Tellson Alaina, Qin Huanying, Erwin Kristin, Houston Susan
Professional Practice, The Heart Hospital Baylor Plano, Plano, Texas, and The Heart Hospital Baylor Denton, Denton, Texas (Tellson); and the Departments of Quantitative Sciences (Qin) and Nursing Research (Erwin, Houston), Baylor Scott & White Health - North Texas, Dallas, Texas.
Proc (Bayl Univ Med Cent). 2017 Oct;30(4):415-418. doi: 10.1080/08998280.2017.11930210.
Annually, over 350,000 persons require cardiopulmonary resuscitation (CPR), either in or outside of the hospital. With obesity a rising health issue in the United States, concerns exist regarding the efficacy of quality compressions for CPR in obese patients. The aims of this study were to determine if the compressions for three adult simulation manikins (normal, obese, and morbidly obese) met quality guidelines; to examine any differences in quality of chest compressions performed by health care providers between the three manikins; and to examine the effect of participant characteristics on the quality of chest compressions in obese and morbidly obese manikins. A randomized controlled design was used. Sixty-one health care providers performed chest compressions on the three simulation manikins. Results showed that performance on the normal-sized manikin was significantly better than that on both obese and morbidly obese manikins. Participant characteristics were significantly associated with quality of chest compressions. The effectiveness of compressions in obese and morbidly obese CPR recipients has yet to be determined.
每年，超过35万人在医院内外需要进行心肺复苏（CPR）。随着肥胖问题在美国日益严重，人们对肥胖患者进行心肺复苏时高质量按压的效果存在担忧。本研究的目的是确定对三种成人模拟人体模型（正常、肥胖和病态肥胖）进行的按压是否符合质量指南；检查医护人员在三种人体模型上进行的胸部按压质量是否存在差异；以及检查参与者特征对肥胖和病态肥胖人体模型胸部按压质量的影响。采用随机对照设计。61名医护人员对三种模拟人体模型进行了胸部按压。结果表明，在正常尺寸人体模型上的表现明显优于肥胖和病态肥胖人体模型。参与者特征与胸部按压质量显著相关。肥胖和病态肥胖心肺复苏接受者按压的有效性尚未确定。
