Prehospital nurse adherence to abdominal pain guidelines in Sweden and possible association with educational level.

IF 2.1 4区医学 Q2 EMERGENCY MEDICINE

Australasian Emergency Care Pub Date : 2025-07-03 DOI:10.1016/j.auec.2025.06.007

Camilla Dannvall, Hilda Öhman, Johan Herlitz, Magnus Andersson Hagiwara, Carl Magnusson

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引用次数: 0

Abstract

Background: Abdominal pain is a common symptom encountered by emergency medical services (EMS) in Sweden. EMS nurses follow a structured process involving clinical history, physical examination, and final assessment, as guided by regional protocols. However, little is known about EMS nurses' adherence to these guidelines.

Objective: This study aims to evaluate adherence to regional guidelines for managing abdominal pain in EMS and explore whether EMS nurses' educational level is associated with adherence.

Methods: A retrospective, descriptive review of EMS case records for patients with ESS Code 6 (abdominal pain) was conducted. Data were analyzed to compare adherence to guidelines between EMS nurses with and without specialized education.

Results: A total of 600 cases were reviewed. Guideline adherence was suboptimal in several areas, such as pain intensity documented in only 36 % of cases, and abdominal palpation performed in 70 %. EMS nurses with specialized education were more likely to administer pain relief, perform abdominal palpation, and measure blood glucose.

Conclusion: Adherence to guidelines for managing abdominal pain in EMS was limited, particularly in documenting pain intensity. The findings suggest that a higher level of education among EMS nurses may improve compliance with assessment and treatment protocols.

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瑞典院前护士对腹痛指南的依从性及其可能与教育水平的关系

背景：腹痛是瑞典紧急医疗服务（EMS）遇到的常见症状。EMS护士遵循一个结构化的过程，包括临床病史、体格检查和最终评估，并在区域协议的指导下进行。然而，很少有人知道急救护士遵守这些指导方针。目的：本研究旨在评估EMS护士对区域腹痛管理指南的依从性，并探讨EMS护士的教育水平是否与依从性相关。方法：对ESS编码6（腹痛）患者的EMS病例记录进行回顾性、描述性回顾。对数据进行分析，比较接受和未接受专业教育的EMS护士对指南的遵守情况。结果：共回顾了600例病例。指南的依从性在几个方面是次优的，例如只有36% %的病例记录了疼痛强度，70% %的病例进行了腹部触诊。接受过专业教育的急救护士更有可能实施止痛、腹部触诊和测量血糖。结论：EMS患者对腹痛治疗指南的依从性有限，特别是在记录疼痛强度方面。研究结果表明，EMS护士较高的教育水平可以提高对评估和治疗方案的依从性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australasian Emergency Care Nursing-Emergency Nursing

CiteScore

3.30

自引率

5.60%

发文量

审稿时长

37 days

期刊介绍： Australasian Emergency Care is an international peer-reviewed journal dedicated to supporting emergency nurses, physicians, paramedics and other professionals in advancing the science and practice of emergency care, wherever it is delivered. As the official journal of the College of Emergency Nursing Australasia (CENA), Australasian Emergency Care is a conduit for clinical, applied, and theoretical research and knowledge that advances the science and practice of emergency care in original, innovative and challenging ways. The journal serves as a leading voice for the emergency care community, reflecting its inter-professional diversity, and the importance of collaboration and shared decision-making to achieve quality patient outcomes. It is strongly focussed on advancing the patient experience and quality of care across the emergency care continuum, spanning the pre-hospital, hospital and post-hospital settings within Australasia and beyond.