护理人员的院内心肺复苏知识

Sylwia Mirecka, Ł. Czyżewski
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摘要

目的:评估医务人员的院内心肺复苏知识,并将其与现行的欧洲复苏委员会指南进行比较。此外,本研究旨在调查受访者对心肺复苏的偏好和经验。材料与方法:研究对象为248名在保守病房和外科病房工作的护士。该研究使用了作者设计的调查问卷,该问卷以电子形式提供。它由20个封闭的单选题组成。参与这项研究是匿名和自愿的。结果:院内心肺复苏术知识水平高的占30.6%,中等的占50.4%,低的占19%。工作经验≤2年(43.2%)和3-10年(36%)的受访人员对院内心肺复苏知识水平较高的可能性明显高于工作经验较长的受访人员,尤其是11-25年(13.6%),p<0.0001。大多数受访者报告说,用于除颤的设备类型对他们来说无关紧要(42.3%),而27.8%的人更喜欢使用除颤器勺子,29.8%的人更喜欢使用自粘电极进行除颤。大多数应答者(70.2%)在心肺复苏术中使用1mg未稀释肾上腺素。20.2%的应答者使用0.9% NaCl溶液中10倍稀释后的1 mg肾上腺素。结论:该研究显示了医院内心肺复苏知识的平均水平。较年轻、工作经验较短、受教育程度较高的受访者以及男性的知识水平明显较高。除颤期间使用的设备类型对大多数应答者来说并不重要。调查还发现,绝大多数受访者至少参与或目睹过一次心肺复苏,超过一半的受访者知道经过资格课程和麻醉与重症监护专业后获得的专业资格。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
KNOWLEDGE OF IN-HOSPITAL CARDIOPULMONARY RESUSCITATION AMONG NURSING STAFF
Aim: To assess the knowledge of medical personnel about in-hospital cardiopulmonary resuscitation and to compare it with the current European Resuscitation Council Guidelines. Furthermore, the study intended to investigate the respondents’ preferences and experiences associated with performing cardiopulmonary resuscitation. Material and methods: The study included 248 nurses working in conservative and surgical wards. The research used an author-designed survey questionnaire, which was made available in electronic form. It consisted of 20 closed single-choice questions. Participation in the study was anonymous and voluntary. Results: A high level of knowledge of in-hospital CPR was found in 30.6%, average in 50.4% and low in 19%. Re¬spondents with work experience of ≤2 years (43.2%) and 3-10 years (36%) were significantly more likely to have a high level of knowledge of in-hospital CPR than those with longer work experience, especially 11-25 years (13.6%), p<0.0001. Most of respondents reported that the type of equipment used for defibrillation did not matter to them (42.3%), while 27.8% preferred the use of a defibrillator spoon, and 29.8% preferred the use of self-adhesive elec¬trodes for defibrillation. The majority of respondents (70.2%) used 1 mg undiluted epinephrine during CPR. A dose of 1 mg epinephrine after 10-fold dilution in 0.9% NaCl solution was used by 20.2% of respondents. Conclusions: The study showed an average level of knowledge on in-hospital cardiopulmonary resuscitation. A signif¬icantly higher level of knowledge was found in younger respondents, those with shorter work experience and higher education, and among men. The type of equipment used during defibrillation did not matter for most respondents. It was also found that the vast majority of respondents had participated in or witnessed cardiopulmonary resuscitation at least once, and more than half knew the professional qualifications gained after a qualification course and speciali-sation in anaesthesia and intensive care nursing.
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