Institute of Nursing and Health Sciences, Faculty of Medicine, University of Rzeszów, Rzeszów, Poland.
Center for Innovative Research in Medical and Natural Sciences, University of Rzeszów, Rzeszów, Poland.
Med Sci Monit. 2019 Apr 6;25:2520-2526. doi: 10.12659/MSM.913191.
BACKGROUND The aim of this study was to assess the quality of in-hospital cardiopulmonary resuscitation components performed by nurses under simulated conditions, with the use of selected telemedicine tools. MATERIAL AND METHODS This prospective observational pilot simulation study was carried out with a group of 48 nurses working in hospital wards specializing in conservative treatment (HOS/C=22; mean age of 30.27 years; SD 9.30) or interventional therapy (HOS/I=26 nurses; mean age of 30.35 years; SD 9.77). Each nurse performed CPR for two minutes (a sequence of 30 compressions: 2 breaths) on a Laerdal Resusci-Anne manikin that was positioned on an examination couch using a self-inflating bag and face mask in accordance with their knowledge of and skills related to in-hospital resuscitation. The study was conducted in two stages, separated with an intervention (refresh online training by using Polycom RealPresence Group Devices). Analyses of selected chest compression and relaxation parameters were performed with the use of the TrueCPR Coaching Device. RESULTS The finding showed improved compression depth (HOS/C: 46.68 mm vs. 51.50 mm; HOS/I: 46.92 mm vs. 50.57 mm), improved full recoil (HOS/C: 81.68% vs. 94.67%; HOS/I: 75.92% vs. 82.13%), and sustained standard compression rate (HOS/C: 115.23/min vs. 105.11/min; HOS/I: 113.65/min vs. 111.04/min) in the study group, 2 months after the intervention. A significant difference between the groups was observed in the rate of chest compressions with complete recoil (HOS/C: 94.67% vs. HOS/I: 82.13%; p<0.042). CONCLUSIONS The use of selected telemedicine tools leads to improved chest compression and relaxation parameters during in-hospital sudden cardiac arrest.
本研究旨在评估在模拟条件下，护士在院内心肺复苏（CPR）过程中实施的各项操作的质量，同时使用特定的远程医疗工具。
本前瞻性观察性模拟研究纳入了在专注于保守治疗（HOS/C=22 名护士；平均年龄 30.27 岁，标准差 9.30）或介入治疗（HOS/I=26 名护士；平均年龄 30.35 岁，标准差 9.77）的病房工作的 48 名护士。每位护士均使用自动充气袋和面罩在检查台上对 Laerdal Resusci-Anne 人体模型进行 2 分钟的 CPR（30 次按压：2 次呼吸），其操作符合院内复苏的相关知识和技能。研究分两个阶段进行，中间插入干预措施（使用 Polycom RealPresence Group Devices 进行在线培训更新）。使用 TrueCPR 辅导设备分析选定的胸外按压和放松参数。
研究发现，与干预前相比，研究组的按压深度（HOS/C：46.68mm 比 51.50mm；HOS/I：46.92mm 比 50.57mm）、完全回弹（HOS/C：81.68%比 94.67%；HOS/I：75.92%比 82.13%）和持续标准按压频率（HOS/C：115.23/min 比 105.11/min；HOS/I：113.65/min 比 111.04/min）均有所改善。干预后 2 个月，组间比较差异有统计学意义（HOS/C：94.67%比 HOS/I：82.13%；p<0.042）。
使用特定的远程医疗工具可改善院内心搏骤停时的胸外按压和放松参数。
