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心肺骤停的诊断与治疗:综合医院医生的理论知识评估

Cardiorespiratory arrest diagnosis and treatment: theoretical knowledge evaluation in a general hospital's physicians.

作者信息

Duarte Renata Nascimento, Fonseca Allex Jardim da

机构信息

Hospital Santa Marcelina do Sistema Único de Saúde, São Paulo, SP, Brasil.

Hospital Geral de Roraima, Boa Vista, RR, Brasil.

出版信息

Rev Bras Ter Intensiva. 2010 Jun;22(2):153-8.

Abstract

BACKGROUND

The main causes of cardiopulmonary arrest are endemic, and require constant medical improvement on cardiopulmonary resuscitation techniques. Training and continued education are essential to skilled management of cardiopulmonary resuscitation.

OBJECTIVE

This study aimed to evaluate the physicians' theoretical knowledge on diagnosis and treatment of cardiopulmonary arrest.

METHODS

This was a cross-sectional descriptive research conducted in a general hospital in Roraima, Brazil. The study population consisted of physicians who worked in the emergency department and intensive care units. The data were collected using a questionnaire addressing the subject.

RESULTS

Forty four physicians answered the questionnaire. The mean score was 50% right answers. Most (88.5%) respondents committed "fatal errors". Half of the sample was never trained in advanced life support skills. No correlation was found between the number of right answers and attendance to advanced life support training courses. An inverse correlation was found between performance and age, but no statistically significant correlation was seen regarding performance and time from medical graduation.

CONCLUSION

The physicians' theoretical knowledge on this field is worrisome. The results point to the importance of professional advanced life support training in order to assure quality standards for cardiac arrest management in this general hospital.

摘要

背景

心肺骤停的主要原因具有地区性,需要不断改进心肺复苏技术。培训和继续教育对于熟练掌握心肺复苏管理至关重要。

目的

本研究旨在评估医生关于心肺骤停诊断和治疗的理论知识。

方法

这是一项在巴西罗赖马州一家综合医院开展的横断面描述性研究。研究对象为在急诊科和重症监护病房工作的医生。通过一份针对该主题的问卷收集数据。

结果

44名医生回答了问卷。平均正确答案得分率为50%。大多数(88.5%)受访者存在“致命错误”。样本中有一半从未接受过高级生命支持技能培训。正确答案数量与参加高级生命支持培训课程之间未发现相关性。在表现与年龄之间发现了负相关,但在表现与从医年限之间未发现具有统计学意义的相关性。

结论

医生在该领域的理论知识令人担忧。结果表明专业高级生命支持培训对于确保这家综合医院心脏骤停管理的质量标准很重要。

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