基层医院医务人员“心肺复苏急救术”的调研与培训

目的 调查了解基层医院医务人员对心肺复苏急救知识和技能的掌握情况,为在基层医院推广普及心肺复苏急救术以及改善心肺复苏急救术培训方法提供依据。 方法 本研究课题从2013年8月-2016年8月期间,根据美国心脏病协会心肺复苏指南标准,对山东省潍坊市、淄博市、德州市等3个城市的4家基层医院实地走访进行现场考核培训,随机抽取医务人员进行问卷调查、技能考查以及现场培训,对调查结果进行数据汇总和分析。 结果 调研结果表明,基层医务人员对心肺复苏急救知识和技能的掌握情况体现在以下几个方面:①基层医务人员对心肺复苏急救术的理论原理、人体心肺解剖结构、突发心脏骤停的识别、徒手心肺复苏的步骤、初级生命支持、高级生命支持的理论知识需求很高。②基层医务人员对胸外按压、人工呼吸、开放气道、自动体外除颤仪的使用以及气管内插管、环甲膜穿刺、气管切开等也有很高的需求,应当引起有关部门的注意。③基层医务人员普遍缺乏正确、系统的心肺复苏急救的知识和技能。 结论 基层医院心肺复苏急救水平薄弱,对心肺复苏急救术的了解匮乏,但临床工作依然对心肺复苏急救术提出较高要求。分学历、工作年限、职称的层次化培训可以有效提高基层医院医务人员的心肺复苏急救知识和技能操作水平。 

Investigation and training of cardiopulmonary resuscitation skills of basic hospital medical staffs

Objective To investigate the knowledge and skills of medical staffs in primary hospital on cardiopulmonary resuscitation, and provide basis for the promotion of CPR and improvement of CPR training in local hospitals. Methods A questionnaire study from August, 2013 to August, 2016 to assess the CPR knowledge skill of medical staffs from primary hospitals in three cities (Weifang, Zibo and Dezhou) was performed based on 2010 American Heart Association Guidelines for CPR and ECC. The data samples were collected by random sampling method among the medical staffs to process statistical analysis. Results The knowledge and skills of medical staffs in primary hospital on CPR:① The high requirement of primary medical staff on cardiopulmonary resuscitation theory, anatomical structure of human heart and lungs, recognition of sudden cardiac arrest, the steps of manual CPR, and the theory knowledge of primary life support and advanced life support. ② The high requirement for chest compression, artificial respiration, open the airway, automatic defibrillation, tracheal intubation, ring membrane puncture and tracheotomy. ③ Primary medical staff were lacking of cardiopulmonary resuscitation knowledge and skills. Conclusion The mastering of CPR among primary hospital staffs is relatively weak. They lack of understanding of CPR. But clinical work is still highly demanding for CPR. The hospital training based on different education background, work experience and titles can effectively improve the first aid knowledge and skills on cardiopulmonary resuscitation of the primary hospital medical staffs.