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心肺复苏期间患者家属的在场情况:医生和护士的看法。

Presence of patients' families during cardiopulmonary resuscitation: physicians' and nurses' opinions.

作者信息

Demir Fatma

机构信息

School of Nursing, Ege University, Izmir, Turkey.

出版信息

J Adv Nurs. 2008 Aug;63(4):409-16. doi: 10.1111/j.1365-2648.2008.04725.x.

DOI:10.1111/j.1365-2648.2008.04725.x
PMID:18727768
Abstract

AIM

This paper is a report of a study to determine the opinions of physicians and nurses who work in a university hospital intensive care unit and emergency department about the presence of patients' families during cardiopulmonary resuscitation in these units.

BACKGROUND

Healthcare professionals have conflicting opinions about the presence of patients' families during cardiopulmonary resuscitation. Families who are allowed to be present have less fear and worry, feel they have supported their family member and are able to cope more easily.

METHOD

The data for this descriptive questionnaire study were collected between November 2006 and January 2007. The respondents were 62 physicians and 82 nurses who worked in an emergency department or in cardiology or anaesthesia intensive care units in Turkey. The data were collected using a questionnaire and the responses summarized using frequencies and percentages. The chi-squared test was performed to test for differences in the opinion by profession, educational level, or number of years of working experience in the profession.

FINDINGS

The response rate was 79%. Of the respondents, 82.6% did not think it was appropriate for patients' families to be present during cardiopulmonary resuscitation. The most common concerns mentioned were that the family would interfere with the team's activities (56.3%) and that resuscitation is a very traumatic procedure (43.6%).

CONCLUSION

Policies need to be developed regarding this topic because the absence of policy can cause misunderstanding and differences in practice. Further research is needed to determine what public education is needed to facilitate implementation of such policies.

摘要

目的

本文是一项研究报告,旨在确定在大学医院重症监护病房和急诊科工作的医生和护士对于这些科室进行心肺复苏时患者家属在场情况的看法。

背景

医护人员对于心肺复苏时患者家属在场存在相互矛盾的观点。允许在场的家属恐惧和担忧较少,感觉自己支持了其家庭成员,并且能够更轻松地应对。

方法

这项描述性问卷调查研究的数据于2006年11月至2007年1月收集。受访者为在土耳其急诊科或心脏病学或麻醉重症监护病房工作的62名医生和82名护士。数据通过问卷调查收集,并使用频率和百分比对回答进行汇总。进行卡方检验以检验不同职业、教育水平或该职业工作年限的意见差异。

结果

回复率为79%。在受访者中,82.6%的人认为心肺复苏时患者家属在场不合适。提及的最常见担忧是家属会干扰团队活动(56.3%)以及复苏是一个非常痛苦的过程(43.6%)。

结论

需要针对该主题制定政策,因为缺乏政策可能导致误解和实践差异。需要进一步研究以确定需要何种公众教育来促进此类政策的实施。

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