医护人员对乌斯坦因模式及复苏成功的认知调查  

A Survey on the Perception of Utstein Model and the Success of Resuscitation among the Chinese Medical Staffs

作　　者：李静林 杨莉[1] 王振州 齐守罡[3] 周国忠 LI Jing-lin;YANG Li;WANG Zhen-zhou;QI Shou-gang;ZHOU Guo-zhong(Dept,of Emergency,The 1st Affiliated Hospital ofKunming Medical University,Kunming Yunnan,650500;First Aid Center of Yunnan Province,Kunming Yunnan,650500;Dept,of Emergency,The No.3 Hospital of Datong,Datong Shanxi,037008;Dept,of Emergency,Boya Hospital of Yunnan,Kunming Yunnan 650500,China)

机构地区：[1]昆明医科大学第一附属医院急诊科,云南昆明650500 [2]云南省急救中心,云南昆明650500 [3]大同市第三人民医院急诊科,山西大同037008 [4]云南博亚医院急诊科,云南昆明650500

出　　处：《昆明医科大学学报》2020年第11期143-149,共7页Journal of Kunming Medical University

基　　金：昆明市呈贡区人才工作项目(YNJH-2019-08)。

摘　　要：目的调查我国医护人员对乌斯坦因模式(Utstein model)的知晓情况及对复苏成功的评判标准。方法采用问卷调查的方式,对中国大陆医护人员进行随机抽样调查。结果仅有58.8%的参与者知晓乌斯坦因模式,知晓率与所在科室是否登记复苏结果关系最大,护士、男性、年轻人(<40岁)、高级职称和高学历者、在心脏急症相关科室工作者知晓率更高,但是高级别医院组的知晓率低于低级别医院组,近期(<6月)接受CPR培训组知晓率低于长时间(>2 a)未接受CPR培训组。84.5%的参与者认为除颤后存活是复苏成功的标准。认为判断指标持续时间大于30 s、大于20 min和大于24 h才可判定为复苏成功的参与者分别有24.9%、33.4%和18.4%。结论我国医护人员对乌斯坦因模式知晓率低,对"复苏成功"概念的理解混乱,需加强乌斯坦因登记模式的普及和推广。Objective To investigate the knowledge of the Utstein model and the criteria for evaluating the success of resuscitation among Chinese medical staffs.Method A random sampling survey was conducted among the medical staffs in China's Mainland.Results Only 58.8%of the participants had heard of the Utstein model.The awareness rate of the Utstein model was mostly related to whether the participant works in a department where registered the results of resuscitation,nurses,males,young people,senior professional titles and highly educated individuals,staff works in cardiac emergency-related department had a higher awareness rate of Utstein model.However,the awareness rate of high level hospital group was lower than that of the low level hospital group,the group who received a training within 6 months did not have a higher awareness rate than the group who had no training more than 2 years.84.5%of participants considered that post-defibrillation survival was a standard for successful resuscitation.Additionally,24.9%,33.4%,and 18.4%of participants believed that judgment indicators lasted more than 30 seconds,more than 20 minutes,or more than 24 hours indicated successful resuscitation,respectively.Conclusions The awareness rate of Utsteinmodel among the medical staff is low,and the understanding of the term"success of resuscitation"is very confusing in China.It is urgent to strengthen the popularization and application of the Utstein registration model.

关 键 词：乌斯坦因模式 医护人员 心肺复苏 复苏成功 

分 类 号：R-012[医药卫生]