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医疗专业人员对心肺复苏期间亲属在场情况的看法。

The opinion of health professionals regarding the presence of relatives during cardiopulmonary resucitation.

作者信息

Asencio-Gutiérrez J M, Reguera-Burgos I

机构信息

Enfermero, máster en Cuidados Críticos.

Socióloga, especialista en investigación social y análisis de datos, , España.

出版信息

Enferm Intensiva. 2017 Oct-Dec;28(4):144-159. doi: 10.1016/j.enfi.2017.01.002. Epub 2017 Jun 17.

Abstract

BACKGROUND

The latest recommendations from the American Heart Association and the European Resuscitation Council invite allowance for the presence of relatives (PR) during cardiopulmonary resuscitation (CPR) as an extra measure of family care.

OBJECTIVE

To discover the opinion of health professionals on the PR during CPR.

METHOD

Cross-sectional observational study through an online survey in Spain, based on a non-probability sample (n=315).

RESULTS

45% consider that the PR during CPR is not demanded by users. 64% value the implementation of this practice in a negative or a very negative way. 45% believe that the practice would avoid the feeling of abandonment that is instilled in the relatives, this being the most widely perceived potential benefit. 30% do not believe that it can help reduce the anxiety of relatives. The majority remarked that PR would cause situations of violence, psychological harm in witnesses, and more mistakes during care. 48% feel prepared to perform the role of companion.

CONCLUSIONS

Most professionals perceive more risks than benefits, and are not in favour of allowing PR due to a paternalistic attitude, and fear of the reactions that could be presented to the team. Extra-hospital emergency personnel seems to be the group most open to allowing this practice. Most professionals do not feel fully prepared to perform the role of companion.

摘要

背景

美国心脏协会和欧洲复苏委员会的最新建议允许在心肺复苏(CPR)期间家属在场,作为家庭护理的一项额外措施。

目的

了解医疗专业人员对CPR期间家属在场的看法。

方法

在西班牙通过在线调查进行横断面观察研究,基于非概率样本(n = 315)。

结果

45%的人认为CPR期间家属在场并非用户所要求。64%的人对这种做法的实施评价为负面或非常负面。45%的人认为这种做法可以避免亲属产生被遗弃的感觉,这是最普遍认为的潜在益处。30%的人认为它无助于减轻亲属的焦虑。大多数人表示家属在场会引发暴力情况、对目击者造成心理伤害以及护理过程中出现更多失误。48%的人觉得自己有准备好承担陪伴者的角色。

结论

大多数专业人员认为风险大于益处,由于家长式态度以及担心团队可能出现的反应,不赞成允许家属在场。院外急救人员似乎是最愿意接受这种做法的群体。大多数专业人员觉得自己没有完全准备好承担陪伴者的角色。

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