新时期院外急救护理工作面临的问题和对策

The problem and strategy of the pre-hospital emergency care in the new period

目的探讨如何在新时期特殊医疗环境下使院外急救护理工作适应医疗改革发展的需求。方法分析了院外急救患者的来源构成、院外急救患者和家属心理需求表现等资料。结果市场经济条件下院外急救范畴拓宽;患者和家属需求增加;开放式急诊医疗环境弊多利少;家属参与存在不利因素;患者和家属负性心理状况影响院外急救。结论培养护士处理问题的综合能力;缩短心理等候时间;加强对出诊人员的法制教育;重视院前急救患者及家属的心理护理均有助于医护人员应对这些问题。

Objective To explore the new demand and reform of the pre-hospital emergency care under the special medical environment in the new era. Methods The clinical data,including the construction of pre-hospital emergency care and the psychological requirement of patients and their dependents,was analyzed. Results In the market economy, the scope of pre-hospital emergency was widened,and the demands of the patients as well as their families were increased. The disadvantage of the open medical environment, including the participation of the families and the negative psychologic status would do harm to curative activity. Conclusion Raising the integrated ability to deal with the problems, shortening the waiting time of psycology, strengthening the legal education of the on-call doctors, and emphasizing the psychological nursing service of patients and their families could bring benefits to the pre-hospital care.