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小型动物兽医客户更倾向于让兽医决定何时终止复苏,并在心肺复苏努力后得到通知。

Small animal veterinary clients prefer veterinarians to decide when to terminate resuscitation and to be informed after cardiopulmonary resuscitation efforts.

作者信息

Bertram Leonie, Kuo Kendon, Hofmeister Erik, Gerken Katherine

出版信息

J Am Vet Med Assoc. 2024 Jan 19;262(4):535-542. doi: 10.2460/javma.23.10.0587. Print 2024 Apr 1.

DOI:10.2460/javma.23.10.0587
PMID:38237264
Abstract

OBJECTIVE

To identify the preferences of small animal veterinary clients for the timing of communication during CPR and whether these clients prefer the veterinarian or pet owner to decide on the termination of resuscitation.

SAMPLE

Surveys (n = 1,648) were completed between January 20 and February 3, 2023, by clients of the Wilford and Kate Bailey Small Animal Teaching Hospital.

METHODS

This cross-sectional observational study used an anonymous internet-based survey distributed to 28,000 clients of an academic small animal veterinary hospital. The survey included 16 questions asking for the respondents' demographics, healthcare professional status, questions pertaining to CPR, and preference for timing of communication during CPR, veterinary team members to speak to, and the decision on termination of resuscitation. An optional open comment section was provided.

RESULTS

The response rate was 7.5%, including 2,127 responses, with 1,648 complete responses used for further analysis. Of the respondents, 56% and 63% (when asked using a short and long scenario question, respectively) would prefer to be informed about their pet undergoing CPR after CPR has ended. Most clients (84%) wanted the veterinarian to decide when to stop CPR. In the comments section, clients predominantly emphasized that patient care should always be prioritized over client communication.

CLINICAL RELEVANCE

This study contributes to a better understanding of veterinary clients' preferences and may help improve client communication and decision-making during CPR. More studies are warranted to reach a wider population before broad recommendations can be made.

摘要

目的

确定小动物兽医客户对心肺复苏(CPR)期间沟通时机的偏好,以及这些客户更倾向于由兽医还是宠物主人决定终止复苏。

样本

威尔福德和凯特·贝利小动物教学医院的客户在2023年1月20日至2月3日期间完成了调查(n = 1648)。

方法

这项横断面观察性研究使用了一项基于网络的匿名调查,该调查分发给一家学术性小动物兽医医院的28000名客户。该调查包括16个问题,询问受访者的人口统计学信息、医疗保健专业身份、与心肺复苏相关的问题、对心肺复苏期间沟通时机的偏好、与之交谈的兽医团队成员以及终止复苏的决定。还提供了一个可选的开放式评论部分。

结果

回复率为7.5%,共收到2127份回复,其中1648份完整回复用于进一步分析。在受访者中,56%(当使用简短情景问题提问时)和63%(当使用长情景问题提问时)更希望在心肺复苏结束后被告知他们的宠物正在接受心肺复苏。大多数客户(84%)希望由兽医决定何时停止心肺复苏。在评论部分,客户主要强调患者护理应始终优先于与客户沟通重要。

临床意义

本研究有助于更好地理解兽医客户的偏好,并可能有助于改善心肺复苏期间的客户沟通和决策。在能够提出广泛建议之前,有必要进行更多研究以覆盖更广泛的人群。

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