对韩国多学科治疗严重创伤患者的看法:创伤专家调查

Shin Ae Lee, Yeon Jin Joo, Ye Rim Chang
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引用次数: 0

摘要

目的:多重创伤患者需要广泛的科室和专业的帮助才能成功地重新融入社会。从历史上看,韩国创伤治疗的主要重点一直是降低死亡率。本研究的目的是评估韩国严重创伤患者的多学科治疗现状。根据创伤专家(即医疗专业人员)的见解,我们旨在提出潜在的改进建议。方法:对871名韩国创伤学会外科专家进行在线问卷调查。调查问卷涵盖了参与者的人口统计、目前的多学科实践、与康复、精神病学和麻醉科合作的感知挑战,以及感知到多学科治疗的必要性。结果:在参与者所属的41家医院中,只有9家与非手术部门进行了多学科会议或查房。将患者转移到康复设施的过程并不普遍,并且经常观察到这些转移的延误。答复者认为,财政限制是多学科合作的一个重大障碍。尽管存在这些障碍,大多数受访者承认多学科治疗的重要性,特别是在康复、精神病学和美学参与方面。结论:这项调查显示,专门从事创伤护理的医务人员认为,由于韩国缺乏以患者为中心的多学科护理系统,因此存在一些问题。有必要发展一个有效的多学科治疗系统,以促进创伤患者的康复。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Perceptions regarding the multidisciplinary treatment of patients with severe trauma in Korea: a survey of trauma specialists
Purpose: Patients with multiple trauma necessitate assistance from a wide range of departments and professions for their successful reintegration into society. Historically, the primary focus of trauma treatment in Korea has been on reducing mortality rates. This study was conducted with the objective of evaluating the current state of multidisciplinary treatment for patients with severe trauma in Korea. Based on the insights of trauma specialists (i.e., medical professionals), we aim to suggest potential improvements. Methods: An online questionnaire was conducted among 871 surgical specialists who were members of the Korean Society of Traumatology. The questionnaire covered participant demographics, current multidisciplinary practices, perceived challenges in collaboration with rehabilitation, psychiatry, and anesthesiology departments, and the perceived necessity for multidisciplinary treat-ment. Results: Out of the 41 hospitals with which participants were affiliated, only nine conducted multi-disciplinary meetings or rounds with nonsurgical departments. The process of transferring patients to rehabilitation facilities was not widespread, and delays in these transfers were frequently observed. Financial constraints were identified by the respondents as a significant barrier to multidisciplinary collaboration. Despite these hurdles, the majority of respondents acknowledged the importance of multidisciplinary treatment, especially in relation to rehabilitation, psychiatry, and an-esthesiology involvement. Conclusions: This survey showed that medical staff specializing in trauma care perceive several issues stemming from the absence of a multidisciplinary system for patient-centered care in Korea. There is a need to develop an effective multidisciplinary treatment system to facilitate the recovery of trauma patients.
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