家属心肺复苏培训对提高心脏猝死高危患者存活率的影响

目的 探讨分析心脏猝死高危患者家属进行心肺复苏培训对提高患者存活率的影响。方法 选择重庆医科大学附属第二医院心内科住院部2012年2月至2016年6月收治的610名心脏猝死高危患者的家属为研究对象。利用随机抽签法将其分为两组，观察组305名患者家属接受系统的心肺复苏培训方案；对照组305名患者家属只接受床旁健康宣教及公休会等。分析两组患者心脏骤停后存活率及其家属对急救知识及技能的掌握情况。存活的定义为患者心脏骤停经复苏抢救，患者出现自主心搏、自主呼吸，且在高级生命支持下存活时间＞24 h。存活率=（心脏骤停后存活人数/心脏骤停事件总例数）×100%。结果 观察组患者家属对心脏猝死诱因、防治措施、心脏骤停判断等方面知识的掌握情况均好于对照组（P＜0.05）；观察组患者家属应急反应时间平均为（81.02±37.01）s，明显短于对照组（169.62±30.69）s；观察组患者家属护理满意度97.05%，明显优于对照组83.28%。随访1年，观察组患者存活率（88.51%）高于对照组（70.45%），差异有统计学意义（P＜0.05）。结论 对心脏猝死高危患者家属进行心肺复苏培训，能够有效提高家属的急救水平及应急能力，利于提高患者存活率。

Effect of Cardiopulmonary resuscitation training on survival rate of patients with high risk of sudden cardiac death

OBJECTIVE:To explore the effect of training for cardiopulmonary resuscitation on the survival rate of patients with high-risk sudden cardiac death. METHODS: A total of 610 families with high-risk sudden cardiac death who were admitted to our Department of Cardiology Department of Inpatient Department from February 2012 to June 2016 were selected and randomly divided into 2 groups. The observation group used 305 families of patients. The system''s training program for cardiopulmonary resuscitation, while the control group of 305 cases was only given bedside health education and public recession, etc., to analyze the survival rate of the two groups of patients after cardiac arrest and their families to grasp first aid knowledge and skills. Results: 1 The family members of the observation group had better knowledge of sudden cardiac death, prevention and control measures, and cardiac arrest judgment than the control group (p<0.05);2 The average response time of the observation group was (481.02±37.01). s, was significantly shorter than the control group (769.62±30.69)s; 3 the observation group''s family care satisfaction was 97.05%, significantly better than the control group 83.28%; 4 follow-up 1 year, the observation group patients survival rate 88.51%, significantly higher 70.45% in the control group. Conclusion: The cardiopulmonary resuscitation training for the families of high-risk patients with sudden cardiac death can effectively improve the family''s first-aid level and emergency response ability, which will help improve the survival rate of patients. It is worthy of promotion in clinical practice