消防人員夜間執行救護對隔日血壓變化之研究-以臺中市政府消防局大誠分隊為例

ASIA unversity > 資訊學院 > 生物資訊與醫學工程學系 > 博碩士論文 > Item 310904400/112144

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Title:	消防人員夜間執行救護對隔日血壓變化之研究-以臺中市政府消防局大誠分隊為例 The Impact of Medical Night Shift Work on Blood Pressure Changes among Firefighters: A Case Study of Da-Chen Fire Brigade, Fire Bureau of Taichung City Government
Authors:	潘博偉 Pan, Po-Wei
Contributors:	生物資訊與醫學工程學系碩士在職專班
Keywords:	消防人員;緊急醫療服務;血壓;夜間執行救護 firefighter;emergency medical services;blood pressure;night EMS
Date:	2019
Issue Date:	2019-10-22 01:36:13 (UTC+0)
Publisher:	亞洲大學
Abstract:	本研究的主題主要探討消防人員夜間執行救護對隔日血壓之變化，以臺中市政府消防局大誠分隊需執行緊急醫療救護工作之隊員為研究對象，進行問卷調查及血壓儀器量測實驗，收取輪班前與交班後成對的血壓數據共170份有效樣本。統計分析以敘述性統計與混合線性模式分析，顯著水準定為p <0.05。結果顯示，消防人員因勤務編排為夜間救護班時，正常血壓的比例為輪班前大於交班後；血壓達到高血壓前期的比例是交班後大於輪班前，是否因夜間執行救護工作導致血壓變異有待探討。以臺中市政府消防局救護紀錄表統計的救護次數與時數，消防人員因夜間執行救護頻率造成隔日血壓變化有顯著關係，交班後收縮壓與出勤時數有關連，當出勤時數愈高，交班後收縮壓也愈高；交班後舒張壓與出勤次數有關連，出勤次數愈高，交班後舒張壓也愈高。消防人員年齡與交班後的收縮壓有關連，年齡愈高導致交班後的收縮壓也愈高；運動習慣與交班後舒張壓有關連。夜間執行救護是基層消防隊員常態性的勤務工作，執勤期間易導致睡眠品質不好，運動習慣改善，可以有效控制血壓變化，進而降低未來罹患高血壓之風險，上述研究成果，未來可作為消防勤務輪班方式的參考。 The purpose of this study was to explore the relationship between the emergency medical services for firefighters at night and blood pressure, which was collected and analyzed from current firefighters served at TCCFD search and rescue team. The data compose of 170 valid samples, collected in form of paired reads before shifting and off duty. Statistical analyzation, conducted by descriptive statistics, mixed-effects model, indicates that significance level p <0.05. Results: Firefighters service emergency medical service at night, the ratio of normal blood pressure is greater than the shift before shift, the ratio of prehypertension is greater than the transfer after shift. Whether blood pressure variability is due to the implementation of emergency medical services at night remains to be explored. lt appears that incremental frequency of EMS and the change of blood pressure next day does has positive relation by the comparison of statistical data, systolic pressure after shifting is related to attendance hours, the higher the attendance hours, the higher the systolic pressure after the shift. Diastolic pressure after delivery is related to the number of attendance, The higher the number of attendance, the higher the diastolic pressure after shifting. The age of the firefighters is related to the systolic pressure after the shift, The higher the age, the higher the systolic blood pressure after the shift. Exercise habits are related to diastolic blood pressure after delivery. The night shift is regular routine , which results in difficult sleep for firefighter. Improvement of exercise habits can effectively control blood pressure changes, reduce the risk of high blood pressure in the future.
Appears in Collections:	[生物資訊與醫學工程學系 ] 博碩士論文

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