Soleimanpour Hassan, Behringer Wilhelm, Tabrizi Jafar Sadegh, Sarahrudi Kambiz, Golzari Samad E J, Hajdu Stefan, Rasouli Maryam, Nikakhtar Mehdi, Mehdizadeh Esfanjani Robab
Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz-51664, I.R., Iran.
Department of Emergency Medicine, Medical University of Vienna, Vienna General Hospital, Waehringer Guertel 18-20, 1090 Vienna, Austria.
PLoS One. 2015 Apr 23;10(4):e0123765. doi: 10.1371/journal.pone.0123765. eCollection 2015.
The present study evaluated the opinions of physicians working in the emergency and trauma surgery departments of Vienna Medical University, in Austria, and Tabriz Medical University, in Iran, regarding the presence of patients' relatives during resuscitation. In a descriptive-analytical study, the data obtained from questionnaires that had been distributed randomly to 40 specialists and residents at each of the participating universities were analyzed. The questionnaire consisted of two sections aimed at capturing the participants' demographic data, the participants' opinions regarding their support for the family's presence during resuscitation, and the multiple potential factors affecting the participants' attitudes, including health beliefs, triggers that could facilitate the procedure, self-efficacy, intellectual norms, and perceived behavioral control. The questionnaire also included a direct question (Question 16) on whether the participants approved of family presence. Each question could be answered using a Likert-type scale. The results showed that the mean scores for Question 16 were 4.31 ± 0.64 and 3.57 ± 1.31 for participants at Vienna and Tabriz universities, respectively. Moreover, physicians at Vienna University disapproved of the presence of patients' families during resuscitation to a higher extent than did those at Tabriz University (P = 0.018). Of the studied prognostic factors affecting the perspectives of Vienna Medical University's physicians, health beliefs (P = 0.000; B = 1.146), triggers (P = 0.000; B = 1.050), and norms (P = 0.000; B = 0.714) were found to be significant. Moreover, of the studied prognostic factors affecting the perspectives of Tabriz Medical University's physicians, health beliefs (P = 0.000; B = 0.875), triggers (P = 0.000; B = 1.11), self-efficacy (P = 0.001; B = 0.5), and perceived behavioral control (P = 0.03; B = 0.713) were significant. Most physicians at Vienna and Tabriz Medical universities were not open towards family members' presence during resuscitation.
本研究评估了奥地利维也纳医科大学和伊朗大不里士医科大学急诊与创伤外科医生对于复苏期间患者亲属在场的看法。在一项描述性分析研究中，对随机分发给每所参与大学的40名专家和住院医师的问卷所获数据进行了分析。问卷由两部分组成，旨在获取参与者的人口统计学数据、参与者对于复苏期间支持家属在场的看法，以及影响参与者态度的多个潜在因素，包括健康信念、有助于该过程的触发因素、自我效能感、智力规范和感知行为控制。问卷还包括一个关于参与者是否赞成家属在场的直接问题（问题16）。每个问题都可以使用李克特量表回答。结果显示，维也纳大学和大不里士大学参与者对问题16的平均得分分别为4.31±0.64和3.57±1.31。此外，维也纳医科大学的医生比大不里士医科大学的医生更不赞成复苏期间患者家属在场（P = 0.018）。在所研究的影响维也纳医科大学医生观点的预后因素中，发现健康信念（P = 0.000；B = 1.146）、触发因素（P = 0.000；B = 1.050）和规范（P = 0.000；B = 0.714）具有显著性。此外，在所研究的影响大不里士医科大学医生观点的预后因素中，健康信念（P = 0.000；B = 0.875）、触发因素（P = 0.000；B = 1.11）、自我效能感（P = 0.001；B = 0.5）和感知行为控制（P = 0.03；B = 0.713）具有显著性。维也纳医科大学和大不里士医科大学的大多数医生对于复苏期间家属在场持不开放态度。
