Current quality investigation and analysis of single hand cardiac compression among emergency medical staffs
10.3760/cma.j.issn.1674-2907.2015.12.009
- VernacularTitle:急诊医护人员单人徒手胸外心脏按压质量的现状调查
- Author:
Xiaoxue HUA
1
,
2
;
Donglei SHI
;
Yingli HU
;
Jian GAO
;
Yu SHENG
Author Information
1. 100144 北京协和医学院护理学院
2. 100730 北京协和医院急诊科
- Keywords:
Emergency department,Hospital;
Medical staffs;
Chest compression;
Quality
- From:
Chinese Journal of Modern Nursing
2015;(12):1393-1396,1397
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the quality of emergency medical staffs to understand single hand cardiac compression, and analyze factors influenced the quality of cardiac compression. Methods A convenience sample of 120 medical staffs in the Emergency Department of PUMCH had been selected according to the compression′s quality requirement of AHA 2010 guidelines, that compressed heart 2 min by single hand and the computer would recorded the data automatically including pressing rate, pressing depth, chest wall recoil, etc. Results A total of 120 doctors and nurses accuracy rate of chest compression positioning was 75. 8% (91/120);the accuracy rate of pressing depth was 66. 7%;the average compression rate was (131. 1 ± 14. 3) beats/min;press depth was (5. 4 ± 0. 5) cm in 0-30 s, press depth (5. 2 ± 0. 5) cm in 31-60 s, press depth (4. 9 ± 0. 4cm), pressing depth (4. 7 ± 0. 5) cm cm in 61-90s and 91-120s ; rebound rate of chest wall was (66. 9 ± 29. 2)%. Chest compression quality indexes impacted by different gender, of which the male did better than the women in press frequency control, and they had statistical significant (P<0. 05) and the pressing depth in the press time, but rebound of chest wall had no statistical difference (P>0. 05). There were significant differences for working years and professional title in the third and fourth stage of pressing time, that medical staffs with intermediate title or above press more deep than the primary title, staffs with long working experiences press deeper. No statistically significant difference had been found in other quality index such as different ages, working years, and professional title. Conclusions The chest compressions quality of emergency medical staffs still can not meet the requirement of 2010 new guidelines, so we should focus on training on the press frequency controlling, to guarantee the pressing depth and chest wall resilience sufficient rate, keep the press position accurately, especially for women, and we can reduce the continue compression time to guarantee the pressing quality.
