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首頁> 外文期刊>Military Medicine: Official Journal of AMSUS, The Society of the Federal Health Agencies >Standard of care of erectile dysfunction in U.S. Air Force aircrew and active duty not on flying status.
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Standard of care of erectile dysfunction in U.S. Air Force aircrew and active duty not on flying status.

機譯:美國空軍機組人員勃起功能障礙的護理標準和現(xiàn)役不在飛行狀態(tài)。

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摘要

In 2011, over 3,000 active duty U.S. Air Force (USAF) members were prescribed a phosphodiesterase inhibitor (PDEI). PDEIs are first-line therapy for treating erectile dysfunction and can have significant side effects that could impact aircrew performance. In total, 200 eligible subject records were randomly sampled from the active duty USAF population of those males filling a prescription for a PDEI in June 2011; 100 of those records were from aviators. The electronic records were reviewed and scored to determine if USAF aeromedical standards for prescribing PDEIs were followed, with a minimum score of 0 for no standards met and a maximum of 3 for all standards met. The average score for both groups was 1, with no significant difference between the group scores. A proper aeromedical disposition was documented in 67% of the aviator records. Although there was no significant difference in standard of care for aviators and nonaviators, the overall documented standard of care was poor. Lack of documentation was the primary reason for the low scores and the low percentage of properly rendered aeromedical dispositions. Proper medical record documentation is important for evaluating quality of care and ensuring compliance with regulations in an Air Force aviator population.
機譯:在2011年,超過3,000名現(xiàn)役美國空軍(USAF)成員被訂購了磷酸二酯酶抑制劑(PDEI)。 PDEIs是治療勃起功能障礙的一線治療藥物,可能會產(chǎn)生嚴重的副作用,從而影響機組人員的機能??傆?,從2011年6月填寫PDEI處方的那些男性的現(xiàn)役USAF人群中隨機抽取了200個符合條件的受試者記錄;這些記錄中有100個來自飛行員。對電子記錄進行審查并評分,以確定是否遵循USAF規(guī)定PDEI的航空醫(yī)學標準,未達到標準的最低分數(shù)為0,而所有標準的最高分數(shù)為3。兩組的平均分數(shù)均為1,各組分數(shù)之間無顯著差異。在67%的飛行員記錄中記錄了適當?shù)暮娇蔗t(yī)學處置。盡管飛行員和非飛行員的護理標準沒有顯著差異,但總體記錄的護理標準很差。缺乏文件記錄是導致航空醫(yī)學處置得分低和百分比低的主要原因。正確的病歷記錄對于評估護理質量和確??哲婏w行員群體中的法規(guī)遵守非常重要。

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