Stewart A J, Lowe M D
Cardiac Department, St Thomas' Hospital, London.
J R Coll Physicians Lond. 1994 Sep-Oct;28(5):399-401.
We questioned 112 qualified nurses working on general medical wards about their resuscitation experience and knowledge of ECG interpretation and defibrillation. Although all but two of them had been formally trained in basic cardiopulmonary resuscitation (CPR) only 16 had received any training in the last six months. Seventy-five per cent of nurses were involved in CPR as first responders but only 18% had used a defibrillator during a cardiac arrest. Identification of ECG rhythms and practical knowledge about defibrillation was encouraging despite the lack of formal training in this field. Almost every one of the nurses would be willing to receive training in advanced cardiac life support. The responses to this inquiry suggest that nurses on medical wards are enthusiastic about advanced cardiac life support and already have some basic practical knowledge. Appropriate training (and retraining) of nursing staff should improve the outcome of resuscitation efforts on medical wards.
我们询问了112名在普通内科病房工作的合格护士，了解她们的复苏经验以及心电图解读和除颤知识。尽管除两人外其他人都接受过基本心肺复苏术（CPR）的正规培训，但在过去六个月中只有16人接受过任何相关培训。75%的护士作为第一反应者参与过心肺复苏，但在心脏骤停期间只有18%的人使用过除颤器。尽管在这一领域缺乏正规培训，但护士们对心电图节律的识别和除颤的实践知识令人鼓舞。几乎每一位护士都愿意接受高级心脏生命支持培训。本次调查的结果表明，内科病房的护士对高级心脏生命支持充满热情，并且已经具备一些基本的实践知识。对护理人员进行适当的培训（以及再培训）应能改善内科病房的复苏效果。
