Central Queensland University Australia, Building 18 Rockhampton, Bruce Highway, Rockhampton, QLD 4702 Australia.
Int J Nurs Stud. 2015 Jun;52(6):1064-70. doi: 10.1016/j.ijnurstu.2015.03.004. Epub 2015 Mar 14.
The debate on whether individuals want their family to be present during cardiopulmonary resuscitation continues to be a contentious issue, but there is little analysis of the predictors of the general public's opinion. The aim of this population based study was to identify factors that predict public support for having family present during cardiopulmonary resuscitation.
Data for this cross-sectional population based study were collected via computer-assisted-telephone-interviews of people (n=1208) residing in Central Queensland, Australia.
Participants supported family members being present should their child (75%), an adult relative (52%) or they themselves (51%) require cardiopulmonary resuscitation. Reasons cited for not wanting to be present were; distraction for the medical team (30.4%), too distressing (30%) or not known/not considered the option (19%). Sex and prior exposure to being present during the resuscitation of adults and children were both predictors of support (p<0.05). Reasons for not wanting to be present differed significantly for males and females (p=0.001).
Individual support for being present during cardiopulmonary resuscitation varies according to; sex, prior exposure and if the family member who is being resuscitated is a family member, their child or the person themselves. A considerable proportion of the public have not considered nor planned for the option of being present during a cardiac arrest of an adult relative. Clinicians may find it useful to explain the experiences of other people who have been present when supporting families to make informed decisions about their involvement in emergency interventions.
关于个人是否希望其家人在心肺复苏期间在场的争论仍存在争议,但对于公众意见的预测因素分析甚少。本基于人群的研究旨在确定预测公众对心肺复苏期间家人在场的支持的因素。
本横断面基于人群的研究的数据通过对澳大利亚昆士兰中部的居民(n=1208)进行计算机辅助电话访谈收集。
参与者支持家庭成员在其孩子(75%)、成年亲属(52%)或他们自己(51%)需要心肺复苏时在场。不愿在场的原因是:干扰医疗团队(30.4%)、太痛苦(30%)或不知道/未考虑该选项(19%)。性别和之前是否有过目睹成人和儿童心肺复苏的经历均为支持的预测因素(p<0.05)。男性和女性不愿在场的原因存在显著差异(p=0.001)。
个人对心肺复苏期间在场的支持程度因人而异,取决于性别、之前的经历以及正在复苏的家庭成员是亲属、孩子还是本人。相当一部分公众没有考虑过也没有计划在成年亲属心脏骤停期间在场的选择。临床医生可能会发现,向支持家属的人解释其他人在场的经历有助于他们做出关于参与紧急干预的知情决策。