運用即時回饋裝置提升護理人員心肺復甦品質成效

背景：病人發生心跳停止時，立即進行心肺復甦術（cardiopulmonary resuscitation, CPR）已是標準急救措施，因此，CPR執行品質攸關心臟停止病人的存活率。目的：探討運用即時回饋裝置提升護理人員CPR執行品質及CPR自我效能之成效。方法：本研究採隨機對照研究設計，共納入72位護理人員（實驗組38位，對照組34位），使用即時回饋裝置記錄及提供CPR品質回饋，所有研究對象都執行五次CPR循環（約2分鐘），執行期間僅有實驗組使用即時回饋裝置，對照組則未使用，並使用問卷收集研究對象基本屬性及CPR自我效能分數。結果：本研究結果顯示：即時回饋裝置能顯著提升胸部按壓速率正確比率（76.3 vs. 52.3, p ＜ .001）、平均深度（52.8 mm vs. 50.6 mm, p = .003）、深度正確比率（65.6 vs. 55.1, p = .014）、CPR執行品質分數（44.1 vs. 26.1, p ＜ .001）、達高品質CPR標準比率（60.5 vs. 26.5, p ＜ .001）及CPR自我效能分數（40.22 vs. 36.71, p ＜ .001）。按壓後完全回彈比率及胸部按壓佔總急救時間（chest compression fracture）比率則未達到顯著差異（p ＞ .05）。結論：使用即時回饋裝置可以使護理人員在急救安妮上有更良好的CPR執行品質，並提升對於能正確執行CPR的自信心。

關鍵字

護理人員；即時回饋；心肺復甦術；自我效能

並列摘要

Background: Cardiopulmonary resuscitation (CPR) is a standard procedure delivered to patients experiencing cardiac arrest. CPR quality is associated with the rate of survival of patients with cardiac arrest. Purpose: To determine the efficacy of a real-time feedback device in terms of improving CPR performance quality and CPR self-efficacy in nursing staffs. Methods: A total of 72 nursing staffs were enrolled in this randomized trial (intervention n = 38, control n = 34). A real-time feedback device was used to monitor CPR quality and provide real-time feedback. The participants performed CPR on a manikin with (intervention) or without (control) feedback for 5 cycles (about 2 minutes). Data on participant demographic characteristics and CPR self-efficacy scores were also collected. Results: The intervention group performed better in terms of the compression adequate rate ratio (76.3 vs. 52.3, p ＜ .001), mean depth (52.8 mm vs. 50.6 mm, p = .003), adequate depth ratio (65.6 vs. 55.1, p = .014), quality of CPR performance score (44.1 vs. 26.1, p ＜ .001), proportion of excellent CPR (60.5 vs. 26.5, p ＜ .001), and CPR self-efficacy score (40.22 vs. 36.71, p ＜ .001). However, no significant differences between the two groups were found in terms of proportion of complete chest decompression and chest compression fracture (p ＞ .05). Conclusions: Using a real-time feedback device may not only significantly improve the quality of CPR performed on a manikin but also improve self-confidence to implement CPR correctly in practice.

並列關鍵字

nursing staff ； real-time feedback ； cardiopulmonary resuscitation ； self-efficac

參考文獻

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運用即時回饋裝置提升護理人員心肺復甦品質成效

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