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埃塞俄比亚一家城市三级转诊医院儿科医生心肺复苏知识评估:一项横断面研究

Assessment of Cardiopulmonary Resuscitation Knowledge Among Physicians in the Pediatrics Department of an Urban Tertiary Referral Hospital in Ethiopia: A Cross-Sectional Study.

作者信息

Dinberu Muluwork Tefera, Yemane Dagmawi Hailu

机构信息

Department of Pediatrics and Child Health, Addis Ababa University, Addis Ababa, Ethiopia.

出版信息

Emerg Med Int. 2024 Oct 28;2024:8815197. doi: 10.1155/2024/8815197. eCollection 2024.

DOI:10.1155/2024/8815197
PMID:39502495
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11535191/
Abstract

Early recognition of cardiac arrest and prompt start of cardiopulmonary resuscitation (CPR) boost survival rates and reduce postarrest consequences. Little information is available about the fundamental CPR knowledge of healthcare workers who work with children in Ethiopia. All physicians, regardless of seniority, participated in this cross-sectional survey from June to August 2022. They received a structured survey that was modified from the American Heart Association (AHA) Basic Life Support (BLS) test which was made up of 10 questions about participants' job experience and 25 multiple-choice CPR knowledge questions. Data analysis was done using a multinomial logistic regression test with a value of 0.05. One hundred sixty-eight doctors with various levels of seniority participated in this study. The participants included a male-to-female ratio of 1.3:1, a median age of 28 years, 92 (57.9%) male participants, and 124 (78%) participants with less than 5 years of clinical experience. Ninety-seven participants, or 61%, had scored less than 75% whereas 13 (8.2%), participants, had good knowledge that is scoring above 75%. Participants who had training in CPR within the previous year showed significantly higher levels of knowledge than those who hadn't. Even though 90% of the participants claimed to have CPR knowledge, the majority of participants were found not to have below 75%. The study concludes that while many doctors believe they have adequate CPR knowledge, actual knowledge levels are insufficient. Staff should undergo regular certification and assessments to ensure they retain their resuscitation knowledge. This ongoing evaluation is crucial for maintaining high standards of care and preparedness in emergencies.

摘要

早期识别心脏骤停并及时开始心肺复苏(CPR)可提高生存率并减少心脏骤停后的后果。关于埃塞俄比亚从事儿童工作的医护人员的基本心肺复苏知识,目前可获取的信息很少。所有医生,无论资历如何,都参与了这项于2022年6月至8月进行的横断面调查。他们接受了一项结构化调查,该调查是对美国心脏协会(AHA)基础生命支持(BLS)测试进行修改后得到的,其中包括10个关于参与者工作经验的问题和25个多项选择的心肺复苏知识问题。使用多分类逻辑回归检验进行数据分析,显著性水平为0.05。168名不同资历的医生参与了这项研究。参与者的男女比例为1.3:1,中位年龄为28岁,男性参与者92名(57.9%),临床经验少于5年的参与者124名(78%)。97名参与者(61%)得分低于75%,而13名(8.2%)参与者知识掌握良好,得分高于75%。前一年接受过心肺复苏培训的参与者的知识水平明显高于未接受过培训的参与者。尽管90%的参与者声称自己有心肺复苏知识,但大多数参与者的得分低于75%。该研究得出结论,虽然许多医生认为自己有足够的心肺复苏知识,但实际知识水平并不够。工作人员应定期进行认证和评估,以确保他们保持复苏知识。这种持续评估对于在紧急情况下维持高标准的护理和应急准备至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9544/11535191/f1603a233440/EMI2024-8815197.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9544/11535191/f1603a233440/EMI2024-8815197.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9544/11535191/f1603a233440/EMI2024-8815197.001.jpg

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