急性心肌梗死患者急救医疗服务使用状况及影响因素分析  

Investigation on the usage of emergency medical service and analysis for it’s related factors for patients with acute myocardial infarction

作　　者：汪雪玲[1] 徐丽华[2] 尹涛[2] 张瑞岩[3] 

机构地区：[1]上海交通大学附属新华医院,上海200029 [2]上海交通大学护理学院 [3]上海交通大学附属瑞金医院

出　　处：《护士进修杂志》2010年第16期1445-1447,共3页Journal of Nurses Training

摘　　要：目的探讨影响急性心肌梗死患者选择急救医疗服务的因素及性别对选择急救医疗服务的影响。方法选择2008年1～11月上海三家三甲医院250例AMI患者,使用汉化版＂急性心肌梗死患者就医行为调查问卷＂进行调查研究。结果有30.8%的患者应用EMS到达医院,男性和以前用过救护车的患者更易使用EMS,多元Logistic回归分析显示：自认为症状严重、疼痛严重、以前用过救护车是患者应用EMS的预测变量,而他人催促来院、之前有相似症状和身为女性是不应用EMS的预测因子。结论 AMI患者EMS使用率低,男性比女性更倾向于选择使用EMS,EMS效率有待提高。Objective To explore the utilization and influence factors of the emergency medical service（EMS）for patients with acute myocardial infarction（AMI）,and the chosen difference between female and male patient.Method 250cases of patients with AMI in three hospitals of Shanghai were investigated from January to November 2008 by the Chinese version of＂Treatment-seeking behavior questionnaire for AMI＂.Result EMS was used in 30.8%of patients with AMI,males and the patients who have used the EMS before are more likely to choose the EMS to go to hospital,The multiple regression analysis show that thought the self-perceived severe,severe pain level,previously used of ambulance were predictive factors of EMS usage.In addition,being forced to seek treatment at the hospital has experienced the same symptoms in earlier time and female patients appeared to be predictors for not using EMS.Conclusion Patients with AMI were not used to call EMS while they are experience the AMI syndrome and the utilization rate is low.Male patient are more likely to choose the EMS,The efficiency and utilization of EMS among AMI high risk populations need to be raised.

关 键 词：急性心肌梗死 急救医疗服务 性别 护理管理 

分 类 号：R471[医药卫生—护理学] R473.5[医药卫生—临床医学]