CAJ | 학술논문

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1 023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.
목적 탐토원전급구전직호사운작모식재원전급구공작중적응용여효과.방법 선택2011년3-5월원전급구병례978례작위대조조,유전통적급진과호사겸원전급구출진완성；선택2011년7-9월원전급구병례1 023례작위관찰조,소유원전급구균유전직호사대오인원출진.비교실시원전급구전직호사모식전후원내반응시간체표정황급전직호사전과이론지식화조작기능고핵성적정황.결과 실시원전급구전직호사운작모식후,원내반응시간축단,체표솔유실시전적99.3％상승도100.0％,차이유통계학의의(x2=5.44,P＜0.05)；전직화운작후,호사장악전과이론지식이급심폐복소、기관삽관、지혈포찰、척주판고정적기능고핵성적교실시전성적고,차이구유통계학의의(P＜0.05)；제전의여편휴식호흡궤적조작고핵성적차이무통계학의의(P＞0.05).결론 원전급구전직호사운작모식제고료호사전항호리조작기능급전업이론지식,축단원내반응시간차전부체표.
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.