急诊护士对于心肺复苏时患者家属在场的态度调查

Emergency Nurses' Attitudes Towards Family Presence during Cardiopulmonary Resuscitation

目的调查急诊护理人员在进行心肺复苏时,对于患者家属在场情况(family presence,FP)的认可度,以期为制定相关法律、政策准许FP提供依据。方法 2013年4-6月,便利抽样法选择在上海仁济医院和瑞金医院急诊工作超过1年的55名护士作为研究对象,采用Fullbrook调查问卷对急诊护士进行FP态度调查。结果在48份有效问卷中,女性调查对象占多数,共42名,占87.5%;学历以大专和本科为主,分别占54.2%和31.3%;职称以护师为主,共26名,占54.2%;参与调查的基本都是临床一线的护士和抢救护士,分别占45.8%和41.7%。在参与本调查的48名急诊护理人员中,有40名护理人员经历过FP,占83.3%;有8名护理人员未经历过FP,占16.7%。79.2%的护士认为"亲眼目睹心肺复苏的过程对患者家属也是一种心灵创伤",仅8.3%的护士认为"心肺复苏时,患者家属或者朋友在场对患者有益"。70.9%的护士并不支持制定相关法律条文同意FP。大多数参与调查的护士均认为让患者家属亲眼目睹整个心肺复苏的过程可能会对患者家属造成一定的心理压力,同时对参与抢救的医护人员产生一定的干扰。结论大部分的急诊护理人员对FP持反对态度,认为FP对护理人员和患者均会产生负面影响。

Objective To identify emergency nurses＇ attitudes towards family presence（FP） during car- diopulmonary resuscitation in order to provide evdience for a written policy allowing FP.Methods By con- venience sampling,a total number of 55 emergency nurses with at least one year experience were selected and their attitudes towards family presence during resuscitation were investigated by using Fullbrook ques- tionnaire.Results Of total 48 respondents, 87.50% are female nurses;bachlor and college degrees are the majority which occupies 54.2% and 31.3 % respectively,and 54.2% respondents totally 26 are nurse practi- tioners.Most respondents are clinical nurses and professional nureses which accounted 45.8% and 41.7% respectively.Of all the 48 respondents,40 respondents（83.3%） have the experience of FP and the other 8 respondents（16.7%）were not.79.2% respondents claimed that ＂witnessing resuscitation is a traumatic ex- perience for the family members＂ , and only 8.3% respondents agreed ＂the presence of family members or friends during CPR would benefit the patients.70.9% respondents are not in favor of a written policy which gives the family members the option to attend CPR.Most respondents have common on the opinion that the witness of resusucitation may have a psychological stress on family members,and cause emotional disturbs among the resuscitation team members. Conclusion Majority of emergency nurse staffs are against FP because of the negative effects on both nursing staffs and family members.