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THE COMPETENCIES OF HEALTH RESCUERS WHILE TREATING ACUTE CORONARY SYNDROME IN THE EMERGENCY MEDICAL SERVICE ON THE FIELD

Abstract

Uvod: Akutni koronarni sindrom (AKS) predstavlja enega najpomembnejših in pogostih zdravstvenih problemov v svetu ter glavni vzrok umiranja bolnikov s koronarno boleznijo. Namen magistrskega dela je ugotoviti, če znanja in spretnosti zdravstvenih reševalcev zadostujejo za celostno začetno obravnavo bolnikov z AKS. Metode: Uporabljena je bila kvantitativna metodologija. Kot instrument zbiranja podatkov je bil uporabljen strukturiran anketni vprašalnik. Pridobljene podatke smo obdelali z uporabo deskriptivne in inferenčne statistike. Za obdelavo podatkov smo uporabili statistični program IBM SPSS 21. Rezultati: V raziskavi je bila nizka odzivnost anketirancev, morda zaradi zahtevne ankete. Podatki kažejo, da zdravstveni reševalci ne dosegajo željeni/potrebni nivo znanja za samostojno začetno obravnavo bolnikov z AKS, kar je pokazalo preverjanja znanja v anketi. Rezultati tudi kažejo (p = 0,16), da ni statistične povezanosti med dolžino delovne dobe v NMP in znanjem reševalcev. Interpretacija in zaključek: V raziskavi je bila nizka odzivnost anketirancev. Podatki kažejo, da zdravstveni reševalci ne dosegajo nivo željenega/potrebnega znanja za samostojno začetno obravnavo bolnikov z AKS. Rezultati raziskave kažejo, da je potrebno na področju začetne obravnave bolnikov z AKS izvajati dodatna izobraževanja zdravstvenih reševalcev. Znanje, spretnosti ter poznavanje protokolov bi lahko uporabili skupaj z informacijsko komunikacijsko tehnologijo zlasti v odsotnosti zdravnika, s čimer bi močno prispevali k boljšim končnim rezultatom zdravljenja AKS.Introduction: Acute coronary syndrome (ACS) is one of the most significant and common health problems in the world and also a major cause of death for patients with coronary disease. The purpose of the master’s thesis is to find out whether the knowledge and skills of the health rescuers are sufficient for a holistic initial treatment of patients with ACS. Methods: A quantitative methodology was used. A structured questionnaire was used as an instrument for collecting data. The acquired data was analysed by using a descriptive and inferential statistics. For processing the data we used the statistics programme IBM SPSS 21st. Results: Low responsiveness of the respondents in the survey was perhaps due to the complex of the survey. Data show that health rescuers do not reach the level of knowledge for the independent initial treatment of patients with ACS, which was also evident from the questionnaire. The results also show (p = 0.16) that there is no statistical relationship between the length of service in EMT (emergency medical treatment) and the knowledge of the rescuers. Interpretation and conclusion: There was a low response of the respondents in the survey. Data show that the health rescuers do not reach the level of knowledge for the independent initial treatment of patients with ACS. The results of the research indicate that some additional trainings are needed for the health rescuers in this field. Knowledge, skills and the knowledge of the protocols could be used together with the information and communication technology, particularly in the absence of a doctor, which would greatly contribute to better final results of the treatment of ACS

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