运用品管圈提高急救护理效能的实践

目的探究品管圈对急救护理效能的影响。方法成立品管圈小组,确定"如何提高急救护理效能"的活动主题,将200名抢救患者分为观察组和对照组,对抢救过程进行问卷调查,比较两者急救护理流程、物品摆放、抢救配合站位的差异性。结果品管圈实施后观察组急救护理流程、物品摆放,抢救配合站位均优于对照组(P<0.05),同时品管圈活动实施前后10名圈员评分比较差异有统计学意义(P<0.05)。结论品管圈活动可提高护士急救护理水平,增进急救护理效能,同时可提高参加品管圈人员运用本品管圈的手法、工作积极性、团队合作、解决问题等方面的能力。

广州市中心城区医院2016年院前急救情况分析

目的:了解该院院前急救的流行病学情况,发现院前急救中存在的问题,并提出解决的可行方法。方法:将2016年院前急救记录本中数据导出进行分析。结果:1914次出车时间以8:00-22:00最多,交通高峰期急救反应时间明显延长。院前急救患者平均年龄为66.77岁,以神经系统及创伤病人为主。轻症患者占81.87%。院前患者有自救措施的极少,院外心源性猝死复苏成功率极低。院前出车时间与出车距离成正相关,出车空诊及拒绝治疗患者195例占10.9%。结论:结合本地区实际情况借鉴国外先进的院前急救模式,避免因交通拥堵耽误患者病情。实施分类救护,让医疗资源得到最合理分配。普及心肺复苏等急救措施,才能更有效的降低疾病的致死率和致残率。加强急救知识宣传,正确拨打120电话,减少急救资源浪费。

Nursing students'knowledge,willingness,and attitudes toward the first aid behavior as bystanders in traffic accident trauma:A cross-sectional survey

Objectives:The purpose of the study was to investigate the nursing students'levels of the knowledge,willingness,and attitudes toward first aid behavior as bystanders in road traffic accident and the related factors.Methods:A total of 475 nursing students were recruited by convenience choosing in Tianjin University of Traditional Chinese Medicine.The nursing students'self-efficacy,core self-evaluation,knowledge,willingness and attitudes toward first aid behavior as bystanders in traffic accidents were investigated with a self-designed questionnaire.Results:The scores of knowledge,willingness,and attitudes toward first aid behavior in traffic accident trauma were 7.51±1.93,15.54±5.03,and 7.73±1.56,respectively.Students who once gained training of first aid showed lower levels of attitude toward first aid behavior than those untrained(t=-2.345,P=0.019).It was found that self-efficacy was correlated to the knowledge(r=0.150,P<0.001),willingness(r=0.182,P<0.004)and attitudes toward behavior of the first aid(r=0.371,P<0.001)among nursing students.Core self-evaluation was correlated to knowledge(r=0.193,P<0.001)and attitudes toward behavior of the first aid(r=0.199,P<0.001).Conclusions:The first aid knowledge among nursing students was not satisfactory.The study suggested that an unsustainable short first-aid training program may bring negative effects.Countermeasures should be taken to ensure both quality and continuity of first aid training.Meanwhile,more attention should be paid to improving the self-efficacy and core self-evaluation of the nursing students.

辽宁省城乡院前急救资源配置现状分析

目的了解辽宁省城乡院前急救资源配置现状.方法 采用现场调查法和问卷调查法,调查辽宁省2014年19个院前急救中心的基本情况、院前急救车辆资源、人力资源和通讯调度系统等方面的情况.结果 辽宁省院前急救分站、车辆和人员数量不足,且农村平均院前急救服务半径和平均院前急救反应时间长,急救车辆不足,超期使用的救护车较多,车载设备和通讯调度系统不完善,高学历和技术职称医护人员较少.结论 辽宁省城乡院前急救资源配置差别很大,农村资源配置相当落后.建议加大政府财政投入、增加院前急救分站和资源配置、定期更新院前急救车辆、建立独立的职称晋升机制、完善通讯调度系统,以满足院前急救需求.