精准心肺复苏用于口腔专科基地急救培训的效果及指导意义

doi:10.3969/j.issn.1002-1949.2019.08.013

Chinese Journal of Critical Care Medicine

2019, Vol. 39

Issue (8): 771-774 DOI: 10.3969/j.issn.1002-1949.2019.08.013

Application effect and guiding significance of quality CPR for first-aid training in stomatology base

Lei Lei,Wang Shuang-wei, Luo Qiu-ying, Kang Wei, Li Zheng-qiang, Zhang Xi-kui, Ren Fei

Department of Anesthesiology, Stomatological Hospital of Southern Medical University, Guangzhou 510280, China

Abstract
Figure/Table
References (0)
Related Citation (3)

Download: PDF (535 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To evaluate the application effect and guiding significance of quality CPR guidance in the freehand CPR skills training in stomatology base. Methods Sixty dentists at Stomatological Hospital of Southern Medical University were randomly divided into the quality CPR training group (QCPR group) and the control group, with 30 people in each group. Both groups were given the same expert′s the same time and method of theoretical explanation and on-site CPR operation raining. Based on this, QCPR group used the quality CPR feedback system to guide the practice under real-time guidance, and the control group practiced with traditional methods. After 30 minutes, the QCPR feedback system was used to record the operating parameters of the chest compression and artificial respiration of the two groups in real time, and the scores were generated in real time and the pass rate was compared. At the same time, the students′ satisfaction with their own practice methods was investigated. Results ①The total score of the QCPR group was significantly higher than that of the control group ( P <0.05). ②Chest compression: In the depth of compression, frequency and thoracic rebound indicators, QCPR group was significantly better than that of the control group ( P ≤ 0.05 ). In the control group, the chest compression was too deep or too shallow, the compression, frequency was different and the thoracic rebound was incomplete accounting for 47.0%; the indicators in the QCPR group were relatively balanced. ③In terms of artificial respiration: 70.30% and 75.67% of the control group had excessive ventilation and excessive frequency, which was significantly higher than 29.33% and 24.67% of the QCPR group ( P <0.05). ④The satisfaction of the teaching method of QCPR was higher than that of the traditional teaching method ( P <0.05). Conclusion Using the QCPR feedback system for first-aid training in the stomatological training base can standardize the assessment process, and the teaching effect is obviously improved. It is recommended to be widely used.

Key words： Quality cardiopulmonary resuscitation（QCPR） Feedback system First-aid training Teaching

Corresponding Authors: Ren Fei, E-mail:renfei1996@126.com

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	Lei Lei
	Wang Shuang-wei
	Luo Qiu-ying
	Kang Wei
	Li Zheng-qiang
	Zhang Xi-kui
	Ren Fei

Cite this article:

Lei Lei,Wang Shuang-wei,Luo Qiu-ying, et al. Application effect and guiding significance of quality CPR for first-aid training in stomatology base [J]. Chinese Journal of Critical Care Medicine, 2019, 39(8): 771-774.

URL:

http://www.cnemergency.org.cn/EN/10.3969/j.issn.1002-1949.2019.08.013 OR http://www.cnemergency.org.cn/EN/Y2019/V39/I8/771

［1］Kleinman ME, Goldberger ZD, Rea T, et al. 2017 American heart association focused update on adult basic life support and cardiopulmonary resuscitation quality: an update to the American heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care［J］. Circulation, 2018, 137(1):7-13.

［2］Chokengarmwong N, Ortiz LA, Raja A, et al. Outcome of patients receiving CPR in the ED of an urban academi hospita［J］. Am J Emerg Med, 2016, 34(8):1595-1599.

［3］Olsen JA, Lerner EB Persse D, et al. Chest compression duration influences outcome between integrated loaddistributing band and manual CPR during cardiac arrest［J］.Acta Anaesthesiol Scand, 2016, 60(2): 222-229.

［4］宋云林,王毅,潘鹏飞,等.工作坊教学模式在重症监护病房心肺复苏培训中的应用［J］.安徽医药, 2018, 22(11): 2272-2274.

［5］王长运,孙长怡,秦俭,等.规范化培训在住院医师心肺复苏技能培训的探索［J］. 医学教育, 2017, 46(11): 190-194.

［6］张聪玲,孙国平.利用PDCA循环法加强院内心肺复苏技术培训［J］.医学教育管理, 2017, 3(4): 284-288.

［7］Kleinman ME, Brennan EE, Goldberger ZD, et al. Part5:adult basic life support and cardiopulmonary resuscitation quality:2015 American heart asscoiation guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care［J］.Circulation, 2015, 132(18 Suppl 2): S414-435.

［8］Neumar RW, Shuster M, Callaway CW, et al. Executive summary: 2015 American heart association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care［J］.Circulation, 2015, 132(18 Suppl 2): S315-367.

［9］Haas DA. Management of medical emergencies in the dental office:conditions in each country,the extent of treatment by the dentist ［J］. Anesth Prog, 2006, 53(1): 20-24.

［10］凌云.口腔医护人员突发医疗紧急事件的认知情况及相关影响因素的分析［D］.长春：吉林大学, 2018.

［11］Khami MR, Yazdani R,Afzalimoghaddam M，et al. Medical emergency management among lranian dentists［J］. J Contemp Dent Pract, 2014, 15(6): 693-698.

［12］王津惠,冯永强,苏明月,等. 急救医学在口腔医学再教育中的作用探讨［J］. 现代口腔医学杂志, 2012, 26(3): 210-211.

［13］朱永城,叶显智,林珮仪,等. 以学生为考官的教学方法在急诊心肺复苏教学中的心得体会［J］.岭南急诊医学杂志, 2017, 22(1): 79-80.

［14］陶品月,黄惠桥,黄霜霞,等.初级创伤救治教学模式在规培护士心肺复苏指南培训中的应用［J］.重庆医学, 2018, 47(11): 1557-1560.

［15］朱永城,李艳玲,江慧琳,等. SimPad反馈系统运用于规范化培训住院医师心肺复苏考核的体会［J］.现代医院, 2018, 18(11):1582-1584.

［16］de Gauna RS, Gonzalez-Oteo DM,Ruiz J, et al. Feedback on the rate and depth of chest compressions during cardiopulmonary resuscitation using only accelerometers［J］. PLoS One, 2016, 11(3): e0 150 139.

［17］Spooner BB, Fallaha JF, Kocierz L, et al. An evaluation of objective feedback in basic life support(BLS) training［J］. Resuscitation, 2007, 73(3): 417- 424. 

［18］姜金霞,彭幼清.社区护士心肺复苏培训后技能保持的研究［J］. 护理研究, 2013, 27(27): 3068-3070.

［19］杨颖,刘晓玲,赵敏,等. 心肺复苏培训效果的持续性研究［J］. 中国急救复苏与灾害医学杂志, 2015, 10(3): 281-282.

［20］中国研究型医院学会心肺复苏学专业委员会. 2016中国心肺复苏专家共识［J］. 解放军医学杂志, 2017, 42(3): 243-269.