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对院前急救人员创伤患者护理的看法。

Perceptions of pre-hospital emergency personnel regarding trauma patient care.

机构信息

Student Research Committee, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.

Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

BMC Res Notes. 2024 Nov 28;17(1):353. doi: 10.1186/s13104-024-07013-1.

DOI:10.1186/s13104-024-07013-1
PMID:39609848
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11603971/
Abstract

BACKGROUND

Providing care to trauma patients in pre-hospital emergencies is a vital and life-sustaining factor for individuals. This study was conducted to percept of pre-hospital emergency personnel regarding trauma patient care.

METHODS

This qualitative study was done using a conventional content analysis method that employed purposive sampling technique. A total of 12 in-depth semi-structured interviews were conducted with 10 operational staff members of pre-hospital emergency services from May 2021 to September 2022. After recording and transcribing the data, qualitative content analysis, based on Graneheim and Lundman's approach, was performed on the data.

RESULTS

From the data analysis, a total of 478 initial codes were extracted, leading to the identification of two main categories, namely "Stress as an Unavoidable Factor" and "Emotional Impasse". The first category included three sub-categories of work under stress, associating your family in the face of life-threatening conditions, and worrying about the patient's fate. Three sub-categories of a long-term mental occupation of the technician with the encounter scene, the feeling of guilt despite trying as much as possible, and emotional distress in certain groups emerged from the second category.

CONCLUSIONS

"Stress as an Unavoidable Factor" and "Emotional Impasse" have been introduced as main categories of perceptions of pre-hospital emergency personnel regarding trauma patient care.

摘要

背景

在院前急救中为创伤患者提供护理是个体至关重要且维持生命的因素。本研究旨在了解院前急救人员对创伤患者护理的看法。

方法

本定性研究采用常规内容分析法,采用目的抽样技术。2021 年 5 月至 2022 年 9 月,共对 10 名院前急救服务运营人员进行了 12 次深入的半结构式访谈。在记录和转录数据后,根据 Graneheim 和 Lundman 的方法对数据进行了定性内容分析。

结果

从数据分析中提取了总计 478 个初始代码,确定了两个主要类别,即“压力是不可避免的因素”和“情绪困境”。第一个类别包括在压力下工作、面对危及生命的情况时将家人联系在一起以及担心患者命运三个亚类;第二个类别包括技术员长期关注遭遇场景、尽管尽力但仍感到内疚以及某些群体的情绪困扰三个亚类。

结论

“压力是不可避免的因素”和“情绪困境”被引入作为院前急救人员对创伤患者护理看法的主要类别。

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本文引用的文献

1
Navigating into the unknown: exploring the experience of exposure to prehospital emergency stressors: a sequential explanatory mixed-methods.探索未知:探索暴露于院前应急压力源的体验:顺序解释性混合方法。
BMC Emerg Med. 2023 Nov 15;23(1):136. doi: 10.1186/s12873-023-00906-7.
2
Understanding pre-hospital blood transfusion decision-making for injured patients: an interview study.理解创伤患者院前输血决策:一项访谈研究。
Emerg Med J. 2023 Nov;40(11):777-784. doi: 10.1136/emermed-2023-213086. Epub 2023 Sep 13.
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Post-Traumatic Stress Disorder among Emergency Medical Technicians and its Relationship with Occupational Stress and Depression: Post-Corona Screening, Zanjan, 2022.急救医疗技术人员的创伤后应激障碍及其与职业压力和抑郁的关系:2022年在赞詹进行的新冠疫情后筛查
Bull Emerg Trauma. 2023;11(3):138-145. doi: 10.30476/BEAT.2023.98245.1421.
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The experience of pre-hospital emergency personnel in breaking death news: a phenomenological study.院前急救人员传达死亡消息的经历:一项现象学研究。
BMC Nurs. 2022 May 25;21(1):127. doi: 10.1186/s12912-022-00899-x.
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Pre-hospital Care to Trauma Patients in Addis Ababa, Ethiopia: Hospital-based Cross-sectional Study.创伤患者的院前急救护理:埃塞俄比亚亚的斯亚贝巴的医院横断面研究。
Ethiop J Health Sci. 2021 Sep;31(5):1019-1024. doi: 10.4314/ejhs.v31i5.14.
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An Analysis of Stress Concerning Pediatric Emergency Care Nurses.儿科急诊护理人员的压力分析
Cureus. 2022 Jan 16;14(1):e21299. doi: 10.7759/cureus.21299. eCollection 2022 Jan.
7
Nurses' Perceptions of the Factors Contributing to the Development of the Love of the Profession: A Qualitative Content Analysis.护士对职业热爱发展影响因素的认知:一项质性内容分析
Nurs Rep. 2021 Sep 9;11(3):702-713. doi: 10.3390/nursrep11030066.
8
Psychological Distress Model Among Iranian Pre-Hospital Personnel in Disasters: A Grounded Theory Study.伊朗灾难现场院前急救人员心理困扰模型:一项扎根理论研究
Front Psychol. 2021 Nov 10;12:689226. doi: 10.3389/fpsyg.2021.689226. eCollection 2021.
9
How safe is prehospital care? A systematic review.院前急救有多安全?一项系统评价。
Int J Qual Health Care. 2021 Oct 26;33(4). doi: 10.1093/intqhc/mzab138.
10
Challenges in the PREHOSPITAL emergency management of geriatric trauma patients - a scoping review.老年创伤患者院前急救管理中的挑战——范围综述。
Scand J Trauma Resusc Emerg Med. 2021 Jul 23;29(1):100. doi: 10.1186/s13049-021-00922-1.