紧急医生和护士对护理院居民紧急呼叫充足性的看法:一个非干预的前性研究
Sabine Lemoyne1,2, Joanne Van Bastelaere1,3, Sofie Nackaerts1,2
1Department of Emergency Medicine, Antwerp University Hospital, Edegem, Belgium.
Frontiers in medicine
|July 4, 2024
概括
许多来自养老院的紧急呼叫是可以预防的. 关键问题包括缺乏人员和培训不足的养老院人员,以及有限的全科医生可用性,导致不必要的紧急医疗服务干预.
科学领域:
- 老年医学 老年医学
- 紧急医疗 紧急医疗
- 医疗保健管理的管理
背景情况:
- 随着欧洲人口日益老龄化,养老院的紧急电话越来越多.
- 这些紧急干预和医院转移的很大一部分是可以预防的.
- 了解医院前急救人员对这些电话的看法至关重要.
研究的目的:
- 探索比利时紧急医生和护士对养老院紧急呼叫的看法.
- 识别导致不适当紧急医疗服务干预的感知因素.
- 收集关于减少不必要的紧急医疗服务激活的建议.
主要方法:
- 这是一项探索性,非干预性,前性研究.
- 电子问卷分发给比利时的医院前急诊医生和护士.
- 用于数据分析和专业群体之间的比较的描述性统计.
主要成果:
- 养老院工作人员被认为是人力不足和缺乏能力,影响了护理.
- 一般医生经常无法使用,导致不必要的紧急医疗服务激活和转移.
- 预先指示很少可用;转移往往忽视患者的愿望;息治疗被认为是不够的.
结论:
- 紧急医疗服务在养老院的干预通常被认为是不必要的.
- 关键问题包括养老院人员/能力,初级保健准入,以及缺乏提前指示.
- 建议包括增加全科医生参与,改善养老院人员和移动支持团队.
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