Alismail Abdullah, Meyer Nicole C, Almutairi Waleed, Daher Noha S
Cardiopulmonary Sciences Department, School of Allied Health Professions, Loma Linda University, Loma Linda, CA, USA.
Respiratory Care Department, Loma Linda University Children's Hospital, Loma Linda, CA, USA.
Adv Med Educ Pract. 2018 Feb 7;9:85-91. doi: 10.2147/AMEP.S146149. eCollection 2018.
There are over a dozen medical shows airing on television, many of which are during prime time. Researchers have recently become more interested in the role of these shows, and the awareness on cardiopulmonary resuscitation. Several cases have been reported where a lay person resuscitated a family member using medical TV shows as a reference. The purpose of this study is to examine and evaluate college students' perception on cardiopulmonary resuscitation and when to shock using an automated external defibrillator based on their experience of watching medical TV shows.
A total of 170 students (nonmedical major) were surveyed in four different colleges in the United States. The survey consisted of questions that reflect their perception and knowledge acquired from watching medical TV shows. A stepwise regression was used to determine the significant predictors of "How often do you watch medical drama TV shows" in addition to chi-square analysis for nominal variables.
Regression model showed significant effect that TV shows did change students' perception positively (<0.001), and they would select shock on asystole as the frequency of watching increases (=0.023).
The findings of this study show that high percentage of nonmedical college students are influenced significantly by medical shows. One particular influence is the false belief about when a shock using the automated external defibrillator (AED) is appropriate as it is portrayed falsely in most medical shows. This finding raises a concern about how these shows portray basic life support, especially when not following American Heart Association (AHA) guidelines. We recommend the medical advisors in these shows to use AHA guidelines and AHA to expand its expenditures to include medical shows to educate the public on the appropriate action to rescue an out-of-hospital cardiac arrest patient.
电视上正在播出十几部医疗剧，其中许多都在黄金时段播出。研究人员最近对这些剧集的作用以及心肺复苏的认知度更感兴趣。已经报道了几起非专业人员以医疗电视剧为参考对家庭成员进行心肺复苏的案例。本研究的目的是根据大学生观看医疗电视剧的经历，考察和评估他们对心肺复苏以及何时使用自动体外除颤器进行电击的认知。
在美国四所不同的大学对总共170名学生（非医学专业）进行了调查。该调查包括反映他们从观看医疗电视剧中获得的认知和知识的问题。除了对名义变量进行卡方分析外，还使用逐步回归来确定“你多久看一次医疗电视剧”的显著预测因素。
回归模型显示电视剧确实对学生的认知产生了显著的积极影响（<0.001），并且随着观看频率的增加，他们会选择对心脏停搏进行电击（=0.023）。
本研究结果表明，高比例的非医学专业大学生受到医疗剧的显著影响。一个特别的影响是对何时使用自动体外除颤器（AED）进行电击存在错误认知，因为在大多数医疗剧中对其描绘有误。这一发现引发了对这些剧集如何呈现基本生命支持的担忧，尤其是当它们不遵循美国心脏协会（AHA）指南时。我们建议这些剧集中的医学顾问采用AHA指南，并且AHA扩大其支出，将医疗剧纳入其中，以教育公众对院外心脏骤停患者采取适当的救援行动。
