目的:旨在评估院前急救卫生服务(PHEMS)工作人员对低血糖病例的治疗和释放标准的了解,以及他们在住院相关决策过程中的态度。
方法:这项描述性横断面研究的样本包括714名在土耳其PHEMS工作的护理人员。在MicrosoftForms中开发的一项调查,其中包括各种特征,如年龄,性别,多年的专业经验,根据文献发展,以及包括低血糖病例的治疗和释放以及绝对医院转运标准的问题,用于收集数据。同意参与这项研究的参与者回答了在线调查。
结果:在714名参与者中,女性402人(56.30%),男性312人(43.70%)。598(83.75%)的参与者,在治疗后稳定的低血糖病例转移到医院方面有两难选择,决定将病人转移到急诊室。706(98.88%)报告说,除了低血糖之外,还需要干预的另一种紧急情况的存在是决定转移到绝对医院的决定性因素。586例(82.07%)报告说,在紧急医疗干预后没有恢复正常心理状态的患者在治疗和释放决定中是决定性的。
结论:PHEMS员工对低血糖病例的治疗和释放标准有很高的知识和意识,他们有很高的经验。PHEMS员工,谁在做出治疗和释放决定方面有两难选择,决定以很高的速度转移到医院。PHEMS系统应更清楚地定义低血糖病例的治疗和释放方案,以便有效地使用紧急服务和卫生资源。
It is aimed to evaluate the knowledge of Pre-Hospital Emergency Health Services (PHEMS) staff about the treat and release criteria in hypoglycemia cases and their attitudes in the decision-making processes related to hospitalization.
The sample of this descriptive cross-sectional study consisted of 714 paramedics working in PHEMS in Turkey. A survey developed in Microsoft Forms, which includes various features such as age, gender, years of professional experience, developed in line with the literature, and questions covering treat and release in hypoglycemia cases and absolute hospital transport criteria, was used in the collection of data. Participants who agreed to participate in the study answered the online survey.
Of the 714 participants, 402 (56.30%) were female and 312 (43.70%) were male. 598 (83.75%) of the participants, who had a dilemma regarding the transfer of hypoglycemia cases that became stable after treatment to the hospital, decide to transfer the patient to the emergency room. 706 (98.88%) reported that the presence of another emergency that needs intervention in addition to hypoglycemia was decisive in the decision to transfer to the absolute hospital, and 586 (82.07%) reported that the patient\'s who did not return to his normal mental state after emergency medical intervention was decisive in the treatment and release decision.
PHEMS employees have high knowledge and awareness related to treat and release criteria in hypoglycemia cases with which they have high experience. PHEMS employee, who has a dilemma related to making a treat and release decision, decides to transfer to the hospital with a high rate. PHEMS systems should define the treat and release protocols for hypoglycemia cases more clearly in order to use emergency services and health resources effectively.