Wang;Linhui Li;Xiaofei Ye;Shizhao Ji(Department of Burn Surgery,the First Affiliated Hospital of Naval Medical University,Burn Institute of PLA,Shanghai 200433,China;Department of General Surgery,Naval 929th Hospital,Shanghai 200433,China;Department of Health Statistics,Naval Medical University,Shanghai 200433,China)

机构地区：[1]海军军医大学第一附属医院烧伤外科,全军烧伤研究所,上海200433 [2]海军第九二九医院普通外科,上海200433 [3]海军军医大学卫生统计学教研室,上海200433

出　　处：《中华烧伤与创面修复杂志》2022年第6期538-548,共11页Chinese Journal of Burns And Wounds

基　　金：国家自然科学基金面上项目(81971836)。

摘　　要：目的了解我国烧伤专业医护人员对Ⅱ度烧伤创面的早期处理现状,促进Ⅱ度烧伤创面早期临床规范化治疗。方法采用横断面调查方法。2020年11月—2021年2月,将自制的Ⅱ度烧伤创面早期处理问卷通过“问卷星”网站发布后经微信分享,对符合入选标准的我国从事烧伤专业的医护人员进行便利抽样调查。统计被调查者所属医院的数量、所在地区、等级,被调查者年龄、性别、职业和年资。将被调查者分为医师组、护士组,高年资组、低年资组,东部地区组和非东部地区组,一二级医院组、三级医院组,统计医师组与护士组被调查者的年资、所属医院等级、所属医院所在地区;所有分组中各组被调查者的Ⅱ度烧伤水疱常规处理、保留水疱皮的原因、去除水疱皮的原因,Ⅱ度烧伤创面早期外用药物或敷料的常规选择、最优方案推荐。对数据行χ^(2)检验。结果该次调查覆盖我国31个省市自治区(除香港、澳门和台湾地区),共回收979份问卷,均为有效问卷。979名被调查者来自全国449家医院,其中东部地区医院203家、西部地区医院116家、中部地区医院99家及东北地区医院31家,三级医院348家、二级医院79家、一级医院22家。被调查者年龄为(39±10)岁,男性543名、女性436名,医师656名、护士323名,低年资人员473名、高年资人员506名,东部地区人员460名、非东部地区人员519名,三级医院人员818名、一二级医院人员161名。医师组和护士组中不同年资被调查者构成,差异明显(χ^(2)=44.32,P<0.01);但医师组和护士组被调查者的所属医院等级、所属医院所在地区分布,差异均无统计学意义(P>0.05)。不同职业组、年资组以及所属医院所在地区组的被调查者在对Ⅱ度烧伤水疱的常规处理上,差异均无统计学意义(P>0.05)。不同所属医院等级组的被调查者在对Ⅱ度烧伤水疱的常规处理上,差异明显(χ^(2)=6Objective To assess the current situation of early treatment of partial-thickness burn wounds by professional burn medical staff in China,and to further promote the standardized early clinical treatment of partial-thickness burn wounds.Methods A cross-sectional investigation was conducted.From November 2020 to February 2021,the self-designed questionnaire for the early treatment of partial-thickness burn wounds was published through the"questionnaire star"website and shared through WeChat to conduct a convenient sampling survey of domestic medical staff engaged in burn specialty who met the inclusion criteria.The number,region,and grade of the affiliated hospital,the age,gender,occupation,and seniority of the respondents were recorded.The respondents were divided into physician group and nurse group,senior group and junior group,eastern region group and non-eastern region group,primary and secondary hospital group and tertiary hospital group.Then the seniority,grade of the affiliated hospital,region of the affiliated hospital of the respondents in physician group and nurse group,conventional treatment of partial-thickness burn blisters,reasons for retaining vesicular skin,reasons for removing vesicular skin,and the conventional selection and optimal solution recommendation of topical drugs or dressings for partial-thickness burn wounds in the early stage of respondents in each of all the groups were recorded.Data were statistically analyzed with chi-square test.Results The survey covered 31 provinces,municipalities,and autonomous regions in China(except for Hong Kong,Macao,and Taiwan regions).A total of 979 questionnaires were recovered,which were all valid.The 979 respondents came from 449 hospitals across the country,including 203 hospitals in the eastern region,116 hospitals in the western region,99 hospitals in the central region,and 31 hospitals in the northeast region,348 tertiary hospitals,79 secondary hospitals,and 22 primary hospitals.The age of the respondents was(39±10)years.There were 543 males and 4

关 键 词：烧伤 水疱 伤口愈合 封闭敷料 横断面研究 外用药 

分 类 号：R644[医药卫生—外科学]