Uppsala University, Centre for Clinical Research, Västerås, Sweden.
Scand J Trauma Resusc Emerg Med. 2012 Apr 5;20:26. doi: 10.1186/1757-7241-20-26.
Healthcare professionals have shown concern about performing mouth-to-mouth ventilation due to the risks to themselves with the procedure. However, little is known about healthcare professionals' fears and attitudes to start CPR and the impact of training.
To examine whether there were any changes in the attitudes among healthcare professionals to performing CPR from before to after training.
Healthcare professionals from two Swedish hospitals were asked to answer a questionnaire before and after training. The questions were relating to physical and mental discomfort and attitudes to CPR. Statistical analysis used was generalized McNemar's test.
Overall, there was significant improvement in 10 of 11 items, reflecting various aspects of attitudes to CPR. All groups of health care professionals (physicians, nurses, assistant nurses, and "others" = physiotherapists, occupational therapists, social welfare officers, psychologists, biomedical analysts) felt more secure in CPR knowledge after education. In other aspects, such as anxiety prior to a possible cardiac arrest, only nurses and assistant nurses improved.The concern about being infected, when performing mouth to mouth ventilation, was reduced with the most marked reduction in physicians (75%; P < 0.001).
In this hospital-based setting, we found a positive outcome of education and training in CPR concerning healthcare professionals' attitudes to perform CPR. They felt more secure in their knowledge of cardiopulmonary resuscitation. In some aspects of attitudes to resuscitation nurses and assistant nurses appeared to be the groups that were most markedly influenced. The concern of being infected by a disease was low.
医疗保健专业人员对进行口对口通气操作表示担忧，因为该操作会对他们自身带来风险。然而，对于医疗保健专业人员对开始进行心肺复苏术的恐惧和态度以及培训的影响，人们知之甚少。
探讨经过培训后，医疗保健专业人员对进行心肺复苏术的态度是否发生变化。
邀请两家瑞典医院的医疗保健专业人员在培训前后回答问卷。问卷内容涉及身体和心理不适以及对心肺复苏术的态度。采用广义 McNemar 检验进行统计学分析。
在 11 项中的 10 项中，总体上都有显著改善，反映了对心肺复苏术的各种态度。所有医疗保健专业人员群体（医生、护士、助理护士和“其他”=物理治疗师、职业治疗师、社会福利官员、心理学家、生物医学分析师）在接受教育后都对心肺复苏术知识更有信心。在其他方面，如对可能发生心脏骤停的焦虑，只有护士和助理护士有所改善。在进行口对口通气时担心被感染的问题有所减少，其中医生的降幅最为显著（75%；P<0.001）。
在这种以医院为基础的环境中，我们发现心肺复苏术的教育和培训对医疗保健专业人员实施心肺复苏术的态度产生了积极影响。他们对心肺复苏术的知识更有信心。在复苏态度的某些方面，护士和助理护士似乎是受影响最显著的群体。担心感染疾病的情况较低。
