Ersoy Gurkan, Yanturali Sedat, Suner Selim, Karakus Nuriye Ergul, Aksay Ersin, Atilla Ridvan
Department of Emergency Medicine, University of Dokuz Eylul, School of Medicine, Izmir, Turkey.
Eur J Emerg Med. 2009 Aug;16(4):188-93. doi: 10.1097/MEJ.0b013e328311a8dc.
Witnessed resuscitation is the process of resuscitation in the presence of family members.
Our goal was to determine the attitudes of relatives of the patients presenting to our emergency department regarding witnessed resuscitation and to elucidate the sociodemographic variables affecting their perspectives.
Blood relatives and spouses of all adult patients presenting to our emergency department in Turkey between 7 January 2005 and 16 January 2005 were included in the study. Accompanying persons other than patients' relatives were excluded. Surveys were conducted using a structured face-to-face interview with the participants.
A total of 420 family members were surveyed. Most participants (66.4%) stated that they would like to be present during resuscitation. The most common reason for wanting to be present during cardiopulmonary resuscitation (CPR) was: 'providing support for the patient' and 'witnessing the intervention'. Male family members and family members of patients without health insurance were more likely to want to witness resuscitation. Although prior willingness to witness CPR did not affect the likelihood of wanting to witness CPR, those family members who had previously witnessed CPR ending in death had decreased likelihood of wanting to witness it again. The participants' age, level of education, marital status, presence of chronic illness, and the patients' presenting diagnosis did not significantly affect the rate of willingness to witness CPR.
Our data locally revealed that most of the participants in this survey would like to witness CPR conducted on their family members who presented to our emergency department.
目睹复苏是指在家庭成员在场的情况下进行复苏的过程。
我们的目标是确定到我们急诊科就诊的患者亲属对目睹复苏的态度,并阐明影响他们观点的社会人口统计学变量。
纳入2005年1月7日至2005年1月16日期间在土耳其到我们急诊科就诊的所有成年患者的血亲及配偶。排除患者亲属以外的陪同人员。通过与参与者进行结构化的面对面访谈来开展调查。
共对420名家庭成员进行了调查。大多数参与者(66.4%)表示他们希望在复苏过程中在场。想要在心肺复苏(CPR)过程中在场的最常见原因是:“为患者提供支持”和“见证干预过程”。男性家庭成员以及没有医疗保险的患者的家庭成员更有可能希望目睹复苏过程。尽管之前愿意目睹CPR的意愿并不影响再次目睹CPR的可能性,但那些之前目睹CPR以患者死亡告终的家庭成员再次目睹的可能性降低。参与者的年龄、教育程度、婚姻状况、慢性病的存在以及患者的当前诊断并未显著影响目睹CPR的意愿率。
我们的数据在当地显示,本次调查中的大多数参与者希望目睹对到我们急诊科就诊的家庭成员进行的CPR。