北京地区急救人员对电话指导心肺复苏认识和实践的调查研究

The investigation of the awareness rate and implementation rate of emergency medical service workers about telephone-assisted cardiopulmonary resuscitation in Beijing

目的通过对北京市急救中心人员进行调查,了解其对电话指导心肺复苏(telephone-assisted cardiopulmonary resuscitation,T-CPR)的知晓率及实施率,分析目前我国应用T-CPR存在的问题,为制定普及T-CPR的具体方案提供依据.方法选择北京市12个120急救中心的急救人员共245人为调查对象,通过在线问卷调查方式统计其对T-CPR的知晓率和实施情况.结果①急救人员T-CPR的知晓率:北京市120急救人员T-CPR的知晓率为78.40%,其中调度员的知晓率为87.50%;②急救人员T-CPR实施率:在实际工作中,44.79%的急救人员经常或总是通过电话判断患者心脏骤停事件,43.75%的急救人员经常或总是指导旁观者心肺复苏(CPR);③旁观者CPR实施率:33.76%的急救人员认为经电话指导的旁观者CPR实施率<5%,38.22%的急救人员认为旁观者持续胸外按压到急救人员到达现场的比率<5%;④急救人员实施T-CPR的困难环节:急救人员认为安抚呼救者情绪(45.86%)、解除旁观者对CPR的顾虑(43.31%)、鼓励持续按压(39.49%)是T-CPR过程中难度最大的三个环节.结论北京市急救人员实施T-CPR过程中存在多个问题,急救人员T-CPR知晓率较低、T-CPR实施率低,旁观者CPR实施率低,实施存在多个困难环节,因此,需要针对各个环节寻找改善方式,普及和规范T-CPR在实践中的应用,以期提高心脏骤停患者的生存率.

Objective To find out the awareness rate and implementation rate of the emergency medical service workers about telephone-assisted cardiopulmonary resuscitation(T-CPR)in Beijing,and to analyze the current problems about the application of T-CPR in China in order to provide the basis for popularizing T-CPR.Methods 245 emergency medical service workers from emergency medical center in Beijing were selected and filled in the online questionnaires.Results①The awareness rate of emergency medical service workers about T-CPR:the awareness rate of all emergency medical service workers was 78.40%,among which the awareness rate of dispatchers was 87.50%.②The implementation rate of emergency medical service workers about T-CPR:44.79%emergency medical service workers often or always judged cardiac arrest events by telephone,and 43.75%workers often or always guided the bystanders to take cardiopulmonary resuscitation(CPR).③The rate of bystander CPR:33.76%emergency medical service workers thought that the rate of bystander CPR guided by telephone was less than 5%,and 38.22%workers thought that the rate of bystander continuous CPR to the arrival of emergency medical service workers was less than 5%.④The difficult parts about T-CPR of emergency medical service workers:the most three difficult parts of T-CPR were comforting the callers(45.86%),relieving bystanders'worry about CPR(43.31%)and encouraging continuous compressions(39.49%).Conclusion The awareness rate and implementation rate of Beijing emergency medical service workers about CPR are low,the rate of bystander CPR is low.And there are multiple difficulties during T-CPR practice.So we should find ways to popularize and standardize T-CPR in the practice,in order to improve the survival rate of the patients with out-of-hospital cardiac arrest.