현장형 중증도 분류체계(X - MAS) 개발 - 한국형 중증도 분류체계(KTAS)를 기반으로 -
Development of Prehospital Triage System (X - MAS) - Based on the Korean Triage and Acuity Scale -
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초록
이 연구는 119 구급대원들이 현장에서 쉽게 적용가능하며, 실제 환자 상태를 적절히 반영할 수 있는 현장형 중증도 분류체계를 한국형 중증도 분류체계에 근거해 개발하고자 하였다. 문헌고찰을 통해 분석한 중증도 분류체계의 구성요소에 근거하여, 3인의 전문가 집단이 각 분류 단계들을 도출하고, 병원 단계 전문가 5인과 병원 전 단계 전문가 5인 총 10인으로 구성된 전문가 집단의 내용타당도 검증을 통해 각 분류 단계에 타당한 최종항목들을 선정하였다. 검증 결과 전문가 집단별(병원 단계, 병원 전 단계) 의견 차이가 있었으며, 도구 전체에 대한 S-CVI/AV는 성인에서 0.789, 소아에서 0.83이었다. 성인에서 27문항 중 8문항, 소아에서 20문항 중 4문항의 수정여부가 검토되었다. 이 연구는 구급대원들이 적용하기에 쉽고 간단한 도구일 뿐 아니라 한국형 중증도 분류체계와 연계된 국내 첫 현장형 중증도 분류체계라는 점에서 의미를 가진다.
Abstract
This research aims to develop a prehospital triage system which can be easily adopted on fields by 119 emergency medical technicians reflecting the status of patients, based on KTAS (Korean Triage and Acuity Scale). Among the components of a prehospital triage system found in the literature, the final set of the components has been selected through the verification of contents validity by a group of 10 experts (5 at hospital stage and 5 at prehospital stage) for each of the classification steps produced by a three experts group. The results found that the hospital-stage experts have different views from the prehospital-stage experts and S-CVI/AVs for the tool are 0.789 for adults and 0.83 for pediatrics. It has been also checked whether or not 8 of 27 items for adults and 4 of 20 items for pediatrics have been modified. This research contributes to develop the very first prehospital triage system in line with KTAS, which can be easily adopted and utilized by emergency medical technicians in Korea.
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