摘要
目的分析干休所保健人员在院外不同情景下实施心肺复苏(cardiopulmonary resuscitation,CPR)的意愿及其影响因素,探讨消除实施心肺复苏的阻碍因素和提高施救意愿的有效途径。方法便利抽样选择参加某干休所保健人员培训班的183名学员,采用自行设计的问卷对其人口学资料、实施心肺复苏意愿和相关影响因素进行调查。结果干休所保健人员在不同情景下实施CPR的意愿不同,以对亲人的实施意愿最为强烈,其次是认识的人、溺水儿童和触电者,对中毒者、创伤者和流浪汉为最低。在CPR操作的不同环节中实施的意愿也不尽相同,以拨打急救电话的意愿为最高,胸外心脏按压的实施意愿高于口对防护面罩人工呼吸,以施行自动体外除颤和口对口人工呼吸的意愿为最低。怕麻烦、怕背黑锅和担心自己急救能力不够成为干休所保健人员施救的主要阻碍因素。结论有关部门应针对实施CPR的影响因素制定不同的政策或相关法律,正面宣传,使目击者能在患者心搏骤停现场第一时间进行CPR,以提高急救效率,使更多生命得以救治。
Objective To analyze the willingness and influencing factors of healthcare providers in cadre sanatorium to perform out-of-hospital CPR using scenarios and search for an effective path to eliminate the obstacle factors and improve their willingness.Methods A self-designed questionnaire including demo-graphic data,performing willingness and influencing factors was used to investigate 183 healthcare provid-ers who were selected by convenience sampling method.Results There were different willingness in differ-ent scenarios.The strongest willingness of Performing CPR was on a relative followed by a known person, a drowning child and an electric shock.The weakest willingness of performing CPR was on a poisoned peo-ple,a person after trauma and an tramp.There was also different willingness in different steps of CPR.The strongest willingness was to dial the emergency call.The willingness of chest compressions was stronger than mouth to barrier device breathing.The weakest willingness was to perform AED and mouth to mouth breathing.The major obstacle factors to perform out-of-hospital CPR were feared to bring trouble,fearing to be misunderstood and fearing the poor emergency ability.Conclusion In order to improve the efficiency of the first aid and make more resuscitation possible,the relevant departments should focus on the influen-cing factors of out-of-hospital CPR,make different policies or laws and do more positive propaganda to en-courage a bystander to perform CPR in a short time after the onset of cardiac arrest.
出处
《解放军护理杂志》
CSCD
2014年第21期17-20,30,共5页
Nursing Journal of Chinese People's Liberation Army
基金
上海市教委科研创新重点项目(12ZS080)
温州市科技计划资助项目(R20090051)
关键词
外
心肺复苏
情景
意愿
保健人员
影响因素
out-of-hospital
cardiopulmonary resuscitation
scenario
willingness
healthcare provider
in-fluencing factors
