电话指导心肺复苏的实施现状及影响因素分析  

Analysis of the implementation status and influencing factors of telephone cardiopulmonary resuscitation

作　　者：杜敏 陈静 黄永平 项涛 马林 DU Min;CHEN Jing;HUANG Yongping;XIANG Tao;MA Lin(Department of Emergency Medicine,The Third People’s Hospital of Chengdu,Chengdu Sichuan 610014,China)

机构地区：[1]成都市第三人医院急诊科,四川成都610014 [2]成都市紧急医疗救援中心,四川成都610041

出　　处：《中国急救复苏与灾害医学杂志》2025年第1期40-43,共4页China Journal of Emergency Resuscitation and Disaster Medicine

摘　　要：目的 了解调度员及急救人员对电话指导心肺复苏(T-CPR)的实施现状、分析影响实施的因素,为提高T-CPR实施率提供参考。方法 采用横断面调查研究,依托成都市卫健委向120网络医院及急救中心发放调查问卷,调查成都地区调度员及急救人员T-CPR的实施现状。根据1年内有无T-CPR经历分为T-CPR组和非T-CPR组,分别采用独立样本t检验和卡方检验分析组间计量资料和计数资料的差异,使用Logistic回归分析影响T-CPR实施的因素。结果(1)调查期间共有来自170家卫生医疗机构和14家120急救中心的共2 456人填写问卷,2 423人(98.66%)问卷填写完整纳入研究。T-CPR组共1 050人(43.33%),非T-CPR组为1 373人(56.67%)。(2)Logistic回归分析显示男性、职业类别、了解急救原则、愿意实施T-CPR以及较短救护车派出时间为实施T-CPR的有利因素。结论 调度员及急救人员T-CPR实施情况有待提高,可通过调度员为主、急救人员补充,其次熟悉院前急救原则、意愿实施T-CPR、较短时间派出救护车均可提高T-CPR实施率。Objective To understand the current implementation status of telephone cardiopulmonary resuscitation(T-CPR)by dispatchers and Emergency Medical Services(EMS)personnel,analyze the factors affecting the implementation,and provide reference for improving the implementation rate of T-CPR.Methods A cross-sectional study was conducted to investigate the current implementation status of T-CPR among dispatchers and EMS personnel in Chengdu by distributing questionnaires to 120 network hospitals and EMS centers relying on the Chengdu Municipal Health and Safety Commission.They were divided into T-CPR and non-T-CPR groups according to whether they had experienced T-CPR within 1 year,and the differences in measurement and count data between the groups were analyzed using the independent samples t-test and chi-square test,respectively,and the factors affecting the implementation of T-CPR were analyzed using logistic regression.Results①A total of 2456 people from 170 health care institutions and 14120 EMS centers filled out the questionnaire during the survey period,and 2423(98.66%)were included in the study with completed questionnaires.1050(43.33%)people were included in the T-CPR group,and 1373(56.67%)people were included in the non-T-CPR group.②Logistic regression analysis showed male,occupational category,knowledge of EMS principles,willingness to perform T-CPR,and shorter ambulance dispatch time as favorable factors for performing T-CPR.Conclusion The implementation of T-CPR by dispatchers and EMTs needs to be improved,and the implementation rate of T-CPR can be improved by dispatchers as the main focus and EMTs as a supplement,followed by familiarity with the principles of prehospital emergency care,willingness to implement T-CPR,and shorter ambulance dispatch time.

关 键 词：电话指导心肺复苏 院外心脏骤停 调度员 急救人员 

分 类 号：R605.974[医药卫生—急诊医学]