Pettersen Trond R, Mårtensson Jan, Axelsson Åsa, Jørgensen Marianne, Strömberg Anna, Thompson David R, Norekvål Tone M
1 Department of Heart Disease, Haukeland University Hospital, Norway.
2 School of Health and Welfare, Jönköping University, Sweden.
Eur J Cardiovasc Nurs. 2018 Apr;17(4):336-344. doi: 10.1177/1474515117745298. Epub 2017 Nov 27.
Cardiopulmonary resuscitation (CPR) remains a cornerstone in the treatment of cardiac arrest, and is directly linked to survival rates. Nurses are often first responders and need to be skilled in the performance of cardiopulmonary resuscitation. As cardiopulmonary resuscitation skills deteriorate rapidly, the purpose of this study was to investigate whether there was an association between participants' cardiopulmonary resuscitation training and their practical cardiopulmonary resuscitation test results.
This comparative study was conducted at the 2014 EuroHeartCare meeting in Stavanger ( n=133) and the 2008 Spring Meeting on Cardiovascular Nursing in Malmö ( n=85). Participants performed cardiopulmonary resuscitation for three consecutive minutes CPR training manikins from Laerdal Medical®. Data were collected with a questionnaire on demographics and participants' level of cardiopulmonary resuscitation training.
Most participants were female (78%) nurses (91%) from Nordic countries (77%), whose main role was in nursing practice (63%), and 71% had more than 11 years' experience ( n=218). Participants who conducted cardiopulmonary resuscitation training once a year or more ( n=154) performed better regarding ventilation volume than those who trained less (859 ml vs. 1111 ml, p=0.002). Those who had cardiopulmonary resuscitation training offered at their workplace ( n=161) also performed better regarding ventilation volume (889 ml vs. 1081 ml, p=0.003) and compression rate per minute (100 vs. 91, p=0.04) than those who had not.
Our study indicates a positive association between participants' performance on the practical cardiopulmonary resuscitation test and the frequency of cardiopulmonary resuscitation training and whether cardiopulmonary resuscitation training was offered in the workplace. Large ventilation volumes were the most common error at both measuring points.
心肺复苏（CPR）仍然是心脏骤停治疗的基石，且与生存率直接相关。护士通常是第一响应者，需要熟练掌握心肺复苏操作。由于心肺复苏技能会迅速退化，本研究旨在调查参与者的心肺复苏培训与其实际心肺复苏测试结果之间是否存在关联。
这项对比研究分别在斯塔万格举行的2014年欧洲心脏护理会议（n = 133）以及马尔默举行的2008年心血管护理春季会议（n = 85）上进行。参与者使用Laerdal Medical®公司的心肺复苏训练模拟人连续进行三分钟的心肺复苏操作。通过一份关于人口统计学和参与者心肺复苏培训水平的问卷收集数据。
大多数参与者为女性（78%）、护士（91%），来自北欧国家（77%），其主要工作岗位是护理实践（63%），71%拥有超过11年的工作经验（n = 218）。每年进行一次或多次心肺复苏培训的参与者（n = 154）在通气量方面的表现优于培训次数较少的参与者（859毫升对1111毫升，p = 0.002）。在工作场所接受过心肺复苏培训的参与者（n = 161）在通气量（889毫升对1081毫升，p = 0.003）和每分钟按压次数（100次对91次，p = 0.04）方面也比未接受培训的参与者表现更好。
我们的研究表明，参与者在实际心肺复苏测试中的表现与心肺复苏培训的频率以及工作场所是否提供心肺复苏培训之间存在正相关。在两个测量点，通气量过大是最常见的错误。
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