院前急救专职护士运作模式的实施与成效

Implementation and effect of full-time nurses on service of pre-hospital emergency care

目的探讨院前急救专职护士运作模式在院前急救工作中的应用与效果。方法选择2011年3-5月院前急救病例978例作为对照组，由传统的急诊科护士兼院前急救出诊完成；选择2011年7—9月院前急救病例1023例作为观察组，所有院前急救均由专职护士队伍人员出诊。比较实施院前急救专职护士模式前后院内反应时间达标情况及专职护士专科理论知识和操作技能考核成绩情况。结果实施院前急救专职护士运作模式后，院内反应时间缩短，达标率由实施前的99．3％上升到100．0％，差异有统计学意义（x2=5．44，P〈0．05）；专职化运作后，护士掌握专科理论知识以及心肺复苏、气管插管、止血包扎、脊柱板固定的技能考核成绩较实施前成绩高，差异具有统计学意义（P〈0．05）；除颤仪与便携式呼吸机的操作考核成绩差异无统计学意义（P〉0．05）。结论院前急救专职护士运作模式提高了护士专项护理操作技能及专业理论知识，缩短院内反应时间且全部达标。

Objective To explore the influence of full-time nurses on service of pre-hospital emergency care. Methods There were 978 emergency cases between March and May in 2011 as control group received the pre-hospital emergency care by nurses form emergency department, and 1 023 energancy cases between 7and September in 2011 as experimental group received the pre-hospital emergency care by full-time nurses. The activation times, the test of theoretical knowledge and operating skills of nurses were compared before and after the application of pre-hospital full-time nurses. Results After the application of pre-hospital full-time nurses, the activation times decreased and the rate of reach the standard increase from 99.3% to 100.0% , there was a significant difference between before and after （ X2 = 5.44, P 〈0. 05 ）. The nurses＇ knowledge of special and operating skill were enhanced after the application, significant difference was found （ P 〈0. 05 ） , while no significant difference was found in the operation test results of defibrillator and portable breathing machine （ P 〉 0.05 ）. Conclusions Applying full-time nurses model can effectively decrease the activation times and all the activation times can reach the standard, and it also can effectively improve the nurses＇ knowledge of special and operating skill.