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伊朗急诊护士和医生对复苏期间家属在场的态度及障碍:一项横断面研究

Attitudes and Barriers of Emergency Nurses and Physicians Toward Family Presence During Resuscitation in Iran: A Cross-Sectional Study.

作者信息

Amiri Mehdi Mohammadian, Nukpezah Ruth Nimota, Yıldırım Murat, Marznaki Zohreh Hosseini, Khani Mohammad Rahim, Eghbali Mohammad

出版信息

J Emerg Nurs. 2025 Jan;51(1):124-134. doi: 10.1016/j.jen.2024.07.004. Epub 2024 Aug 21.

DOI:10.1016/j.jen.2024.07.004
PMID:39177544
Abstract

INTRODUCTION

Implementing family presence during resuscitation poses many challenges in developing countries, especially in developing countries like Iran, where cultural and contextual factors play significant roles. This study examined the attitudes and barriers of Muslim emergency nurses and physicians toward family presence during resuscitation in Iran.

METHODS

A cross-sectional study included 300 physicians and 500 nurses. Data were analyzed using descriptive and analytic statistics.

RESULTS

The overall score of physicians' attitudes toward family presence during resuscitation was higher than nurses' (P = .001). Female nurses had a higher attitude score than male nurses (P = .001). Other demographic variables were not significant with nurses' attitudes toward family presence during resuscitation. The most significant barriers to family presence during resuscitation included increased stress on staff and unwanted events during cardiopulmonary resuscitation. The attitude of Iranian physicians and nurses toward family presence during resuscitation is becoming more positive, with more than half of them agreeing with both the concept and the practice.

DISCUSSION

The findings suggest that hospitals should develop and adopt policies to ensure consistent performance when implementing family presence during resuscitation and that the procedure is safe and effective.

摘要

引言

在发展中国家,尤其是在伊朗这样文化和背景因素起重要作用的发展中国家,在复苏过程中允许家属在场面临诸多挑战。本研究调查了伊朗穆斯林急诊护士和医生对复苏期间家属在场的态度及障碍。

方法

一项横断面研究纳入了300名医生和500名护士。数据采用描述性和分析性统计方法进行分析。

结果

医生对复苏期间家属在场的态度总体得分高于护士(P = .001)。女护士的态度得分高于男护士(P = .001)。其他人口统计学变量与护士对复苏期间家属在场的态度无关。复苏期间家属在场的最主要障碍包括工作人员压力增加和心肺复苏期间出现意外事件。伊朗医生和护士对复苏期间家属在场的态度正变得更加积极,其中超过一半的人既认同这一理念也认可这种做法。

讨论

研究结果表明,医院应制定并采用相关政策,以确保在实施复苏期间家属在场时能保持一致的操作,且该程序安全有效。

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