老年护理院急诊中患者、护士和医生的期望。

Expectations of patients, nurses and physicians in geriatric nursing home emergencies.

机构信息

Department of Operational Medicine, Division of Anesthesiology and Critical Care Medicine, Innsbruck Medical University, Innsbruck, Austria.

出版信息

Emerg Med J. 2011 Apr;28(4):283-6. doi: 10.1136/emj.2010.093948. Epub 2010 Aug 15.

DOI:10.1136/emj.2010.093948

PMID:20713370

Abstract

OBJECTIVES

To determine contentment with the performance of primary mission emergency care providers.

METHODS

A prospective cohort study was conducted using key informant interviews to assess quality of life and self-rated degree of contentment with care in geriatric emergencies.

RESULTS

Interviews concerning a total of 152 geriatric emergency cases in nursing homes were conducted with patients in 13 (8.6%) cases, geriatric nurses in 132 (86.8%) cases and emergency physicians in 116 (76.3%) cases within a 3-month period. All responding patients as well as the majority of nurses (96.2%) and physicians (79.4%) were content with the quality of emergency care, but showed less contentment with communication (57.6% of nurses; 22.4% of physicians) and with cooperation on-site (57.6% of nurses; 20.7% of physicians).

CONCLUSIONS

Participants perceived a deficit in communication and cooperation on-site. There is a need for intensified education in managing geriatric emergency patients, especially with regard to communication and psychosocial issues.

摘要

目的

确定初级任务急救提供者对其表现的满意度。

方法

采用前瞻性队列研究，使用关键知情人访谈评估老年人急诊中的生活质量和自我护理满意度。

结果

在 3 个月内，对养老院的 152 例老年急诊病例进行了访谈，涉及 13 例（8.6%）患者、132 例（86.8%）老年护士和 116 例（76.3%）急诊医生。所有接受访谈的患者以及大多数护士（96.2%）和医生（79.4%）对急救质量感到满意，但对沟通（57.6%的护士；22.4%的医生）和现场合作（57.6%的护士；20.7%的医生）的满意度较低。