医务人员心肺复苏操作影响因素研究  

Influence Factors of Cardiopulmonary Resuscitation Performed by Healthcare Professionals

作　　者：孙菁[1] 孟凡山[1] 计达[1] 陈威[1] 沈洪[1] 

机构地区：[1]中国人民解放军总医院急诊科,北京市100853

出　　处：《中国全科医学》2011年第14期1610-1612,共3页Chinese General Practice

摘　　要：目的调查医务人员单人心肺复苏行人工胸外心脏按压的实际操作状况,分析对心脏按压效果的影响因素。方法随机抽取北京地区6家三甲医院的医务人员422人,采用自行设计的心肺复苏调查表记录操作人员的一般情况,使用菲利普公司提供的QCPR3535型多功能除颤监护仪及ANNIER复苏模拟人,对每个操作者2 min内按压频率、按压幅度、按压间释放压力3项指标的数据进行记录。应用Logistic回归分析探讨影响操作合格的相关因素。结果本组人工胸外心脏按压3项指标均达标的总合格率为32.0%(135/422);按压频率、按压幅度和按压间释放压力的合格率分别为59.0%(249/422)、53.6%(226/422)和76.1%(321/422);每年参加过培训、按压动作培训和参加过急诊工作是人工胸外心脏按压操作合格的相关因素。结论单人胸外心脏按压的合格率较低;规范化培训、长期培训和定期培训反馈对提高心肺复苏操作水平有重要作用。Objective To look into the possible influence factors of one-rescuer cardiopulmonary resuscitation（CPR） through investigating the quality of this process performed by healthcare professionals.Methods One-rescuer CPR operation was performed on a ResusciAnne manikin by 422 healthcare professionals selected randomly from six third-class hospitals in Beijing.QCPR3535-Phillips was applied to measure the chest compression rates,depth and release pressure between the compressions.Personal information and practice results of every 2 minutes were recorded in a designed schedule table.Logistic regression analysis was used to identify influence factors of the CPR performance.Results The rate of subjects with all three indices qualified was 32%（135/422）,and the respective qualified rates of the compression rate,depth,release pressure were 59.0%（249/422）,53.6%（226/422）and 76.1%（321/422）.Annal participation of training,compression posture training experience and emergency working experience were the relative factors of one-rescuer CPR performance.Conclusion The quality of one-rescuer CPR operation need improvement which could be achieved by standardized and long-term training with feedback on a regular basis.

关 键 词：心肺复苏 胸外心脏按压 医务人员 

分 类 号：R605.97[医药卫生—急诊医学]