对院前急救人员维护患者最大利益决策能力的调查

The investigation on the pre-hospital emergency personnel＇s decision-making capacity to safeguard the best interests of the patients

目的：了解各类院前急救人员对维护患者最大利益决策能力的差别.方法：对院前急救医生和护士采取问卷调查,用Epidata软件建立数据库,用SPSS13.0软件进行统计学分析.结果：328份问卷中,认为有（30.79±24.47）%的情况下难以明确判断如何做才符合患者最大利益,其中医生（23.09±18.25）%低于护士（33.27 ±25.71）（Z=1.618,P=0.011）,本科以上学历护士（26.28±19.71）%低于专科以下护士（34.31±26.36）%（Z=1.375,P=0.046）.结论：院前急救人员对维护患者最大利益决策能力与医疗专业教育有关,在护理人员中与所受教育程度有关.

Objective：To understand the various types of pre-hospital emergency personnel＇ s capacity differences to make decision to safeguard the best interests of patients. Methods： A questionnaire survey on prehospital emergency physicians and nurses was taken, to establish a database with software Epidata, and to analysis with SPSS13.0 software. Results：328 staff believed they were unable to clearly determine how to do it in line with the best interests of patients in （ 30.79 ± 24.47） % of the cases, in which the doctors＇ answer was （ 23.09 ± 18.25） % and the nurses＇ was （33.27 ± 25.71 ） （Z = 1. 618, P = 0.011 ） ; the answer of the nurses with bachelor degree or above was （26.28 ± 19.71）% ,and the answer of the nurses with associate degree or below was （ 34.31 ± 26.36 ） % （ Z = 1. 375, P = 0.046 ）. Conclusion： Pre-hospital emergency personnel＇ s capacity of decision-making to safeguard the best interests of patients related to the medical professional education; and it related to the relevant level of education in the nursing staff.