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The Journal of Korean Academic Society of Nursing Education 2009;15(2):274-284.
Published online December 31, 2009.
Survey on Prehospital Services for Acute Traumatic Hand Injury and Patient Satisfaction
Yun, Soon-Young;Kim, Min-Suk;Oh, Kyong-Ok;Jung, Ji-Young;Jun, Myung-Hee;Uhm, Dong-Choon;
1NewHand Hospital
2NewHand Hospital
3Chungnam National University
4Daejeon University
5Daejeon University
6Daejeon University
초기 대응자에 따른 수지 손상 환자의 병원 전 단계 응급처치 실태와 만족도
윤순영, 김민숙, 오경옥, 정지영, 전명희, 엄동춘
1새손병원 간호과
2새손병원
3충남대학교 간호학과
4대전대학교 간호학과
5대전대학교 간호학과
6대전대학교 응급구조학과
Abstract
Purpose
This study surveyed how victims with acute traumatic hand injuries received pre-hospital care and how satisfied they were with that care. Method: A total of 100 adults were interviewed using a questionnaire at one microsurgical clinic in Korea. Results: Only 12 patients (12.0%) were transported by the ambulance and the others by private or company's vehicles. Only 9 patients (9.0 %) were able to get appropriate first response from the EMTs or industrial health providers at the scene of the accidents. The mean time required for transportation from the scene of the accident to the operation room of the microsurgical clinic was $372.65{pm}719.17$ minutes. Most of the patients were satisfied with the pre-hospital care provided by the EMT or industrial health providers but dissatisfied with that provided by lay persons. Conclusion: This study demonstrates that there is a lack in the first response provided at the scene and the activation of EMS (Emergency Medical System) for acute hand injury. It is necessary to educate the public about the appropriate first response and rapid transportation to the appropriate microsurgical clinic.
Key Words: Hand injury, Microsurgery, Prehospital emergency care, Patient satisfaction
 
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