بررسی پیامدهای درمانی بیماری کووید-19 در یک بیمارستان نظامی و مقایسه آن با یک بیمارستان غیرنظامی

نوع مقاله : پژوهشی اصیل

نویسندگان

گروه آمار زیستی، دانشکده علوم پزشکی، دانشگاه تربیت مدرس، تهران، ایران

چکیده

زمینه و هدف: به دنبال پاندمی کرونا و مواجهه سیستم خدمات درمانی و بیمارستانی نظامی و دولتی ایران با این بیماری در این مطالعه قصد داریم به بررسی پیامدهای درمانی بیماری کووید-19 در یک بیمارستان نظامی و مقایسه آن با یک بیمارستان غیرنظامی بپردازیم.
روش‌ها: این مطالعه مقطعی بر روی یک نمونه 535 نفره (155 پرونده در بیمارستان غیرنظامی و 380 پرونده در بیمارستان نظامی) از  بیماران مبتلا به کووید-19 بستری شده در یک بیمارستان نظامی و یک بیمارستان غیرنظامی شهر تهران در سال 1399 که با استفاده از روش نمونه‌گیری تصادفی انتخاب شده بودند انجام شده است. پیامد درمان در این مطالعه مرگ، بستری در بخش مراقبت‌های ویژه و مدت زمان بستری در نظر گرفته شده است. در این مطالعه جهت جمع‌آوری داده‌ها از چک لیست استاندارد و جهت تحلیل داده ها از نرم افزار SPSS نسخه 24 استفاده گردید.
یافته‌ها: در این مطالعه میزان مرگ، بستری در بخش مراقبت‌های ویژه و مدت زمان بستری در بیمارستان غیرنظامی به ترتیب برابر با 20.6%، 40.6% و 5.15±8.23 روز بود. میزان این سه پیامد (میزان مرگ، بستری در بخش مراقبت‌های ویژه و مدت زمان بستری) در بیمارستان نظامی به ترتیب برابر با 8.9%، 15.3% و 4.30±7.56 روز گزارش گردید. نتایج این مطالعه نشان داد که میزان مرگ (0.001>P < /span>)، بستری در بخش  مراقبت‌های ویژه (0.001>P < /span>) از نظر آماری در بین دو بیمارستان متفاوت بوده اما دو بیمارستان از نظر متوسط زمان بستری بیماران مشابه با یکدیگر بودند (0.125=P < /span>).
نتیجه‌گیری: با توجه به تفاوت نوع درمان استفاده شده (مصرف کورتن بیشتر و آنتی‌ویروس کمتر) در بیمارستان نظامی نسبت به بیمارستان غیرنظامی می‌توان از عملکرد بهتر درمانی در این بیمارستان نظامی نسبت به بیمارستان دولتی اطمینان حاصل نمود.

کلیدواژه‌ها


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