[1]张兵,李爽,桂莉.院外心搏骤停第一反应人空间需求配置研究[J].军事护理,2021,38(01):9-12.[doi:10.3969/j.issn.1008-9993.2021.01.003]
　ZHANG Bing,LI Shuang,GUI Li.Research on the Spatial Requirement Allocation of Out-of-hospital Cardiac Arrest First Responders[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(01):9-12.[doi:10.3969/j.issn.1008-9993.2021.01.003]
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院外心搏骤停第一反应人空间需求配置研究
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年01期
页码:
9-12
栏目:
论著
出版日期:
2021-01-15

文章信息/Info

Title:
Research on the Spatial Requirement Allocation of Out-of-hospital Cardiac Arrest First Responders
文章编号:
1008-9993(2021)01-0009-04
作者:
张兵; 李爽; 桂莉
(海军军医大学 护理学院,上海 200433)
Author(s):
ZHANG Bing; LI Shuang; GUI Li
(School of Nursing,Naval Medical University,Shanghai 200433,China)
关键词:
院外心搏骤停;  心肺复苏;  第一反应人;  最大覆盖选址模型;  配置
Keywords:
out-of-hospital cardiac arrest;  cardiopulmonary resuscitation;  first responder;  maximal covering location problem model;  allocation
分类号:
R472.2
DOI:
10.3969/j.issn.1008-9993.2021.01.003
文献标志码:
A
摘要:
目的 通过构建最大覆盖选址模型,分析基于院外心搏骤停(out-of-hospital cardiac arrest,OHCA)的第一反应人空间需求配置,以有效缩短OHCA应急反应时间,提高院前急救和现场救护水平。方法 收集上海市浦东新区2012年1月至2016年12月OHCA院前急救病历信息,将OHCA位置信息录入Arc地理信息系统(geographic information system,GIS)中,并构建最大覆盖选址模型,输出不同OHCA覆盖率下第一反应人的需求量及对应位置。结果 当覆盖半径为100 m时,第一反应人可在指南推荐的救治时间内快步行走至OHCA患者身边,其需求量至少为4626人时才能覆盖95%的OHCA。若第一反应人借助自行车骑行至患者身边,其最大覆盖半径为300 m,此时需至少配置1626名第一反应人才能覆盖95%的OHCA。结论 第一反应人空间需求配置方案为建立第一反应人体系和现场救护新模式提供了参考依据,并提示在未来可以培训网格化管理人员作为第一反应人,为其合理配置交通工具,从而提高OHCA患者存活率和社区急救护理水平。
Abstract:
Objective To analyze the spatial requirement allocation of first responders for out-of-hospital cardiac arrest(OHCA)by building the maximal covering location problem(MCLP)model,so as to shorten the OHCA emergency response time effectively and improve pre-hospital emergency care and field first-aid level.Methods The pre-hospital emergency medical records of OHCA patients in Pudong New District Shanghai city from January,2012 to December,2016 were collected.The OHCA location information was inputted into the Arc geographic information system(GIS),and then used to build the MCLP model.The quantity demand and corresponding location of the first responders were outputted under the conditions of different OHCA coverage rates.Results When the coverage radius was 100m,the first responder could walk quickly to the OHCA patient within the rescue time recommended by the guidelines.The quantity demand of first responders should reach 4626 to realize 95% coverage rate of the OHCA patients.If the first responder rode a bike to the OHCA patient,and the coverage radius was 300 m,a least of 1626 first responders were required for allocation to realize 95% coverage rate of the OHCA patients.Conclusions The spatial requirement allocation program of first responders provided a reference for the establishment of the first responder system and the new mode of field emergency care.It suggests that gridding managers can be trained as the first responders in the future,and the vehicles should be reasonably allocated,so as to increase the survival rate of OHCA patients and improve the level of community emergency care.

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(本文编辑:陈晓英)

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备注/Memo

备注/Memo:
【 收稿日期 】 2020-09-02 【 修回日期 】 2020-10-30
【 基金项目 】 海军军医大学博士创新基金(海医办[2018]301号)
【 作者简介 】 张兵,硕士,助教,从事野战(灾害)护理教育工作
【 通讯作者 】 李爽,电话:15026933713
更新日期/Last Update: 2021-01-15