在英格兰高风险地区促进心肺复苏培训:一项研究协议
Claire A Hawkes1, Sophie Staniszewska2, Ivo Vlaev3
1Florence Nightingale Faculty of Nursing Midwifery and Palliative Care, King's College London, James Clerk Maxwell Building, 57 Waterloo Road, London SE1 8AW, UK.
Resuscitation plus
|June 26, 2023
概括
这项研究旨在通过开发基于社区的干预措施来提高医院外心脏骤停 (OHCA) 的存活率. 它专注于高风险地区,旁观者心肺复苏率较低,与少数民族社区合作.
科学领域:
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
- 健康差异 在健康上的差异
背景情况:
- 在紧急医疗服务 (EMS) 抵达之前,旁观者干预显著改善了非医院心脏骤停 (OHCA) 的存活率.
- 英格兰的某些地区面临着高OHCA发病率,低旁观者心肺复苏率以及较高比例的少数民族居民和贫困等挑战.
- 解决这些差异对于在紧急情况下获得公平的健康结果至关重要.
研究的目的:
- 与贫困英语地区的黑人非洲,加勒比海和南亚社区合作.
- 开发和评估理论上有根据的干预措施,以解决OHCA中较低的旁观者干预率背后的因素.
- 加强社区对心脏紧急情况的准备和应对.
主要方法:
- 一种协作的现实主义调查方法,整合了理论领域框架和行为变化轮.
- 现实主义的证据合成,从研讨会数据和现有文献中开发初始程序理论.
- 基于理论的干预开发和现实的混合方法实施评估与嵌入的可行性测试.
主要成果:
- 将开发初始程序理论,确定影响旁观者心肺复苏的关键因素.
- 干预措施将与社区成员共同设计,以解决已识别的障碍.
- 实施策略将在高风险环境中评估可行性和有效性.
结论:
- 以社区为中心的干预措施对于改善不同贫困人口对OHCA的旁观者反应至关重要.
- 了解和解决社会文化和环境因素是增加旁观者心肺复苏率的关键.
- 这项研究将为制定有针对性的战略提供信息,以减少脆弱社区的OHCA死亡率.
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