Department of Medicine, College of Medicine, King Khalid University, P. O. Box 25216, Abha, Saudi Arabia.
Department of Family Medicine, Armed Forces Hospital Southern Region, Khamis Mushayt, Saudi Arabia.
Biomed Res Int. 2020 Oct 20;2020:4634737. doi: 10.1155/2020/4634737. eCollection 2020.
Healthcare providers have disparate views of family presence during cardiopulmonary resuscitation; however, the attitudes of physicians have not been investigated systematically. This study investigates the patterns and determinants of physicians' attitudes to FP during cardiopulmonary resuscitation in Saudi Arabia. A cross-sectional design was applied, where a sample of 1000 physicians was surveyed using a structured questionnaire. The study was conducted in the southern region of Saudi Arabia for over 11 months (February 2014-December 2014). The collected data was analyzed using the Pearson chi-square test. Spearman's correlation analysis and chi-square test of independence were used for the analysis of physicians' characteristics with their willingness to allow FP. 80% of physicians opposed FP during cardiopulmonary resuscitation. The majority of them believed that FP could lead to decreased bedside space, staff distraction, performance anxiety, interference with patient care, and breach of privacy. They also highlight FP to result in difficulty concerning stopping a futile cardiopulmonary resuscitation, psychological trauma to family members, professional stress among staff, and malpractice litigations. 77.9% mostly disagreed that FP could be useful in allaying family anxiety about the condition of the patient or removing their doubts about the care provided, improving family support and participation in patient care, or enhancing staff professionalism. Various concerns exist for FP during adult cardiopulmonary resuscitation, which must be catered when planning for FP execution.
医疗服务提供者对心肺复苏期间家属在场持有不同看法；然而，医生的态度尚未得到系统调查。本研究调查了沙特阿拉伯医生在心肺复苏期间对 FP 的态度模式和决定因素。采用横断面设计，对 1000 名医生进行了问卷调查。研究在沙特阿拉伯南部进行了 11 个多月（2014 年 2 月至 2014 年 12 月）。使用 Pearson 卡方检验分析收集的数据。使用 Spearman 相关分析和卡方检验的独立性分析医生的特征与其允许 FP 的意愿之间的关系。80%的医生反对心肺复苏期间 FP。他们中的大多数人认为 FP 可能导致床边空间减少、员工分心、表现焦虑、干扰患者护理以及侵犯隐私。他们还强调 FP 可能导致难以停止无效的心肺复苏、给家属带来心理创伤、员工面临职业压力以及医疗事故诉讼。77.9%的人大多不同意 FP 可以在缓解家属对患者病情的焦虑、消除他们对所提供护理的疑虑、增强家庭支持和参与患者护理或提高员工的专业精神方面有所帮助。成人心肺复苏期间 FP 存在各种问题，在规划 FP 实施时必须考虑到这些问题。
