臺灣博碩士論文加值系統

隨著經濟的發展，搭乘飛機旅行的人越來越多，科技的演化也使得飛機航程設計越來越遠，相對地在飛機上突發急病或身體不適的情況也越見普遍，雖然所有飛機都配備有急救醫藥箱以供使用，同時航空公司對空勤組員也都有進行重點式的緊急醫療訓練，加上大部份狀況發生的時候，航機上大多會有醫師、護士或其他醫療人員乘坐飛機，並願意協助處理緊急狀況，但乘客於機上因緊急病況送醫不及之憾事，仍時有所聞，而此類之遺憾可透過加強空勤組員之訓練，規定最適急救醫藥箱之藥品及器材設置，並配合機上之衛星電話或透過遠距醫學診斷裝置等，以利空勤組員做出最佳之判斷及處置，一方面可增加乘客挽回寶貴性命之機會，另一方面也可減少航空公司為救治病患而改變航線，轉降至最近機場所造成的損失。
本研究宗旨一則在探討飛航中緊急醫療之問題，透過問卷調查與訪談專業醫師及第一線的客艙組員，以瞭解飛航中緊急醫療之不足，並針對航機之實際所需提出研究分析結論與建議。另則在以國內外相關文獻資料為基礎，將航空醫學與飛航中相關疾病因素之研究、飛航中緊急醫療行為之研究、分析目前航機內急救醫藥箱內容之相關研究、依據現今民航管理等單位所規範之航機內急救醫藥箱內容等四類之國內外相關文獻資料，進行回顧及探討，並針對相關研究之不足，提出研究發展及改進之必要。
據此，本研究針對客艙組員之緊急醫療訓練情形與執勤時遭遇緊急醫療狀況所面臨的問題，施以問卷調查，並將調查之結果進行統計、分析、歸納，並針對問卷中各項問題之關聯性利用SPSS12.0統計分析軟體進行卡方顯著性分析。此外也多次訪談各專科醫師、桃園機場駐站醫師、航醫等專業人士，以問卷調查及訪談並行方式進行，共得醫師專家問卷七份，並將調查之結果進行研究，根據最後分析之結果加以討論，提出結論與建議。
最後，本研究將綜合以上之客艙組員與醫師專家訪談問卷所統計之結果為基礎，就目前緊急醫療訓練、設備及規範等三方面檢討缺失，以提出結論及改善建議，並依FAA、ICAO、CAA等民航管理單位所規範之急救醫藥箱內容，研擬出航機最適急救醫藥箱之藥品與器材。

As a booming of economy, more people travel by air, the demand for more frequencies of flights means that airliners are designed to fly longer and faster. The negative impact such as in-flight emergencies has become a more serious issue. Most major airlines are equipped with emergency medical kits, and the emergency medical training has become a common proficiency requirement for the airline crew. In many occasions when medical emergencies arise, doctors, nurses, or other medical personnel may be on board and offer their help. But still, we have more than once heard of lives lost on airplanes. In regard of the situations, the insufficient medicine or improper medical equipment are to blame for. Losses such as these can be prevented by means of enhanced airline crew training and establishment of regulations which will stipulate the proper types of medicine and equipments to be carried onboard the airplane. Furthermore, crews may use on-board satellite phone to confer with physicians or on-board scanner to send patient’s telemetric data to medical doctor on ground for diagnosis. With the help of modern technologies such as these, the crews can make the best judgments for sick passengers, and the chances of survival will be increased. Also the airline will benefit from reducing operational cost by saving unnecessary diversions.
The first goal of this research is to attempt to probe into the facts of in-flight medical emergencies. By means of questionnaires and interviews with medical doctors and airline crews, we can look into the deficiencies of in-flight medical care, and provide proper analysis and solutions to what sort of medicine and equipments should be prepared on modern jet airliners. The second goal of this research is to review and analyze those earlier publications with modern ones and making in-depth studies in order to provide suggestions for future improvement by using the following resources: (1) aviation medicine and causes of in-flight illness, (2) studies of in-flight medical practices, (3) analysis of medical kits onboard modern jet airliners, and (4) aviation administration’s regulations regarding what to be equipped in airliner’s medical kits.
Based on the cabin crew’s emergency medical training and the number of actual events of in-flight medical emergencies, a statistical result is created along with analysis and recommendations. The format of questionnaire, before it is finalized, went through steps of improvement as it was tested on cabin crews and various feedbacks were retrieved. Then as valid results are statistically quantified, analyzed and summarized, all categories contained in the questionnaire are computed by “Chi-Square Test” SPSS12.0 statistical software to exhibit their inter-relationship. In the mean time, medical specialists, resident doctors of Taiwan Tao-Yuan International Airport, and aviation physicians are also well consulted. The questionnaire survey and field interviews are both conducted and altogether seven copies are retrieved. When further analysis is completed, the final result, conclusions and recommendations are made.
Ultimately, my research, based on the statistical result of the questionnaires completed by cabin crews and medical doctors and the research of all FAA, ICAO and Taiwan CAA regulations regarding the contents of medical kits onboard the airplanes, may achieve its goal by recommending what should be the most suitable medicine and equipments in the onboard medical kits.

第一章 緒論

第一節 研究背景與動機----------------------------------------- 1
第二節 研究目的------------------------------------------------- 2
第三節 研究範圍與對象----------------------------------------- 3
第四節 研究內容、步驟與方法--------------------------------- 3

第二章 文獻探討

第一節 航空醫學與相關疾病因素之研究--------------------- 6
第二節 航機內緊急醫療行為發生相關研究------------------ 10
第三節 航機急救醫藥箱之相關研究--------------------------- 14
第四節 民航管理單位所規範之航機急救醫藥箱內容------- 15

第三章 客艙組員問卷分析與探討

第一節 客艙組員問卷設計與實施------------------------------ 24
第二節 問卷結果分析------------------------------------------- 25


第四章 醫師專家問卷訪談之分析與探討

第一節 醫師專家問卷設計與實施------------------------------ 35
第二節 敘述性分析---------------------------------------------- 36

第五章 飛航中緊急醫療問題與改善建議

第一節 國內某C航空公司之飛航中病症統計----------------
第二節 緊急醫療問題與改善建議----------------------------- 42
第三節 急救醫藥箱之最適研擬------------------------------- 43
第四節 急救醫藥箱藥品使用說明----------------------------- 46



第六章 結論與建議

第一節 結論---------------------------------------------------------- 61
第二節 建議---------------------------------------------------------- 62

參考文獻 ----------------------------------------------------------------- 64

附錄

附錄一 客艙組員問卷 ----------------------------------------- 66
附錄二 醫師專家訪談問卷 ------------------------------------ 70
附錄三 國內某C航空公司「飛行急救諮詢系統」作業辦法----------------------------------------------------------------------------------- 81

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