目的：探讨院前急救环境对院前急救护士生命质量的影响。方法选取2013年2~10月菏泽市4所市级医院242名护理人员作为研究对象,按照工作岗位将其分为研究组(急救护士,122名)与对照组(非急救护士,120名),统计研究组的工作量,分别采用生命质量综合评定问卷对研究组护士的生命质量进行调查,分析院前急救急救护士生命质量的影响因素。结果①研究组中,37例(30.83%)护士有心功能障碍；61例(50.83%)有工作倦怠；72例(60.1%)的护士有腰、颈、背、肩部肌肉劳损疼痛症状；85例(70.25%)的女护士认为自身衰老较快,各项数据均明显高于对照组,差异有统计学意义(P<0.05)。②研究组护士的日出诊量为(7.15±1.25)次、接诊(23.18±6.42)例、日行车距离为(262.6±25.7)km、抢救患者(9.62±1.67)例、市内出诊(4.25±1.45)次、市外出诊(2.05±0.63)次。③研究组护士睡眠与精力、躯体不适感、饮食、精神紧张度、社会支持等方面与对照组比较,差异有统计学意义(P<0.05)。榆问卷调查结果显示,院前护士认为对其生命质量有较大影响的因素是工作中出差错、不可预测的环境、患者和家属、夜间长途、知识与经验缺乏等,其中工作中出差错、不可预测的环境和夜间长途是影响院前护士生命质量的主要因素。结论院前急救环境严重影响着院前急救护士的生命质量,政府和医院重视院前急救,是对人力的重视,更是对生命的重视。%Objective To explore the influence of the environment on the quality of life in the pre hospital emergency care in the hospital. Methods From February to October 2013, 242 nurses from 4 municipal hospitals were selected as subjects, according to post of duty, they were divided in to study group (first aid nurses, 122 persons), and control group (non emergency nurses, 120 persons), workload of study group were counted, life quality of nurses in study was investi-gate by general quality of life inventory questionnaire, life quality influence factors of pre hospital emergency nurses were analyzed. Results①In study group, 37 cases (30.83%) had heart dysfunction;61 cases (50.83%) had job burnout;72 (60.1%) nurses had waist, neck, back, shoulder muscle strain pain symptoms; 85 (70.25%) female nurses think their aging faster, these were significantly higher than those of the control group, the differences were statistically significant (P < 0.05). ②Nurses in study group, amount of visits one day were (7.15±1.25) times, amount of admissions were(23.18±6.42) cases, drive distance were (262.6±25.7) km, rescue patients were (9.62±1.67) cases, inside city visits number were (4.25±1.45) times, outside city visits (2.05±0.63) times. ③Sleep and energy, discomfort, diet, mental ten-sion, social support of nurses in study group were compared with control group, the differences were statistically signifi-cant (P< 0.05). ④ The questionnaire survey results showed, pre-hospital nurses believed that greater impact factors were work out error, unpredictable environment, patients and their families, night long, knowledge and experience lack of quality of life, the work out error, unpredictable environment and night long is the impact of pre-hospital nurses' quality of life of the main factors. Conclusion The hospital emergency care is a serious impact on life quality, the gov-ernment and hospital paying attention to pre-hospital is paying attention human and life.
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