Pfrunder Annika Alm, Falk Ann-Charlotte, Lindström Veronica
Karolinska Institute, Department of Clinical Science and Education, Södersjukhuset, Sweden.
Karolinska Institute, Department of Neurobiology, Care Sciences and Society & Karolinska University Hospital, PMI, Sweden.
Int J Orthop Trauma Nurs. 2017 Nov;27:23-27. doi: 10.1016/j.ijotn.2017.06.001. Epub 2017 Jun 21.
According to the World Health Organization (WHO) the goal of health care is for the entire general population to have good health and receive care on equal terms. Little is known about gender differences in the management of patients in the ambulance service. There is also a lack of studies investigating how the characteristics of health care personnel, such as gender and work experience, impact on patient care Therefore, the aim of this study was to describe ambulance personnel's assessments and the pain relief they provide for patients with hip fractures, based on the ambulance personnel's gender and years of experience.
A retrospective study of patients (>65 years) with hip fracture who, during 2011, were transported by ambulance to hospital.
Seven hundred and twenty two patients were included. Most patients reported experiencing pain and 50% received pain medication. Ambulance personnel with working experience of <10 years administered more pain medication compared to those with experience of >10 years. There was a tendency for male ambulance personnel to give pain medication more often compared to female personnel, but this tendency showed no significance.
The main finding of our study is that personnel with working experience of less than 10 years administer more pain relief, even though only half of the patients received pain medication during ambulance transportation.
根据世界卫生组织（WHO）的说法，医疗保健的目标是让全体普通民众都拥有良好的健康状况，并能平等地接受治疗。关于救护服务中患者管理的性别差异，我们所知甚少。也缺乏研究来调查医护人员的特征，如性别和工作经验，如何影响患者护理。因此，本研究的目的是根据救护人员的性别和工作年限，描述他们对髋部骨折患者的评估以及为患者提供的疼痛缓解措施。
对2011年期间由救护车送往医院的65岁以上髋部骨折患者进行回顾性研究。
纳入了722名患者。大多数患者报告经历了疼痛，50%的患者接受了止痛药物治疗。工作经验少于10年的救护人员比工作经验超过10年的人员使用了更多的止痛药物。男性救护人员比女性人员更倾向于更频繁地给予止痛药物，但这种倾向没有统计学意义。
我们研究的主要发现是，工作经验少于10年的人员提供了更多的疼痛缓解措施，尽管在救护车运送期间只有一半的患者接受了止痛药物治疗。
