影响基层医务人员心肺复苏技能掌握因素分析
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摘要
目的了解我市基层乡镇卫生院医务人员对心肺复苏(CPR)技能掌握情现状及影响因素,为推广CPR适宜技术及改善CPR培训方式提供依据。方法从2014年3月~2015年12月期间,根据2010心肺复苏指南标准对795例基层医务人员进行考核,比较分析各影响因素组间心肺复苏考核成绩结果。结果 795例基层医务人员理论合格142例(17.86%),操作合格60例(7.55%),平均考核成绩明显偏低;学历组、职业组、不同科室组及培训间隔年限各个组间差异均存在统计学意义(P<0.05),多元线性回归分析表明CPR技能掌握情况受同科室、学历、工作年限及培训间隔时间等因素的影响。结论基层医务人员CPR技能水平薄弱,根据医务人员的学历、职称、工作年限等,制定不同层次的培训计划、内容和方案,并做相应的评估以提高CPR培训质量和效果。
Objective To explore the mastering of CPR and its influence factors in primary healthcare personnel in health clinics in towns and townships, and to provide basis for promotion of CPR and improvement of CPR training.Methods A total of 795 primary healthcare personnel were examined based on 2010 CPR Guidelines from March 2014 to December 2015. The results were compared between different groups with various influence factors. Results 142 cases(17.86%) of the 795 primary healthcare personnel were qualified in CPR theory examination and 60 cases(7.55%) were qualified in operation examination, which was not favorable. There were significantly differences between education background group, profession group, department group, and last time of training group(P<0.05). Multiple linear regres sion analysis showed that mastering of CPR was influenced by departments, education background, work experience,and last time of training. Conclusion The mastering of CPR in primary healthcare personnel is relatively weak. Training program, content and scheme should be developed based on different education background, titles, and work experience of primary healthcare personnel, and evaluation system should be established to improve the quality and outcome of CPR training.
Objective To explore the mastering of CPR and its influence factors in primary healthcare personnel in health clinics in towns and townships, and to provide basis for promotion of CPR and improvement of CPR training.Methods A total of 795 primary healthcare personnel were examined based on 2010 CPR Guidelines from March 2014 to December 2015. The results were compared between different groups with various influence factors. Results 142 cases(17.86%) of the 795 primary healthcare personnel were qualified in CPR theory examination and 60 cases(7.55%) were qualified in operation examination, which was not favorable. There were significantly differences between education background group, profession group, department group, and last time of training group(P<0.05). Multiple linear regres sion analysis showed that mastering of CPR was influenced by departments, education background, work experience,and last time of training. Conclusion The mastering of CPR in primary healthcare personnel is relatively weak. Training program, content and scheme should be developed based on different education background, titles, and work experience of primary healthcare personnel, and evaluation system should be established to improve the quality and outcome of CPR training.
引文
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[14]Spooner BB,Fallaha JF.An evaluation of objective feedback in basic life support(BLS)training[J].Resuscita tion,2007,73(3):417-424.
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[18]李雁平,高洁,金凤娟.翻转课堂理念在医护人员单人成人心肺复苏培训中的应用[J].天津护理,2016,24(2):100-102.
[19]华小雪,史冬雷,胡英莉,等.急诊医护人员单人徒手胸外心脏按压质量的现状调查[J].中华现代护理杂志,2015,(12)1393-1396.
[20]黄坚强,盛美霞,章森苗,等.宁波市镇海区医务人员心肺复苏技术培训效果对比与分析[J].中国农村卫生事业管理,2015,35(8):1041-1042.
[2]Ro YS,Shin SD.Public awareness and self-efficacy of cardiopulmonary resuscitation in communities and outcomes of out-of-hospital cardiac arrest:A multi-level analysis[J].Resuscitation,2016,17(102):17-24.
[3]MD Berg,SM Schexnayder.2010 American heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care[J].Circulation,2010,122(18):S876-S908.
[4]文艳红,赵春兰.200名非急诊专业医师心肺复苏技能现状调查[J].牡丹江医学院学报,2013,34(3):31-32.
[5]Yeung JH,Davies RP.Factors affecting team leadership skills and their relationship with quality of cardiopulmonary resuscitation[J].Crit Care Med,2012,40(9):2617-2621.
[6]Raojas L,Arab JP.Basic cardiopulmonary resusci tation:Knowledge,practical skills and effectiveness of maneuvers of general physicians[J].Rev Med Chil,2012,140(1):73-77.
[7]T Kila,S Yockopua.Knowledge of cardiopulmonary resuscitation among doctors at the Port Mores by General Hospital[J].Papua&New Guinea Medical Journal,2012,55(1-4):76-87.
[8]MR Jamalpour,HK Asadi.Basic life support knowledge and skills of Iranian general dental practitioners to perform cardiopulmonary resuscitation[J].Journal of the Nigeria Medical Association,2015,56(2):148-152.
[9]O Kelechi Emmanuel,BAN Okoh.Basic cardiopulmonary resuscitation knowledge of house-officers in a tertiary institution:Factors determining accuracy[J].The Pan African Medical Journal,2014,18(10):209.
[10]N Mpotos,K Monsieurs.Effect of rescuer's sex on the quality of chest compression during cardiopulmonary resuscitation on manikins[J].European Journal of Emer gency Medicine,2015,22(1):69.
[11]OB Bankole,I Desalu.Grade of a doctor does not influence acquisition of knowledge and skill during CPR training in a developing country[J].Journal of Clinical Sciences,2014,11(1):12-16.
[12]李小健,成萍,王卫华,等.医护人员心肺复苏术理论知识和技能操作现状调查分析[J].中国临床研究,2013,26(11):1273-1275.
[13]R Pourmirza,Kalhori,B Sabour,et al.Survey of the awareness level of nurses about last guidelines 2010 of cardiopulmonary resuscitation(CPR)in educational hospitals[J].Iranian Journal of Critical Care Nursing,2012,5(2):77-86.
[14]Spooner BB,Fallaha JF.An evaluation of objective feedback in basic life support(BLS)training[J].Resuscita tion,2007,73(3):417-424.
[15]H Matsubara,M Enami.Effects of obligatory training and prior training experience on attitudes towards performing basic life support:a questionnaire survey[J].Acute Medicine&Surgery,2015,2(2):105-113.
[16]Perkins GD.Sinmlation in resuscitation training[J].Resuscitation,2007,73(2):202-211.
[17]EL Grove,B L fgren.Successful implementation of the European Resuscitation Council basic life support course as mandatory peer-led training for medical students[J].European Journal of Emergency Medicine,2014,21(2):142-144.
[18]李雁平,高洁,金凤娟.翻转课堂理念在医护人员单人成人心肺复苏培训中的应用[J].天津护理,2016,24(2):100-102.
[19]华小雪,史冬雷,胡英莉,等.急诊医护人员单人徒手胸外心脏按压质量的现状调查[J].中华现代护理杂志,2015,(12)1393-1396.
[20]黄坚强,盛美霞,章森苗,等.宁波市镇海区医务人员心肺复苏技术培训效果对比与分析[J].中国农村卫生事业管理,2015,35(8):1041-1042.