한국화재소방학회논문지 (Fire Science and Engineering)

  • 제30권3호
  • /
  • Pages.124-132
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  • 2016
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  • 2765-060X(pISSN)
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  • 2765-088X(eISSN)
한국화재소방학회 (Korean Institute of Fire Science and Engineering)
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119 구급대원의 직접의료지도 이용경험과 관련요인

Utilization of Medical Oversight and Related Factors among Some 119 Rescue Workers

  • 주미현 (조선대학교 대학원 보건학과) ;
  • 한미아 (조선대학교 의과대학 예방의학교실)
  • Joo, Mi Hyun (Dept. of Public Health, Graduate School of Chosun Univ.) ;
  • Han, Mi Ah (Dept. of Preventive Medicine, College of Medicine, Chosun University)
  • 투고 : 2016.03.03
  • 심사 : 2016.06.21
  • 발행 : 2016.06.30
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초록

직접의료지도란, 현장에서 환자에게 응급처치를 수행하거나 이송하는 구급대원이 의사에게 전문적인 지도와 자문을 제공받는 행위를 말한다. 본 연구는 직접의료지도의 이용 실태를 파악하고 관련요인을 조사하고자 실시되었다. 광주광역시에 근무하고 있는 119 구급대원 153명을 연구대상으로 하였고, 자기기입식 설문조사를 이용하여 자료를 수집하였다. 통계분석은 SAS version 9.3을 이용하였다. 연구대상자 중 약 82%가 최근 한 달 이내 직접의료지도 경험이 있었고, 다중로지스틱 회귀분석 결과 기혼자인 경우(OR = 3.87, 95% CI = 1.22~12.27), 1급 응급구조사인 경우(OR = 2.87, 95% CI = 1.02~8.09), 심혈관계 응급환자를 처치한 경우(OR = 9.19, 95% CI = 1.87~45.08)에 직접의료지도 이용에 대한 교차비가 유의하게 높았다. 따라서 향후 직접의료지도 내용과 제도 개선 시 119 구급대원의 특성과 처치하는 환자의 질병상태를 고려한다면 직접의료지도 활성화에 도움이 될 것이다.

Medical oversight (MO) means the advice and direction provided by a physician to rescue workers who provide medical care or carry patients at the scene of an emergency. The purpose of this study was to investigate the utilization of MO and related factors among some 119 rescue workers in Gwangju. A self-reported questionnaire was completed by 153 rescue workers in these 119 safety centers. The data were analyzed by SAS version 9.3. Overall 82.4% of the subjects utilized MO during the past month. In the multiple logistic regression analysis, the married subjects (OR = 3.87, 95% CI = 1.22~12.27), level 1 emergency medical technicians (OR = 2.87, 95% CI = 1.02~8.09), and subjects who treated cardiovascular emergency patients (OR = 9.19, 95% CI = 1.87~45.08) had significantly higher odds ratios for the utilization of MO. The experience of MO accounted for 82%. The development of strategies and education plans taking these results into consideration will help to improve the utilization of MO.

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