急诊科和ICU医护人员胸外心脏按压质量的评价  

The quality of chest compression among medical staff in the emergency department and the intensive care unit

作　　者：黄素芳[1] 邹灯秀[1] 严丽[1] 张凤玲[1] 绳宇[2] 

机构地区：[1]华中科技大学同济医学院附属同济医院急诊科,武汉市430030 [2]北京协和医学院护理学院

出　　处：《中华护理杂志》2013年第10期926-928,共3页Chinese Journal of Nursing

基　　金：湖北省自然科学基金项目资助(编号:2011CDB195)

摘　　要：目的描述急诊科和ICU医护人员胸外心脏按压质量的现状,提出改进培训质量和效果的对策。方法利用高级复苏模型及计算机技能报告系统监测临床医护人员胸外心脏按压定位、按压频率、按压深度、胸壁回弹、按压疲劳时间等,进行统计分析。结果大部分操作者疲劳时间短,按压深度不够,按压频率偏快,胸壁回弹不理想。结论对医护人员进行心肺复苏急救培训时,应按照心肺复苏指南,注重实践操作培训,引入高级仿真模拟人及先进的监测反馈技术,重点培训薄弱环节,提高胸外心脏按压的培训效果。Objective To investigate the quality of chest compression among medical staff in the emergency department and the intensive care unit, and to raise suggestions to improve the training quality and effectiveness. Methods The advanced resuscitation model and computer reporting system were used to monitor the hand placement, compression rate, compression depth, chest wall recoil and fatigue time. Results Most of the operators showed short fatigue time, insufficient compression depth, higher compression rate and unsatisfactory chest wall recoil. Conclusion Cardiopulmonary resuscitation training for medical staff should focus on the practical ability with the support of advanced resuscitation models and monitoring and feedback system, in order to improve the training effectiveness of chest compression.

关 键 词：心肺复苏术 急诊室 医院 重症监护病房 

分 类 号：R459.7[医药卫生—急诊医学]