Factors influencing cardiopulmonary resuscitation competency among community medical staff in Beijing and countermeasures

Wang Bin; Ma Qingbian; Zheng Kang; Du Lanfang; Zhang Hua

doi:10.3760/cma.j.cn116021-20221222-01597

您当前的位置：

首页 >

文章列表页 >

Factors influencing cardiopulmonary resuscitation competency among community medical staff in Beijing and countermeasures

Investigation Research | 更新时间：2024-02-26

- Factors influencing cardiopulmonary resuscitation competency among community medical staff in Beijing and countermeasures
- Chinese Journal of Medical Education Research Vol. 23, Issue 2, Pages: 200-204(2024)
- 作者机构：
  
  1.北京大学第三医院急诊科，北京　100191
  2.北京大学第三医院流行病学教研室，北京 100191
- 作者简介：
  
  Ma Qingbian, Email: maqingbian@medmail.com.cn
- 基金信息：
- DOI：10.3760/cma.j.cn116021-20221222-01597
  CLC： R-05
- Published：20 February 2024，
  
  Received：22 December 2022，
扫描看全文
王斌, 马青变, 郑康, 等. 社区医护人员心肺复苏能力的影响因素及对策研究[J]. 中华医学教育探索杂志, 2024, 23(2): 200-204.

Wang Bin, Ma Qingbian, Zheng Kang, et al. Factors influencing cardiopulmonary resuscitation competency among community medical staff in Beijing and countermeasures. [J]. Chinese Journal of Medical Education Research 23(2):200-204(2024)
王斌, 马青变, 郑康, 等. 社区医护人员心肺复苏能力的影响因素及对策研究[J]. 中华医学教育探索杂志, 2024, 23(2): 200-204. DOI： 10.3760/cma.j.cn116021-20221222-01597.

Wang Bin, Ma Qingbian, Zheng Kang, et al. Factors influencing cardiopulmonary resuscitation competency among community medical staff in Beijing and countermeasures. [J]. Chinese Journal of Medical Education Research 23(2):200-204(2024) DOI： 10.3760/cma.j.cn116021-20221222-01597.

摘要

目的

通过对社区医护人员心肺复苏（cardiopulmonary resuscitation，CPR）知识的现状调查，分析其心肺复苏相关知识掌握程度的影响因素，为今后改进社区急救培训提供依据。

方法

2022年1月至3月依据《2016中国心肺复苏专家共识》和2020年美国心脏协会（American Heart Association，AHA）发布的CPR指南，自制调查问卷，对北京地区社区医护人员以微信推送问卷的方式进行CPR相关知识调查，问卷主要内容包括医护人员基本情况、CPR知识（满分为17分）和实践状况3部分，采用R4.0.3 统计软件进行多重线性回归分析。

结果

来自51个社区中心的990名社区医护人员有效答卷，CPR知识平均得分为（10.27±2.87），回归分析显示男性，非31~40岁年龄组、中专学历、培训频次0~1次/2年、未实践过CPR和使用过自动除颤仪（automated external defibrillator，AED）的人群组较对应的组别得分差异存在统计学意义，提示性别、年龄、教育背景、培训频次、是否实践CPR和AED是社区医护人员CPR能力的独立影响因素。

结论

社区医护人员心肺复苏能力亟待进一步提高，应重点加强中专学历、非31~40岁年龄段的医护人员的培训，培训时间应基于艾宾浩斯记忆曲线制定，增加培训频次，对无实践经验者要多练习CPR实时反馈装置培训及高仿真实操体感以提升社区医护人员CPR能力；需要增加CPR培训的频次，对不同人群采取分层次培训。

Abstract

Objective

To investigate the status of the knowledge of cardiopulmonary resuscitation (CPR) in community medical staff

and analyze the factors influencing their levels of CPR knowledge and skills

and to provide a basis for improving community CPR training programs.

Methods

From January to March 2022

we conducted a survey for the knowledge of CPR among community medical staff in Beijing through WeChat using a self-made questionnaire based on the 2016 National Consensus on Cardiopulmonary Resuscitation in China and the 2020 American Heart Association CPR guidelines. The questionnaire mainly focused on the basic information and CPR knowledge (full score

17 points) and practice of medical workers. R4.0.3 software was used to perform multiple linear regression analysis.

Results

A total of 990 medical personnel from 51 communities effectively responded to the survey. The mean CPR knowledge score was (10.27±2.87) points. The regression analysis showed that the CPR score was significantly lower in groups of male

non-31-40-year-olds

technical degrees

only 0-1 trainings in two years

not ever practicing CPR

and not ever using an automated external defibrillator (AED)

suggesting that sex

age

educational attainment

training frequency

whether having the experience of CPR and AED practice or not were independent factors influencing the CPR score of community medical staff.

Conclusions

The CPR competency of community medical staff needs to be improved

especially for those with technical degrees and non-31-40-year-olds. The training frequency should be increased based on the Ebbinghaus' forgetting curve

and stratified training is recommended for different populations. Those without practical experience should receive more CPR training with real-time feedback devices and high-fidelity simulation to improve their CPR skills.

关键词

心肺复苏社区医护人员影响因素对策

Keywords

Cardiopulmonary resuscitationCommunity medical staffInfluencing factorCountermeasure

references

王立祥，王发强. 开展心肺复苏普及进亿家健康工程的创新实践[J]. 中国研究型医院， 2016， 3（4）： 20-22. DOI: 10.19450/j.cnki.jcrh.2016.04.006http://dx.doi.org/10.19450/j.cnki.jcrh.2016.04.006.

Xu F, Zhang Y, Chen Y. Cardiopulmonary resuscitation training in China: current situation and future development [J]. JAMA Cardiol, 2017, 2(5): 469-470. DOI: 10.1001/jamacardio.2017.0035http://dx.doi.org/10.1001/jamacardio.2017.0035.

陈开红，陶丽丽. 北京市朝阳区院前急救网络社区化模式探讨[J]. 中国全科医学， 2010（35）： 4034-4036. DOI: 10.3969/j.issn.1007-9572.2010.35.037http://dx.doi.org/10.3969/j.issn.1007-9572.2010.35.037.

杜晶，杨新伟，张鹭鹭. 国内外院前急救社区化[J]. 解放军医院管理杂志， 2018， 25（9）： 835-838. DOI: 10.16770/J.cnki.1008-9985.2018.09.011http://dx.doi.org/10.16770/J.cnki.1008-9985.2018.09.011.

伍洪清，雷圣贤，杨春平，等. 医院—社区—家庭联合建立公众心肺复苏培训体系的研究[J]. 中国当代医药， 2022， 29（4）： 61-64. DOI: 10.3969/j.issn.1674-4721.2022.04.016http://dx.doi.org/10.3969/j.issn.1674-4721.2022.04.016.

刘金金. 某市社区医务人员心肺复苏掌握情况的现状调查分析[J]. 当代护士（中旬刊）， 2021， 28（10）： 146-148. DOI: 10.19792/j.cnki.1006-6411.2021.29.051http://dx.doi.org/10.19792/j.cnki.1006-6411.2021.29.051.

崔志军. 社区医护人员对新版心肺复苏知识的掌握情况[J]. 临床医学研究与实践， 2018， 3（25）： 191-192. DOI: 10.19347/j.cnki.2096-1413.201825092http://dx.doi.org/10.19347/j.cnki.2096-1413.201825092.

陈开红，呼冬鸣，朱庆生，等. 北京市朝阳区急救社区化建设与实践分析[J]. 中国全科医学， 2014， 17（35）： 4227-4229. DOI: 10.3969/j.issn.1007-9572.2014.35.020http://dx.doi.org/10.3969/j.issn.1007-9572.2014.35.020.

隋辉，陈伟伟，王文. 《中国心血管病报告2015》要点解读[J]. 中国心血管杂志， 2016， 21（4）： 259-261. DOI: 10.3969/j.issn.1007-5410.2016.04.001http://dx.doi.org/10.3969/j.issn.1007-5410.2016.04.001.

Partiprajak S, Thongpo P. Retention of basic life support knowledge, self-efficacy and chest compression performance in Thai undergraduate nursing students [J]. Nurse Educ Pract, 2016, 16(1): 235-241. DOI: 10.1016/j.nepr.2015.08.012http://dx.doi.org/10.1016/j.nepr.2015.08.012.

郑康，马青变. 住院医师心肺复苏培训和考核新模式探讨[J]. 中华医学教育探索杂志， 2021， 20（2）： 213-216. DOI: 10.3760/cma.j.cn116021-20191224-00407http://dx.doi.org/10.3760/cma.j.cn116021-20191224-00407.

Cheng A, Overly F, Kessler D, et al. Perception of CPR quality: influence of CPR feedback, Just-in-Time CPR training and provider role [J]. Resuscitation, 2015, 87: 44-50. DOI: 10.1016/j.resuscitation.2014.11.015http://dx.doi.org/10.1016/j.resuscitation.2014.11.015.

Wang JC, Tsai SH, Chen YH, et al. Kinect-based real-time audiovisual feedback device improves CPR quality of lower-body-weight rescuers[J]. Am J Emerg Med, 2018 , 36(4): 577-582. DOI: 10.1016/j.ajem.2017.09.022http://dx.doi.org/10.1016/j.ajem.2017.09.022.

王静，金晓晴，刘瑞宁，等. 强化训练联合实时反馈装置的CPR培训对教学效果影响的研究[J]. 中华急诊医学杂志， 2019， 28（2）： 199-202. DOI: 10.3760/cma.j.issn.1671-0282.2019.02.014http://dx.doi.org/10.3760/cma.j.issn.1671-0282.2019.02.014.

贺常萍，陈斌，叶胜，等. 实践-情景教学法在医学生心肺复苏培训中的应用[J]. 皖南医学院学报， 2019， 38（1）： 97-99. DOI: 10.3969/j.issn.1002-0217.2019.01.028http://dx.doi.org/10.3969/j.issn.1002-0217.2019.01.028.

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Professional identity status of higher vocational nursing students in Shanghai and its influencing factors

Current situation and training demands for geriatric nursing ability of clinical nursing teachers

Effect of deliberate practice combined with intensive training in cardiopulmonary resuscitation teaching for nurses receiving standardized training

The scientific research capacity and its influencing factors of nursing graduates in application- oriented university

Level of self-compassion among residents and related influencing factors

Related Author

Yu Jing

Wu Jialing

Zhang Meiqin

Ma Lan

Wei Lili

Hu Huixiu

Zhao Yajie

Sun Chao

Related Institution

School of Nursing, Shanghai Donghai Vocational & Technical College

Medical Affairs Department ,the Second Affiliated Hospital of Chongqing Medical University

Department of Nursing, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences

Department of Cardiology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences

Office of Dean, The Affiliated Hospital of Qingdao University

⁰