集中隔离医学观察点医务人员心肺复苏相关知识掌握情况调查分析

来源:用户上传      作者:陈云峰 曹萍 赵秋松

　　摘 要 目的：通^对上海市部分社区卫生服务中心参与集中隔离医学观察点工作的医务人员进行问卷调查，分析医务人员的心肺复苏掌握情况。方法：选取2020年1月―2021年6月上海市宝山区高境镇社区卫生服务中心、宝山区庙行镇社区卫生服务中心和静安区彭浦镇第二社区卫生服务中心参与集中隔离医学观察点工作的123名医务人员为调查对象进行问卷调查，共发放问卷123份，回收有效问卷117份，问卷有效回收率95.1%。结果：117名医务人员中，心肺复苏相关知识得分≥60分的仅有31名（26.5%）。单因素分析结果显示，性别和职业为心肺复苏相关知识掌握情况的影响因素（P<0.05）。Logistic回归分析结果显示，职业及1年内有无接受过心肺复苏培训为心肺复苏相关知识掌握情况的影响因素（P<0.05）。对于“院外遇到突发情况是否愿意主动实施心肺复苏”“有无信心独立完成心肺复苏”，有近三分之一的医务人员均选择了不确定，多数医务人员认为有必要到上海市医疗急救中心进行进修学习（76.9%）。结论：提升社区医务人员的心肺复苏技能不仅有利于集中隔离医学观察点工作的顺利开展，而且能够充分发挥社区卫生服务资源，利用其地理优势掌握急救白金时间，有效提高患者生存率。
　　关键词 心肺复苏；集中隔离医学观察点；医务人员
　　中图分类号：R459.7 文献标志码：A 文章编号：1006-1533（2021）24-0008-04
　　Investigation and analysis of mastery of relevant knowledge of cardiopulmonary resuscitation among medical staff in centralized isolation medical observation points
　　CHEN Yunfeng1， CAO Ping2， ZHAO Qiusong3（1. General Practice Department of Gaojing Community Health Service Center of Baoshan District， Shanghai 200435， China； 2. General Practice Department of Miaohang Community Health Service Center of Baoshan District， Shanghai 200443， China； 3. General Practice
　　Department of the Second Pengpu Community Health Service Center of Jingan District， Shanghai 200436， China）
　　ABSTRACT Objective： Through the questionnaire survey of the medical staff who participated in the work of centralized isolation medical observation points in some community health service centers in Shanghai， to analyze the mastery of cardiopulmonary resuscitation in medical staff. Methods： From January 2020 to June 2021， a total of 123 medical staff who participated in the work of centralized isolation medical observation points in Gaojing Community Health Service Center of Baoshan District， Miaohang Community Health Service Center of Baoshan District and the Second Pengpu Community Health Service Center of Jingan District in Shanghai were selected as the survey objects， a total of 123 questionnaires were distributed， 117 valid questionnaires were recovered， and the effective recovery rate was 95.1%. Results： Among the 117 medical staff， only 31（26.5%） had a score of 60 points or more on cardiopulmonary resuscitation related knowledge. The results of univariate analysis showed that gender and occupation were the influencing factors of cardiopulmonary resuscitation related knowledge（P<0.05）. The results of logistic regression analysis showed that occupation and having or not having received cardiopulmonary resuscitation training within one year were the influencing factors of mastering cardiopulmonary resuscitation related knowledge（P<0.05）. Regarding whether they were willing to actively implement cardiac pulmonary resuscitation in an emergency outside the hospital，and whether they were confident to complete cardiac pulmonary resuscitation independently， nearly one-third of the medical staff chose to be uncertain， and most medical staff thought it necessary to go to Shanghai Medical Emergency Center for further study（76.9%）. Conclusion： Improving the cardiopulmonary resuscitation skills of community medical staff is not only conducive to the smooth development of centralized isolation of medical observation points， but also can give full play to community health service resources， make use of the geographical advantages to grasp the platinum time of first aid， and effectively improve the survival rate of patients.
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