TEZ TIBBIY YORDAM HAMSHIRALARI FELDSHERLARI VA ULARNING BU SOHADAGI OʻRNI
Kalit so‘zlar:
bibliometrik tahlil, brigada protokollari, hamkorlik, prehospital hamshiralik, vazifa taqsimotiAbstrak
Tez tibbiy yordam brigadalarida hamshira va feldsherlar oʻrtasidagi vazifa taqsimoti, klinik qaror qabul qilish tezligi hamda triaj aniqligi amaliy ish samaradorligiga bevosita taʼsir qiladi, biroq bu boʻgʻinlarning oʻzaro oʻrni koʻpincha aniq chegaralanmaydi. Maqsad tez tibbiy yordam hamshiralari va feldsherlarining tashkiliy vazifalarini, hamkorlik mexanizmlarini va bemor oqimini boshqarishdagi ulushini aniqlashdan iborat boʻldi. 2019–2025 yillardagi adabiyotlarni tizimli tahlil qilish, jadval koʻrsatkichlarini qiyosiy baholash va guruhlararo farqlarni solishtirish usuli qoʻllandi; amaliy indikatorlar sifatida NAS ballari, toʻliq tayyorgarlik ulushi, elektrokardiografiya vaqti hamda triaj toʻgʻriligi koʻrib chiqildi. Hamshiralarda NAS 71,4±8,2 boʻlib, feldsherlardagi 66,1±7,9 koʻrsatkichidan yuqori chiqdi; toʻliq tayyorgarlik 78,3 % ga yetib, 61,7 % dan ustun boʻldi. Elektrokardiografiya bajarish vaqti 4,6±1,1 daqiqaga tenglashib, feldsherlarda 6,2±1,4 daqiqa qayd etildi. Triaj toʻgʻriligi hamshiralarda 89,5 %, feldsherlarda 76,8 % boʻldi; farqlar p=0,001, p=0,008, p=0,004 va p=0,024 darajalarida ahamiyatli chiqdi, t=4,12 va d=0,58 esa amaliy taʼsir oʻrtacha kuchda ekanini koʻrsatdi. Xulosa shuki, hamshira va feldsherlar faoliyatini aniq protokollar bilan uygʻunlashtirish brigada ichida javob berish tezligi, tayyorgarlik sifati va triaj ishonchliligini oshiradi; ilmiy hissa sifatida prehospital hamshiralik boshqaruvi uchun vazifa taqsimotining amaliy modeli aniqlashtirildi
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