Istria Jacques, Bonnel Galadriel, Gentile Stéphanie, Durand Anne-Claire, Feuerstein Sebastien, Raymond Jean-Jacques, Chabot Jean-Michel, Valliccioni Willy, Sambuc Roland
Emergency Medical Service (SAMU83), Toulon–La Seyne sur Mer Hospital, Toulon, France.
J Emerg Nurs. 2013 Jul;39(4):384-8. doi: 10.1016/j.jen.2012.09.001. Epub 2012 Nov 29.
The objective of this study was to compare the quality of care between French nurses and physicians in the prehospital management of hypoglycemic patients.
Response times, concordance with medical protocols/recommendations, quality of medical records, and percentage of hospitalized patients were evaluated.
A total of 33 patients were treated for hypoglycemia by the nurse group and 41 by the physician group. The groups were similar in terms of response rates (mean time of 00:08 ± 00:06 minutes for nurses and 00:10 ± 00:09 minutes for doctors). For 51 patients not requiring hospitalization, the proportion was similar in each group (47.1% and 52.9% for nurses and doctors, respectively). The nurse group showed significantly higher mean scores for concordance with recommendations (P < .001) and quality of medical records (P = .005).
In the management of hypoglycemic patients, the quality of care of an emergency ambulance team composed of nurses was comparable to that of doctors.
本研究的目的是比较法国护士和医生在低血糖患者院前管理中的护理质量。
评估了响应时间、与医疗协议/建议的一致性、医疗记录质量以及住院患者百分比。
护士组共治疗了33例低血糖患者，医生组治疗了41例。两组在响应率方面相似（护士平均时间为00:08±00:06分钟，医生为00:10±00:09分钟）。对于51例不需要住院的患者，每组的比例相似（护士组和医生组分别为47.1%和52.9%）。护士组在与建议的一致性（P<.001）和医疗记录质量（P=.005）方面的平均得分显著更高。
在低血糖患者的管理中，由护士组成的急救救护车团队的护理质量与医生相当。
