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公众对复苏过程中家属在场的看法:斯洛文尼亚的一项横断面调查。

Public Perceptions of Family Presence During Resuscitation: A Cross-Sectional Survey in Slovenia.

作者信息

Dujc Ines, Žvanut Boštjan, Karnjuš Igor

机构信息

University of Primorska, Faculty of Health Sciences, Polje 42, 6310 Izola, Slovenia.

出版信息

Zdr Varst. 2025 Jan 2;64(1):32-39. doi: 10.2478/sjph-2025-0005. eCollection 2025 Mar.

DOI:10.2478/sjph-2025-0005
PMID:39758084
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11694636/
Abstract

BACKGROUND

In Slovenia, the practice of having family present during resuscitation (FPDR) in the clinical setting is still controversial. Therefore, the aim of the study was to explore current public perceptions regarding FPDR in Slovenia and to investigate whether demographic characteristics are related to these perceptions.

METHODS

A cross-sectional study was conducted using the FPDR Benefit-Risk Scale (BRS) to collect data from a sample of 618 participants. The FPDR-BRS includes 23 items rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree). The online survey was conducted from 15 September to 30 December 2023. Inferential statistics were computed using IBM SPSS version 25.

RESULTS

The results indicate moderately favourable attitudes towards FPDR among participants in general. Older individuals (aged 60-82) and respondents not affiliated with the healthcare sector scored higher on the overall FPDR-BRS, indicating more favourable attitudes towards the practice of FPDR. Respondents who had previous experience with cardiopulmonary resuscitation were less concerned that FPDR could cause psychological trauma to family members.

CONCLUSIONS

These findings have significant implications for the adoption of FPDR policies and practices in the healthcare sector. Healthcare providers should prioritise education, training and support as the presence of family members during resuscitation becomes more widely accepted.

摘要

背景

在斯洛文尼亚,临床环境中复苏时让家属在场(FPDR)的做法仍存在争议。因此,本研究的目的是探讨斯洛文尼亚公众目前对FPDR的看法,并调查人口统计学特征是否与这些看法相关。

方法

采用FPDR益处-风险量表(BRS)进行横断面研究,从618名参与者的样本中收集数据。FPDR-BRS包括23个项目,采用5点李克特量表评分(1 = 强烈不同意至5 = 强烈同意)。在线调查于2023年9月15日至12月30日进行。使用IBM SPSS 25版进行推断统计。

结果

结果表明,总体而言,参与者对FPDR持适度积极的态度。年龄较大的个体(60 - 82岁)和与医疗保健部门无关的受访者在FPDR-BRS总分上得分较高,表明对FPDR做法的态度更为积极。有过心肺复苏经验的受访者不太担心FPDR会给家庭成员造成心理创伤。

结论

这些发现对医疗保健部门采用FPDR政策和做法具有重要意义。随着复苏时家属在场越来越被广泛接受,医疗保健提供者应将教育、培训和支持作为优先事项。

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本文引用的文献

1
Family presence during resuscitation: Perceptions and confidence of intensive care nurses in an Australian metropolitan hospital.患者家属在复苏过程中的参与:澳大利亚一家大都市医院重症监护护士的看法和信心。
Aust Crit Care. 2024 Mar;37(2):295-300. doi: 10.1016/j.aucc.2023.07.007. Epub 2023 Aug 29.
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Developing a Decision Pathway for Family Presence During Resuscitation.制定复苏期间家属参与的决策路径。
Dimens Crit Care Nurs. 2023;42(3):163-170. doi: 10.1097/DCC.0000000000000577.
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Sample size determination: A practical guide for health researchers.样本量的确定:健康研究人员实用指南。
J Gen Fam Med. 2022 Dec 14;24(2):72-78. doi: 10.1002/jgf2.600. eCollection 2023 Mar.
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Impact of family presence during cardiopulmonary resuscitation on team performance and perceived task load: a prospective randomised simulator-based trial.心肺复苏期间家属在场对团队表现和感知任务负荷的影响:一项前瞻性随机模拟试验。
BMJ Open. 2022 Apr 5;12(4):e056798. doi: 10.1136/bmjopen-2021-056798.
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The Effect of Family Presence During Resuscitation and Invasive Procedures on Patients and Families: An Umbrella Review.在复苏和有创操作期间家属在场对患者和家属的影响:伞式综述。
J Emerg Nurs. 2021 Sep;47(5):752-760. doi: 10.1016/j.jen.2021.04.007. Epub 2021 Jun 21.
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Family presence during resuscitation: adaptation and validation into Spanish of the Family Presence Risk-Benefit scale and the Self-Confidence scale instrument.患者家属参与复苏:家庭参与风险效益量表和自我效能感量表工具的西班牙文适应性和验证。
BMC Health Serv Res. 2021 Mar 12;21(1):221. doi: 10.1186/s12913-021-06180-2.
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Experiences and Opinions of Patients and Their Relatives to Family Presence During Adult Resuscitation in Poland: Quantitative Research.波兰患者及其亲属对成人复苏期间家属在场的体验与看法:定量研究
Patient Prefer Adherence. 2020 Feb 11;14:227-234. doi: 10.2147/PPA.S229618. eCollection 2020.
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Family presence during resuscitation (FPDR): A qualitative descriptive study exploring the experiences of emergency personnel post resuscitation.家属在复苏期间的在场(FPDR):一项探索复苏后急救人员体验的定性描述性研究。
Heart Lung. 2019 Jul-Aug;48(4):268-272. doi: 10.1016/j.hrtlng.2018.09.016. Epub 2018 Nov 15.
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Family perception of and experience with family presence during cardiopulmonary resuscitation: An integrative review.家庭对心肺复苏期间家属在场的认知和体验:综合评价。
J Clin Nurs. 2019 Jan;28(1-2):32-46. doi: 10.1111/jocn.14649. Epub 2018 Sep 13.
10
Preferences of patients' family regarding family-witnessed cardiopulmonary resuscitation: A qualitative perspective of intensive care patients' family members.患者家属对家属见证心肺复苏术的偏好:重症监护患者家属的定性视角。
Intensive Crit Care Nurs. 2019 Feb;50:95-102. doi: 10.1016/j.iccn.2018.04.001. Epub 2018 Apr 23.