针对某大学医院非医务人员的简化心肺复苏培训项目的效果
Effectiveness of a simplified cardiopulmonary resuscitation training program for the non-medical staff of a university hospital.
作者信息
Hirose Tomoya, Iwami Taku, Ogura Hiroshi, Matsumoto Hisatake, Sakai Tomohiko, Yamamoto Kouji, Mano Toshiaki, Fujino Yuji, Shimazu Takeshi
机构信息
Department of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, 2-15 Yamadaoka Suita, Osaka 565-0871, Japan.
出版信息
Scand J Trauma Resusc Emerg Med. 2014 May 10;22:31. doi: 10.1186/1757-7241-22-31.
BACKGROUND
The 2010 Consensus on Science and Treatment Recommendations Statement recommended that short video/computer self-instruction courses, with minimal or no instructor coaching, combined with hands-on practice can be considered an effective alternative to instructor-led basic life support courses. The purpose of this study was to examine the effectiveness of a simplified cardiopulmonary resuscitation (CPR) training program for non-medical staff working at a university hospital.
METHODS
Before and immediately after a 45-min CPR training program consisting of instruction on chest compression and automated external defibrillator (AED) use with a personal training manikin, CPR skills were automatically recorded and evaluated. Participants' attitudes towards CPR were evaluated by a questionnaire survey.
RESULTS
From September 2011 through March 2013, 161 participants attended the program. We evaluated chest compression technique in 109 of these participants. The number of chest compressions delivered after the program versus that before was significantly greater (110.8 ± 13.0/min vs 94.2 ± 27.4/min, p < 0.0001), interruption of chest compressions was significantly shorter (0.05 ± 0.34 sec/30 sec vs 0.89 ± 3.52 sec/30 sec, p < 0.05), mean depth of chest compressions was significantly greater (57.6 ± 6.8 mm vs 52.2 ± 9.4 mm, p < 0.0001), and the proportion of incomplete chest compressions of <5 cm among all chest compressions was significantly decreased (8.9 ± 23.2% vs 38.6 ± 42.9%, p < 0.0001). Of the 159 participants who responded to the questionnaire survey after the program, the proportion of participants who answered 'I can check for a response,' 'I can perform chest compressions,' and 'I can absolutely or I think I can use an AED' increased versus that before the program (81.8% vs 19.5%, 77.4% vs 10.1%, 84.3% vs 23.3%, respectively).
CONCLUSIONS
A 45-min simplified CPR training program on chest compression and AED use improved CPR quality and the attitude towards CPR and AED use of non-medical staff of a university hospital.
背景
《2010年科学与治疗建议共识声明》推荐，可将几乎无需或完全无需教员指导、结合实践操作的短视频/计算机自学课程视为教员主导的基础生命支持课程的有效替代方案。本研究旨在探讨针对大学医院非医务人员的简化心肺复苏（CPR）培训项目的效果。
方法
在一个45分钟的CPR培训项目前后，该项目包括使用个人训练人体模型进行胸外按压和自动体外除颤器（AED）使用的指导，自动记录并评估CPR技能。通过问卷调查评估参与者对CPR的态度。
结果
2011年9月至2013年3月，161名参与者参加了该项目。我们对其中109名参与者的胸外按压技术进行了评估。培训后与培训前相比，胸外按压次数显著增加（110.8±13.0次/分钟对94.2±27.4次/分钟，p<0.0001），胸外按压中断时间显著缩短（0.05±0.34秒/30秒对0.89±3.52秒/30秒，p<0.05），胸外按压平均深度显著增加（57.6±6.8毫米对52.2±9.4毫米，p<0.0001），所有胸外按压中深度<5厘米的不完全胸外按压比例显著降低（8.9±23.2%对38.6±42.9%，p<0.0001）。在项目结束后回复问卷调查的159名参与者中，回答“我能检查反应”“我能进行胸外按压”以及“我绝对可以或我认为我可以使用AED”的参与者比例与项目前相比有所增加（分别为81.8%对19.5%、77.4%对10.1%、84.3%对23.3%）。
结论
一个45分钟的关于胸外按压和AED使用的简化CPR培训项目提高了大学医院非医务人员的CPR质量以及对CPR和AED使用的态度。
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