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救护人员关于在寒冷气候下为患者使用加热床垫的意见——一项救护护理干预研究

The opinions of ambulance personnel regarding using a heated mattress for patients being cared for in a cold climate - An intervention study in ambulance care.

作者信息

Aléx Jonas, Uppstu Tom, Saveman Britt-Inger

机构信息

a Department of Nursing and affiliated with the Arctic Research Centre at Umeå University, Research fields: Prehospital emergency care , Umeå University , Umeå , Sweden.

b Department of Nursing , Umeå University , Umeå , Sweden.

出版信息

Int J Circumpolar Health. 2017;76(1):1379305. doi: 10.1080/22423982.2017.1379305.

DOI:10.1080/22423982.2017.1379305
PMID:28990464
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5645772/
Abstract

The purpose of the study was to describe the opinions of ambulance personnel regarding differences between using a heated mattress and a standard ambulance mattress. This study was an intervention study with pre- and post-evaluation. Evaluations of the opinions of personnel regarding the standard unheated mattress were conducted initially. After the intervention with new heated mattresses, follow-up evaluations were conducted. Ambulance personnel (n=64) from an ambulance station in northern Sweden took part in the study, which ran from October 2014 until February 2016. There were differences in opinions regarding the standard unheated mattress and the new heated mattress. The evaluation of the proxy ratings by the personnel showed that the heated mattress was warmer than the standard mattress, more pleasant to lie on and that patients were happier and more relaxed than when the standard mattress was used. The ambulance personnel in this study rated the experience of working with the heated mattress as very positive and proxy rated that it had a good effect on patient comfort. A heated mattress can be recommended for patients in ambulance care, even if more research is needed to receive sufficient evidence.

摘要

该研究的目的是描述救护人员对于使用加热床垫和标准救护车床垫之间差异的看法。本研究是一项进行了前后评估的干预性研究。首先对人员关于标准非加热床垫的看法进行评估。在用新的加热床垫进行干预后,进行了随访评估。瑞典北部一个救护站的64名救护人员参与了该研究,研究从2014年10月持续到2016年2月。对于标准非加热床垫和新的加热床垫,看法存在差异。人员对代理评级的评估表明,加热床垫比标准床垫更暖和,躺起来更舒适,并且与使用标准床垫时相比,患者更开心、更放松。本研究中的救护人员将使用加热床垫的工作体验评为非常积极,并代理评级认为其对患者舒适度有良好影响。即使需要更多研究以获得充分证据,加热床垫仍可推荐用于救护护理中的患者。

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本文引用的文献

1
Clinical considerations in the use of forced-air warming blankets during orthognathic surgery to avoid postanesthetic shivering.正颌外科手术中使用强制空气加温毯以避免麻醉后寒战的临床考量
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Effect evaluation of a heated ambulance mattress-prototype on thermal comfort and patients' temperatures in prehospital emergency care--an intervention study.一款加热救护车床垫原型在院前急救中对热舒适度和患者体温的效果评估——一项干预性研究
Int J Circumpolar Health. 2015 Sep 14;74:28878. doi: 10.3402/ijch.v74.28878. eCollection 2015.
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Effect evaluation of a heated ambulance mattress-prototype on body temperatures and thermal comfort--an experimental study.加热型救护车床垫原型对体温和热舒适度的效果评估——一项实验研究
Scand J Trauma Resusc Emerg Med. 2014 Aug 8;22:43. doi: 10.1186/s13049-014-0043-5.
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Validity and reliability of the Cold Discomfort Scale: a subjective judgement scale for the assessment of patient thermal state in a cold environment.冷不适量表的有效性和可靠性:用于评估寒冷环境中患者体温状态的主观判断量表。
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