护士CPR操作现状调查

A survey on the status of performing eardiopulmonary resuscitation by nurses

目的了解我院中青年护士心肺复苏（CPR）知识、操作技能掌握情况，应用反馈装置培训能否改善心肺复苏培训质量。方法从我院中青年护士群体（中级职称以下）中随机抽取120名，对其进行CPR知识调查并记录应用反馈装置培训前后两轮心肺复苏参数，统计并比较CPR知识和应用反馈装置前后两轮CPR质量的变化情况。结果培训前心肺复苏操作总体合格率低，培训前、后呼吸正确率分别为32．18％、82．74％，培训前后按压正确率为55．36％、95．47％。主要原因为按压过浅（28．12％）、通气过度和通气不足（30．79％／26．41％）。应用反馈装置培训后CPR有效按压率、人工通气和操作时间均明显改善。结论中青年护士CPR知识和技能掌握情况欠理想，CPR培训时应用反馈装置能提高护士CPR质量。

Objective To comprehend knowledge about cardiopulmonary resuscitation （ CPR ） and skills of performing CPR in nurses, and if the quality of CPR training can be improved by using a feedback device. Methods 120 young and middle-aged nurses were randomly selected from those in our hospital to receive a survey on knowledge about CPR. The parameters for CPR were documented before and after training with a feedback device. Knowledge about CPR and changes in quality of CPR were compared. Results Before training, the overall pass rate of performing CPR was lower. The rate of correct artificial respiration was 32.18% before training and up to 82.74% after training and the rate of correct compression was 55.36% and 95.47%, respectively. The main errors were shallow compression （ 28.12% ）, hyperven- tilation （ 30.79% ）, and hypoventilation （ 26.41% ）. The effective compression rate, artificial ventilation, and time to performing CPR were significantly improved after application of a feedback device. Conclusions Knowledge about CPR and skills of performing CPR in nurses are unsatisfactory. A feedback device can improve quality of CPR training.