CAJ | 학술논문

目的：分析干休所保健人员在院外不同情景下实施心肺复苏(cardiopulmonary resuscitation,CPR)的意愿及其影响因素,探讨消除实施心肺复苏的阻碍因素和提高施救意愿的有效途径。方法便利抽样选择参加某干休所保健人员培训班的183名学员,采用自行设计的问卷对其人口学资料、实施心肺复苏意愿和相关影响因素进行调查。结果干休所保健人员在不同情景下实施 CPR的意愿不同,以对亲人的实施意愿最为强烈,其次是认识的人、溺水儿童和触电者,对中毒者、创伤者和流浪汉为最低。在CPR操作的不同环节中实施的意愿也不尽相同,以拨打急救电话的意愿为最高,胸外心脏按压的实施意愿高于口对防护面罩人工呼吸,以施行自动体外除颤和口对口人工呼吸的意愿为最低。怕麻烦、怕背黑锅和担心自己急救能力不够成为干休所保健人员施救的主要阻碍因素。结论有关部门应针对实施 CPR 的影响因素制定不同的政策或相关法律,正面宣传,使目击者能在患者心搏骤停现场第一时间进行CPR,以提高急救效率,使更多生命得以救治。
목적：분석간휴소보건인원재원외불동정경하실시심폐복소(cardiopulmonary resuscitation,CPR)적의원급기영향인소,탐토소제실시심폐복소적조애인소화제고시구의원적유효도경。방법편리추양선택삼가모간휴소보건인원배훈반적183명학원,채용자행설계적문권대기인구학자료、실시심폐복소의원화상관영향인소진행조사。결과간휴소보건인원재불동정경하실시 CPR적의원불동,이대친인적실시의원최위강렬,기차시인식적인、닉수인동화촉전자,대중독자、창상자화류랑한위최저。재CPR조작적불동배절중실시적의원야불진상동,이발타급구전화적의원위최고,흉외심장안압적실시의원고우구대방호면조인공호흡,이시행자동체외제전화구대구인공호흡적의원위최저。파마번、파배흑과화담심자기급구능력불구성위간휴소보건인원시구적주요조애인소。결론유관부문응침대실시 CPR 적영향인소제정불동적정책혹상관법률,정면선전,사목격자능재환자심박취정현장제일시간진행CPR,이제고급구효솔,사경다생명득이구치。
Objective To analyze the willingness and influencing factors of healthcare providers in cadre sanatorium to perform out-of-hospital CPR using scenarios and search for an effective path to eliminate the obstacle factors and improve their willingness.Methods A self-designed questionnaire including demo-graphic data,performing willingness and influencing factors was used to investigate 183 healthcare provid-ers who were selected by convenience sampling method.Results There were different willingness in differ-ent scenarios.The strongest willingness of Performing CPR was on a relative followed by a known person, a drowning child and an electric shock.The weakest willingness of performing CPR was on a poisoned peo-ple,a person after trauma and an tramp.There was also different willingness in different steps of CPR.The strongest willingness was to dial the emergency call.The willingness of chest compressions was stronger than mouth to barrier device breathing.The weakest willingness was to perform AED and mouth to mouth breathing.The major obstacle factors to perform out-of-hospital CPR were feared to bring trouble,fearing to be misunderstood and fearing the poor emergency ability.Conclusion In order to improve the efficiency of the first aid and make more resuscitation possible,the relevant departments should focus on the influen-cing factors of out-of-hospital CPR,make different policies or laws and do more positive propaganda to en-courage a bystander to perform CPR in a short time after the onset of cardiac arrest.