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Den prehospitala omvårdnaden av patienter med bröstsmärta ur ett tidsperspektiv
Örebro University, School of Health and Medical Sciences.
Örebro University, School of Health and Medical Sciences.
2011 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
The prehospital care of patients with chest pain from a time perspective (English)
Abstract [sv]

Utvecklingen inom ambulanssjukvården de senaste decennierna har varit omfattande och står idag för både avancerad sjukvård utanför sjukhuset och transporten av dessa patienter till sjukhus. Fler vårdkedjor startas vilket innebär att mer vård utförs på plats hos patienten, efter det transporteras patienten direkt till behandlande specialistavdelning, utan att fördröjas på akutmottagningen. Denna utveckling ställer ökade krav på fler specialistutbildade ambulanssjuksköterskor. Det är ofta snabba och svåra beslut som skall tas och felaktiga beslut kan ge svåra konsekvenser för patienten.

Syfte: Syftet med studien var att beskriva förändringar i tid med och utan prehospital omvårdnad för patienter med bröstsmärtor i ett treårsperspektiv.

Metod: Studien var retrospektiv med en komparativ design. Data från januari under 2009-2011 samlades in i form av ärenderapporter från SOS-alarm, som sedan jämfördes med varandra.

Resultat: I studien ingick 254 patienter. En jämförelse av den totala prehospitala tiden visade att den hade ökat signifikant (p 0,026) under de tre åren. Tiden utan omvårdnad hade ökat från 2009-2010 men sedan sjunkit något mellan 2010-2011. Både SOS och ambulansens hanteringstider ökade under de tre åren. Det var en signifikant (p 0,032) ökning i tiden med prehospital omvårdnad.

Slutsats: De prehospitala omvårdnadstiderna ökar. Ökade omvårdnadstider leder till ökat utnyttjande av befintliga resurser. Utan resurstillskott riskerar det att leda till brist på ambulansresurser och därmed längre väntan på omvårdnad för patienten.

Abstract [en]

A development in ambulance care in recent decades has been extensive and accounts for both the advanced medical care outside the hospital and transport of these patients to the hospital. More care chains start which means that more care is provided at the premises of the patient and then immediately transported to the treating specialist department and will not be delayed in the emergency department. This development leads to increasing demands for more specialized trained ambulance nurses. It is often fast and difficult decisions to be taken and wrong decisions can result in severe consequences for the patient.

Aim: The aim of this study was to describe changes in time with and without pre-hospital care for patients with chest pain in a three-year perspective.

Method: The study was retrospective with a comparative design. Data from January during 2009-2011 were collected from case reports from the SOS alarm which was compared.

Results: The study included 254 patients. A comparison of the total prehospital time showed that it had increased significantly (p 0.026) in the three years. The time without care had increased from 2009-2010 but then dropped slightly between 2010-2011. Both SOS and ambulance handling times increased during the three years. There was a significant (p 0.032) increase in the time of prehospital care.

Conclusion: The prehospital care time increases. Increased nursing hours leads to increased utilization of existing resources. Without additional resources, it risks leading to a lack of ambulance resources and longer waiting for care for the patient

Place, publisher, year, edition, pages
2011. , 21 p.
Keyword [en]
Ambulance, nurse, nursing, chestpain, time
Keyword [sv]
Ambulans, sjuksköterska, omvårdnad, bröstsmärta, tid
National Category
Nursing
Identifiers
URN: urn:nbn:se:oru:diva-17226ISRN: ORU-HAK/OMV-AG-2011/0032--SEOAI: oai:DiVA.org:oru-17226DiVA: diva2:440452
Subject / course
Omvårdnadsvetenskap
Uppsok
Medicine
Supervisors
Examiners
Available from: 2011-09-27 Created: 2011-09-12 Last updated: 2017-10-17Bibliographically approved

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