在"家庭"环境中探索心脏骤停:从与非专业人士旁观者的定性采访研究中得出的概念
Stefanie Beck1, Marc Phillipps2, Antje Degel3
1Department of Intensive Care Medicine, University Hospital Hamburg-Eppendorf, Hamburg, Germany.
Resuscitation
|December 13, 2023
概括
大多数非医院心脏骤停 (OHCAs) 发生在家中,旁观者心肺复苏率较低. 一项定性研究发现,隐私等因素有助于B-CPR,而压力和有限的支持阻碍了它.
科学领域:
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
- 定性研究是指质量研究.
背景情况:
- 三分之二的医院外心脏骤停 (OHCAs) 发生在家中.
- 与公共场所相比,在家庭环境中旁观者心肺复苏率 (B-CPR) 较低.
- 对于"在家CA"动态的概念理解有限.
研究的目的:
- 为了获得"在家CA"的情况和动态的概念理解.
- 在家庭环境中识别促进和阻碍旁观者心肺复苏的因素.
- 为了获得定义"在家CA"情况的总体概念.
主要方法:
- 进行了21次半结构化的深度访谈,这些访谈是与目击"在家CA"的非专业人士进行的.
- 利用定性内容分析 (QCA) 来进行转录和分析.
- 开发了一个分类系统来分类促进,阻碍和中立因素.
主要成果:
- 确定了1347个相关的面试段,分为促进 (398),阻碍 (328) 或中立 (621) 的因素.
- 隐私环境对采取行动的承诺和症状检测产生了积极的影响.
- 阻碍因素包括局限的旁观者支持,急性压力,判断力受损和身体挑战.
结论:
- 六个总体概念定义了"在家的CA":意想不到,应激反应,情境判断,意识到B-CPR的必要性,患者的位置和行动的自动性.
- 将这些概念整合到调度员协议和非专业人员培训中可以改善结果.
- 加强调度员与旁观者之间的互动对于提高"在家CA"生存率至关重要.
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