Hopstock Laila A
Institute of Community Medicine, Faculty of Medicine, University of Tromsø, Tromsø, Norway.
Scand J Trauma Resusc Emerg Med. 2008 Dec 16;16:18. doi: 10.1186/1757-7241-16-18.
Immediate start of basic cardiopulmonary resuscitation (CPR) and early defibrillation have been highlighted as crucial for survival from cardiac arrest, but despite new knowledge, new technology and massive personnel training the survival rates from in-hospital cardiac arrest are still low. National guidelines recommend regular intervals of CPR training to make all hospital personnel able to perform basic CPR till advanced care is available. This study investigates CPR training, resuscitation experience and self-confidence in skills among hospital personnel outside critical care areas.
A cross-sectional study was performed at three Norwegian hospitals. Data on CPR training and CPR use were collected by self-reports from 361 hospital personnel.
A total of 89% reported training in CPR, but only 11% had updated their skills in accordance with the time interval recommended by national guidelines. Real resuscitation experience was reported by one third of the respondents. Both training intervals and use of skills in resuscitation situations differed among the professions. Self-reported confidence decreased only after more than two years since last CPR training.
There is a gap between recommendations and reality in CPR training among hospital personnel working outside critical care areas.
立即开始基本心肺复苏（CPR）和早期除颤已被视为心脏骤停患者生存的关键，但尽管有了新知识、新技术以及大量人员培训，院内心脏骤停的生存率仍然很低。国家指南建议定期进行心肺复苏培训，以使所有医院工作人员在获得高级护理之前都能进行基本心肺复苏。本研究调查了重症监护区域以外的医院工作人员的心肺复苏培训、复苏经验及技能自信心。
在挪威的三家医院开展了一项横断面研究。通过对361名医院工作人员的自我报告收集有关心肺复苏培训和心肺复苏使用情况的数据。
共有89%的人报告接受过心肺复苏培训，但只有11%的人按照国家指南建议的时间间隔更新了技能。三分之一的受访者报告有实际复苏经验。不同职业的培训间隔和复苏情况下的技能使用情况有所不同。自我报告的自信心仅在距上次心肺复苏培训两年多后才下降。
在重症监护区域以外工作的医院工作人员的心肺复苏培训方面，建议与实际情况存在差距。
