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心肺复苏的理论知识与自我评估能力:瑞典3044名医护人员的调查

Theoretical knowledge and self-assessed ability to perform cardiopulmonary resuscitation: a survey among 3044 healthcare professionals in Sweden.

作者信息

Silverplats Jennie, Södersved Källestedt Marie-Louise, Wagner Philippe, Ravn-Fischer Annica, Äng Björn, Strömsöe Anneli

机构信息

School of Education, Health and Social Studies, Dalarna University, Falun.

Department of Anaesthesiology and Intensive Care, Mora Hospital, Region of Dalarna, Mora.

出版信息

Eur J Emerg Med. 2020 Oct;27(5):368-372. doi: 10.1097/MEJ.0000000000000692.

Abstract

OBJECTIVE

Theoretical knowledge and ability to perform cardiopulmonary resuscitation (CPR) are unknown with regard to provided training. The aim of this study was to evaluate in-hospital healthcare professionals' (HCPs) theoretical knowledge of CPR and their self-assessed ability to perform CPR and also to assess possible affecting factors.

METHOD

A questionnaire was sent to n = 5323 HCPs containing a nine-question knowledge test and a Likert scale measuring self-assessed ability. A factor score of self-assessed ability and a ratio scale of correct answers were dependent variables in multiple linear regression.

RESULTS

Only 41% of the responding HCPs passed the knowledge test with seven or more correct answers. Nurses had the highest pass rate (50%) and the highest attendance rate at CPR training (56%). The ability to perform defibrillation was strongly agreed by 43% and the ability of leadership by only 7%. Working on a monitored ward, CPR training 0-6 months ago and being a nurse or physician were factors associated with more correct answers and higher ratings of abilities.

CONCLUSION

The overall theoretical knowledge was poor and ratings of self-assessed abilities to perform CPR were low. Working on a monitored ward, recently attended CPR training and being a nurse or physician were factors associated with higher theoretical knowledge and higher ratings of self-assessed ability to perform CPR. These findings imply prioritisation of CPR training.

摘要

目的

关于所提供的培训,心肺复苏术(CPR)的理论知识和操作能力尚不清楚。本研究的目的是评估医院内医护人员(HCPs)对CPR的理论知识及其自我评估的CPR操作能力,并评估可能的影响因素。

方法

向n = 5323名医护人员发放了一份问卷,其中包括一个9道题的知识测试和一个用于衡量自我评估能力的李克特量表。自我评估能力的因子得分和正确答案的比率量表是多元线性回归中的因变量。

结果

只有41%的应答医护人员在知识测试中答对7道或更多题目,从而通过测试。护士的通过率最高(50%),参加CPR培训的出勤率也最高(56%)。43%的人强烈认同除颤操作能力,而只有7%的人认同领导能力。在设有监测病房的科室工作、在0 - 6个月前接受过CPR培训以及身为护士或医生是与更多正确答案和更高能力评级相关的因素。

结论

整体理论知识较差,自我评估的CPR操作能力评级较低。在设有监测病房的科室工作、最近参加过CPR培训以及身为护士或医生是与更高的理论知识和更高的自我评估CPR操作能力评级相关的因素。这些发现意味着应优先进行CPR培训。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5818/7448834/591bf0007b3b/ejem-27-368-g002.jpg

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