海口地区护士心肺复苏术与抢救能力的调查分析

Survey on nurses＇ capability to carry out CPR and first aid procedures in Haikou

目的：了解护士掌握心肺复苏术和抢救能力的现状。方法：采用现场问卷形式对海口地区12家公立医疗机构521名护士进行调查。结果：受访护士在《2010美国心脏协会心肺复苏及心血管急救指南》中基础生命支持的5道题选择正确率最高的题是按压后胸廓回弹，为89．83％，最低的题是球囊面罩使用，为32．05％，5题正确平均为52．4％，院前急救护士5题正确平均为69．190％，较其他科室好；高级心血管生命支持里所体现的抢救能力6道题选择正确率最高的题是提供高质量按压，为95．20％，最低的题是懂得除颤，为36．66％，6题正确平均为76．008％，院前急救护士6题正确平均为88．740％，较其他科室好。结论：护士在抢救能力方面还有很大空间可以提升，应该进一步加强心肺复苏术的培训和复训。

Objective： To investigate nurses＇ capability of carrying out CPR and first aid procedures in Haikou. Methods： Site questionnaires were carried out on 521 nurses from 12 public medical institutions in Haikou. Results： Of the five questions about BLS from 2010 American Heart Association Guidelines for CPR and ECC, 89. 83% nurses gave right answers to the question of chest recoil, which is the highest; while only 32. 05% responders were right for the question of usage of balloon mask; for each question, an average of 52.4% responders were right, nurses from the Department of Prehospital Emergency showed the highest rate of right answer. For the 6 questions about ACLS, most （95.20%） responders gave right answer to the question of high quality pressing, while least of them （36. 66%）knew procedures of defibrillation. For each of the 6 questions, an average of 76. 008% responders were right, however, for nurses from Department of Prehospital Emergency the corresponding rate was 88. 74 %, which was better than nurses from oth-er department. Conclusion： There are still rooms for nurses to improve their capability to carry out CPR and first aid procedures; CPR training and re-sume traning should be strengthened.