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蒙住主复苏者眼睛对兽医心肺复苏培训期间闭环沟通频率的影响:一项随机对照试验性研究。

Effect of blindfolding the lead resuscitator on frequency of closed-loop communication during veterinary cardio-pulmonary resuscitation training: a randomized, controlled pilot study.

作者信息

Walesby Olivia X, Stanzani Giacomo, Kellett-Gregory Lindsay, Seth Mayank, Thomas Emily K

机构信息

The Royal (Dick) School of Veterinary Studies and the Roslin Institute, Easter Bush Campus, The University of Edinburgh, Midlothian, United Kingdom.

Dick White Referrals, part of Linnaeus Veterinary Limited, Cambridgeshire, United Kingdom.

出版信息

Front Vet Sci. 2025 Jan 8;11:1484506. doi: 10.3389/fvets.2024.1484506. eCollection 2024.

DOI:10.3389/fvets.2024.1484506
PMID:39846020
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11750865/
Abstract

OBJECTIVE

To evaluate the effect of blindfolding the lead resuscitator during veterinary cardiopulmonary resuscitation (CPR) simulation training sessions on frequency of completed closed-loop communication statements (CLC).

DESIGN

Ten groups of staff volunteers were recruited for a prospective, randomized, blinded, observational pilot study over a 6-month period. Additionally, two associated online questionnaires were completed by participants.

SETTING

Private veterinary referral hospital in the United Kingdom.

INTERVENTION

Forty volunteers were randomly allocated into ten groups of four. Each group was randomized as either control (CG) or blindfolded (BG) with the lead resuscitator always a veterinarian. The intervention involved the lead resuscitator wearing a blindfold during the third of four CPR simulation scenarios for the BG groups only.

MEASUREMENTS AND MAIN RESULTS

Video footage of Scenarios 2 (before) and 4 (after) the intervention was reviewed to quantify complete CLCs. Quantitative data were analyzed, and descriptive statistics calculated using GraphPadPrism (GraphPadPrism, Version9.3.1(350) forMacOSX, GraphPadSoftware, SanDiego, CA). Information from questionnaire responses was also analyzed. Statistical differences between the BGs and CGs were analyzed and there was no statistical difference in frequency of CLCs between the BGs and CGs during Scenario 2 ( = 0.76). In Scenario 4, however, following the intervention, there was a significant difference between BGs and CGs ( = 0.03), with a greater number of CLCs for the BGs compared with the CGs.

CONCLUSION

Blindfolding the lead resuscitator in veterinary CPR training scenarios may be an effective method to increase the incidence of complete CLCs. Further studies would be required to investigate whether this finding is replicated and retained in the longer term.

摘要

目的

评估在兽医心肺复苏(CPR)模拟训练期间,对主复苏者进行蒙眼处理对完整闭环沟通语句(CLC)频率的影响。

设计

招募十组工作人员志愿者,进行为期6个月的前瞻性、随机、双盲观察性初步研究。此外,参与者还完成了两份相关的在线问卷。

地点

英国的一家私立兽医转诊医院。

干预措施

40名志愿者被随机分为十组,每组四人。每组被随机分为对照组(CG)或蒙眼组(BG),主复苏者始终为兽医。干预措施仅包括在BG组的四个CPR模拟场景中的第三个场景中,让主复苏者蒙上眼睛。

测量指标及主要结果

回顾干预前的场景2和干预后的场景4的视频片段,以量化完整的CLC。对定量数据进行分析,并使用GraphPadPrism(适用于MacOSX的GraphPadPrism,版本9.3.1(350),GraphPad软件,加利福尼亚州圣地亚哥)计算描述性统计数据。还分析了问卷回复中的信息。分析了BG组和CG组之间的统计学差异,在场景2期间,BG组和CG组的CLC频率没有统计学差异(P = 0.76)。然而,在场景4中,干预后,BG组和CG组之间存在显著差异(P = 0.03),与CG组相比,BG组的CLC数量更多。

结论

在兽医CPR训练场景中对主复苏者进行蒙眼处理可能是增加完整CLC发生率的有效方法。需要进一步研究以调查这一发现是否能在长期内得到重复和保持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51ba/11750865/7b0ba81686f1/fvets-11-1484506-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51ba/11750865/0ef00738b32a/fvets-11-1484506-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51ba/11750865/ca758225a4a6/fvets-11-1484506-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51ba/11750865/521dbf815116/fvets-11-1484506-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51ba/11750865/7b0ba81686f1/fvets-11-1484506-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51ba/11750865/0ef00738b32a/fvets-11-1484506-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51ba/11750865/ca758225a4a6/fvets-11-1484506-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51ba/11750865/521dbf815116/fvets-11-1484506-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51ba/11750865/7b0ba81686f1/fvets-11-1484506-g0004.jpg

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