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| 麻醉科医师心肺复苏培训及技能应用国内现状调查 |
| Status investigation in cardiopulmonary resuscitation training and skill application among Chinese anesthesiologists |
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| DOI：10.12089/jca.2025.10.013 |
| 中文关键词: 心肺复苏 麻醉科医师 心理影响 医学培训 问卷调查 |
| 英文关键词: Cardiopulmonary resuscitation Anesthesiologists Psychological effects Medical training Questionnaire survey |
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| 中文摘要: |
目的：通过问卷调查了解中国麻醉科医师接受心肺复苏培训及其技能应用的现状。
方法：采用多中心横断面调查，通过线上问卷调查形式，邀请全国42所三甲医院的麻醉科医师填写问卷，内容包括心肺复苏培训经历、理论知识掌握情况、实施经验及其失败经历对心理的影响等。
结果：有1 385名麻醉科医师完成问卷调查。有1 364名（98.5%）麻醉科医师曾接受过心肺复苏培训，其中1 125名（82.5%）在过去两年内接受过培训，601名（44.1%）接受过美国心脏协会（AHA）基础生命支持及高级生命支持培训。有600名（43.3%）麻醉科医师在心肺复苏理论知识测试中正确率≥80%。有1 156名（83.5%）麻醉科医师实施过心肺复苏，其中379名(32.8%)对自身表现评价不满意，主要问题包括除颤仪使用不熟练、胸外按压质量不佳以及施救过程无组织。接受AHA培训与较高的理论测试正确率（OR=1.54，95%CI 1.24～1.91，P< 0.01）及表现满意度（OR=1.37， 95%CI 1.06～1.77，P < 0.05）显著相关。近一年接受过心肺复苏培训与心肺复苏表现满意度（OR=1.48， 95%CI 1.13～1.93，P < 0.01）及愿意进行院外心肺复苏（OR=1.51， 95%CI 1.13～2.02，P<0.01）明显相关。失败的心肺复苏经历在短期（1个月）对麻醉科医师的工作和睡眠产生负面影响。
结论：尽管国内麻醉科医师普遍接受心肺复苏培训，但高质量培训的参与率及参加频率仍有待提高，以改善麻醉科医师心肺复苏实施表现及理论知识掌握情况。 |
| 英文摘要: |
Objective: To investigate the current status of cardiopulmonary resuscitation training and the application of skills in Chinese anesthesiologists by questimnaire.
Methods: A multicenter cross-sectional survey was conducted through an online questionnaire, inviting anesthesiologists from 42 tertiary hospitals across the country to participate. The questionnaire covered topics such as CPR training experiences, mastery of theoretical knowledge, practical experiences, and the psychological impact of failed CPR attempts.
Results: A total of 1 385 anesthesiologists completed the questionnaire. A total of 1 364 (98.5%) anesthesiologists had been trained on CPR, of which 82.5% had been trained in the past two years, and 44.1% had received American Heart Association (AHA) training with basic life support and advanced life support class. Only 600 (43.3%) anesthesiologists achieved correct rate ≥ 80% in the CPR theoretical knowledge test. A total f 1 156 (83.5%) anesthesiologists performed CPR, of which 32.8% were dissatisfied with their performance, specifically citing shortcomings in defibrillation, teamwork, and the quality of chest compression. AHA training was significantly associated with higher theoretical test correct rate (OR = 1.54, 95% CI 1.24-1.91, P < 0.01) and performance satisfaction (OR = 1.37, 95% CI 1.06-1.77, P < 0.05). Recent participation in CPR training (≤ 1 year) was significantly associated with satisfaction with CPR performance (OR = 1.48, 95% CI 1.13-1.93, P < 0.01) and willingness to perform out-of-hospital CPR (OR = 1.51, 95% CI 1.13-2.02, P < 0.01). Failed CPR experiences negatively affect the anesthesiologist's work and sleep in the short term (1 month).
Conclusion: Although anesthesiologists widely receive cardiopulmonary resuscitation training in China, the participation rate and frequency of high-quality training need to be improved to improve the performance and theoretical knowledge of anesthesiologists. |
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