高龄急症患者家属行为对院前急救的影响及对策研究

目的探讨家属行为对高龄急症患者院前急救的影响,为制定相应对策提供依据.方法：对525 例高龄急症患者院前急救的病例进行回顾性分析.结果：家属行为与高龄急症患者的院前急救的成功与否密切相关.影响较大的正性因素依次为：呼救及时、积极协助抢救、对患者进行心理安慰、信任医护人员、抢救现场有序;负性因素依次为：呼救不及时、自行进行错误处理、急救知识知晓率低、不信任医护人员、在患者身边谈论病情、抢救现场拥挤混乱.结论：提高医护人员的职业道德和业务素质,加强与患者家属的沟通,引导家属面对现实,给高龄急症患者以正向支持,与医护人员密切配合,大力普及急救知识,对院前急救可起到积极作用.

Objective: Discussing the influence of the family members' action on pre-hospital emergency care of elderly patients, to provide references to some corresponding measures.Method: Retrospective analysis of 525 cases of elderly patients in pre-hospital emergency. Result: The success of pre-hospital emergency care for elderly patients is significantly associated to the action of family members.The most important factors are as follows:calling for help promptly,assisting rescue positively,comforting the patient effectively,trusting medical staff and keeping the rescue in order.Opposite factors are:calling for help late,dealing with the rescue alone by mistake,lacking knwledge of pore-hospital care,being doubtful of the medical staff,discussing the patients' condition in public and rescuing in a crowded environment. Conclusion:Improving the medical staff's moral and professional qualities, strengthening communication between the patients' families, helping the families confront the reality, supporting the elderly emergency patients positively, coordinating with medical staff, and popularizing the knowledge of first aid.All these measures can play an important role in the pre-hospital emergency care.