心脏性猝死高危者家属心肺复苏培训效果评价

Evaluation of knowledge and skills training of cardiopulmonary resuscitation in families of high-risk patients with sudden cardiac death

目的对心脏性猝死高危者家属进行心肺复苏知识和技能的培训，对其心肺复苏效果进行评价。方法采用方便抽样的方法，对2011年6—11月中国医学科学院阜外心血管病医院住院的132名住院的心脏性猝死（SCD）高危者家属进行心肺复苏培训，并对其进行知识和技能评价。结果培训后即刻高危者家属知识得分为（11.46±1.84），知识合格率为76.5%，知识关键点得分较低的条目为打开气道的方法（75.8%）、启动急救系统（76.5%）、每分钟胸外按压的次数（79.6%）、口对口人工呼吸的方法（84.1%）。心肺复苏技能得分为（22.9±1.24），技能合格率为87.8%，其中吹气方法（88.6%）、打开气道方法（87.1%）、吹气时开放气道（87.1%）、吹气效果（81.8%）项目得分较低。结论通过改进培训方法，可以提高对心脏性猝死高危者家属培训效果，其中人工呼吸的相关环节是培训的难点。

Objective To find an optimal mode for cardiopulmonary resuscitation （CPR） skills training to family members of high-risk patients with sudden cardiac death （SCD）. Methods Totals of 132 family members of high risk patients of SCD were recruited with convenient sampling method. After an upgraded training procedure was applied to them, their CPR knowledge was tested immediately. Results Among 132 family members ,76.5% of the trainees passed the test in terms of CPR knowledge with a mean knowledge score （ 11.46 ± 1.84 ）, items with lower correct rates on airway opening （75.8%）, activating of EMS （ 76.5 % ）, chest compression frequency （79. 6% ） , and mouth-to-mouth resuscitation （ 84. 1% ）. And 87. 8% of the trainees passed CPR skill test with a mean skill score （22.9± 1.24 ） , items had lower correct rates on airway opening（ 87.1% ）, breathing （88.6%） and blowing effect （81.8%）. Conclusions The upgraded procedure ean raise the pass ratio of CPR training, and the relevance training on the artificial respiration is the difficulty key.