急诊医疗技术人员的自信心与复苏期间家属在场态度之间的关系。
The relationship between self-confidence and attitude of emergency medical technicians towards family presence during resuscitation.
作者信息
Najafi Jaber, Gilani Neda, Hassankhani Hadi, Ghafourifard Mansour, Dadashzadeh Abbas, Zali Mahnaz
机构信息
Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Statistics and Epidemiology, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran.
出版信息
Int J Emerg Med. 2024 Dec 3;17(1):184. doi: 10.1186/s12245-024-00766-3.
BACKGROUND
Family presence during resuscitation is a controversial issue worldwide. The aim of this study was to investigate the self-confidence and attitudes of Emergency Medical Technicians (EMTs) towards family presence during resuscitation (FPDR).
METHODS
In this cross-sectional study, a random sample of 252 EMTs were selected from 110 prehospital emergency centers. Two main questionnaires were used to collect data on the EMTs' self-confidence and attitudes towards FPDR.
RESULTS
The results showed that the EMTs' attitudes towards FPDR were lower than the mean (43.69 ± 19.40). In addition, more than 85% of them stated that the resuscitation process was stressful for the patient's companions. There was a positive correlation between EMTs' self-confidence and attitudes towards FPDR (r = 0.52, p < 0.01). The results showed that the smaller number of family members present during resuscitation was associated with higher EMTs' self-confidence and more positive attitudes towards FPDR. Moreover, personnel with more experience, liability insurance, and advanced resuscitation training were significantly more self-confident than other personnel.
CONCLUSION
A large number of the EMS personnel have a negative attitude towards FPDR, but EMTs, with higher self-confidence, have a more positive attitude. Therefore, it is possible to improve the EMTs attitudes towards FPDR and increase their self-confidence by training them to perform resuscitation in the presence of the family and by preventing people from gathering at resuscitation scenes.
背景
复苏期间家属在场在全球都是一个有争议的问题。本研究的目的是调查急救医疗技术人员（EMT）对复苏期间家属在场（FPDR）的自信程度和态度。
方法
在这项横断面研究中，从110个院前急救中心随机抽取了252名EMT作为样本。使用两份主要问卷收集关于EMT对FPDR的自信程度和态度的数据。
结果
结果显示，EMT对FPDR的态度低于平均水平（43.69±19.40）。此外，超过85%的EMT表示复苏过程对患者家属来说压力很大。EMT的自信程度与对FPDR的态度之间存在正相关（r = 0.52，p < 0.01）。结果表明，复苏期间在场的家属人数越少，EMT的自信程度越高，对FPDR的态度也越积极。此外，经验更丰富、有责任保险和接受过高级复苏培训的人员比其他人员明显更自信。
结论
大量急救医疗服务人员对FPDR持消极态度，但自信程度较高的EMT态度更积极。因此，通过培训他们在家属在场的情况下进行复苏，并防止人员聚集在复苏现场，有可能改善EMT对FPDR的态度并增强他们的自信。
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