مجله علوم پزشکی پارس

بررسی وضعیت احیای قلبی ریوی و عوامل مرتبط با آن در بیمارستان شهید مطهری مرودشت: یک مطالعه توصیفی مقطعی

نویسندگان

دانشگاه علوم پزشکی شیراز

چکیده

مقدمه: یک احیای قلبی ریوی موفق به عوامل مختلفی از جمله: سن، جنس،بیمار، علت ایست قلبی ریوی، زمان شروع CPR و ... بستگی دارد. لذا هدف از انجام این مطالعه بررسی وضعیت احیای قلبی ریوی و عوامل مرتبط با آن در بیمارستان شهید مطهری مرودشت بود.
روش کار: در این مطالعه توصیفی مقطعی کلیه موارد احیای قلبی ریوی در طول یک سال از فروردین 93 تا فروردین 94 در کلیه بخش های درمانی مورد بررسی قرار گرفت. در این مطالعه کلیه عوامل مرتبط با احیای قلبی ریوی اعم از سن، جنس، بیماری زمینه ای، علت ایست قلبی تنفسی، زمان شروع CPR، وجود یا عدم امکانات مرتبط، حضور یا عدم حضور پزشک متخصص یا عمومی، نتیجه CPR و عوارض ناشی از آن مورد بررسی قرار گرفت. تجزیه و تحلیل اطلاعات با استفاده از آزمون های توصیفی و استنباطی صورت گرفت.
نتایج: 46.7 درصد از CPR های انجام شده موفق بودند. بین سن و موفقیت CPR رابطه معنی داری وجود داشت(018/0 P=). بین جنسیت و موفقیت CPR   رابطه معنی داری وجود داشت(001/0P=). به طوری که در زن ها موفقیت CPR به طور معنی داری بیشتر از مردان بود. بیشترین فراوانی برای علت ناموفق بودن عمل CPR مربوط به، به موقع نرسیدن تیم CPR یا پزشک بود.
نتیجه گیری: میزان  CPR  های موفق در بیمارستان مرودشت نسبت به مطالعات مشابه در سطح خوبی قرار دارد. لذا پیشنهاد می شود تا با برنامه ریزی بهتر و مدنظر قرار دادن نتایج این تحقیق، میزان موفقیت در CPR بهتر شود.
 

کلیدواژه‌ها

عنوان مقاله [English]

Evaluation of cardiopulmonary resuscitation status and its related factors in Shahid Motahhari hospital of Marvdasht: a descriptive cross-sectional study

نویسندگان [English]

  • ebrahim sadeghi
  • hamidreza bahmani

چکیده [English]

Introduction: A successful cardiopulmonary resuscitation depends on various factors such as age, sex, patient, etiology of cardiopulmonary arrest, CPR onset, and so on. The aim of this study was to evaluate the status of cardiopulmonary resuscitation and its related factors in Shahid Motahhari Hospital of Marvdasht.
Methods: In this cross-sectional descriptive study, all cases of cardiopulmonary resuscitation during one year from April 2014 to April 2105 were evaluated in all treatment units. This study included all factors associated with cardiopulmonary resuscitation, including age, sex, underlying disease, etiology of respiratory arrest, timing of CPR, presence or absence of related features, presence or absence of specialist or general practitioner, outcome of CPR, and complications It was examined. Data were analyzed using descriptive and inferential tests.
Results: 46.7% of CPRs were successful. There was a significant relationship between age and CPR success (P = 0.018). There was a significant relationship between gender and CPR success (P = 0.001). The success rate of CPR in women was significantly higher than in men. The most common reason for CPR failure was due to the failure of the CPR team or physician to arrive on time.
Conclusion: The rate of successful CPRs in Marvdasht hospital is in a good level compared to similar studies. Therefore, it is recommended to improve the CPR success rate by better planning and considering the results of this study.
 
 

کلیدواژه‌ها [English]

  • Cardiopulmonary resuscitation
  • hospital
  • Nurses
  • Physician
  • Resuscitation Team
2010; 304(13): 1514-. 2. Jiang H, Dongfeng G, Paibul S, Xue X, Robert R, ScD; Stephen M, et al. International collaborative study of cardiovascular disease in Asia: design, rational and preliminary results. Ethnicity & Disease, Volume 14, Spring 2004, 260-68 3. Davies N, Gould D, Updating cardiopulmonary resuscitation skills: a study to examine the efficacy of self-instruction on nurses' competence, J Clin Nurs 2000; 9(3): 400-10 4. Bonow RO, Mann DL, Zipes DP, Libby P. Braunwald's Heart Disease. USA: Saunders; 2008. 5. American Heart Association, BLS for Healthcare Providers. American Heart Association, Texas. 2001. 6. Straus SM, Bleumink GS, Dieleman JP, van der LJ, Stricker BH, Sturkenboom MC. The incidence of sudden cardiac death in the general population. J Clin Epidemiol. 2004; 57: 98-102 7. Parhizgari N. Survey of cardiopulmonary resuscitation therapeutic process in Shariaati emergency ward hospital [dissertation]. Tehran: Tehran University of Medical Sciences; 2009. [Persian] 8. Mäkinen M, Niemi-Murola L, Kaila M, Castrén M. Nurses’ attitudes towards resuscitation and national resuscitation guidelines—Nurses hesitate to start CPR-D. Resuscitation 2009; doi:10.1016/j.resuscitation.2009.08.025 9. Fuster V, Wayne AR, Rourke RAO. The Heart. USA: McGRAW-HILL; 2004. 10. Jiresaty RM., Liss JP., Basu SK., Follow up of 122 patients who survived cardiac arrest. Resuscition, 1973, 2: 191. 11. Gerardi LN., Barie PS., Improved survival after intra operative cardiac arrest in non-cardiac surgical patient Arch surg, 1995, 130: 15. 12. Ballew KA, philbirck JT, Caven DE, et al., Predictors of survival in hospital cardio pulmonary resuscitation: Amoving target. Arch Intern med 1994, 154: 2426. 13. Jafarian AA. Evaluation of succesful cardiopulmonary ressuscitation (CPR) rate in Haftom Teer Hospital. Razi Journal of Medical Sciences. 2002 Dec 15;9(30):327-31. 14. Montazar SH, Amooei M, Sheyoei M, Bahari M. Results of CPR and contributing factor in emergency department of sari imam Khomeini hospital, 2011-2013. Journal of Mazandaran University of Medical Sciences. 2014 Apr 15;24(111):53-8. 15. Jaberi Y, Changizian L, Mazlomzadeh S. Predictors of outcome in in-hospital cardio-pulmonary resuscitation. J Adv Med Biomed Res. 2011;19(75):48-57. 16. Nasiripour AA, Masoudi Asl I, Fathi E. The relationship of CPR success and time of patients’ referring to emergency department. Journal Mil Med. 2012 Apr 10;14(1):21-5. 17. Hanif AA, Rachman IA, Yuwono HS. Factors influencing the success rate of cardiopulmonary resuscitation. Althea Medical Journal. 2015 Dec 30;2(4):615-9. 18. Brauner DJ, Grusin SL. In-hospital cardiopulmonary resuscitation. N Engl J Med. 2009; 361: 1708-9. 19. Rehmani R, Baqir M, Amanullah S. Return of spontaneous circulation and survival at hospital discharge in patients with outof- hospital and emergency department cardiac arrests in a tertiary care centre. J Pak Med Assoc. 2007:278–81. 20. Abella BS, Alvarado JP, Myklebust H, et al. Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest. JAMA. 2005; 293: 305-10. 21. Marik PE, Craft M. An outcomes analysis of in-hospital cardiopulmonary resuscitation: the futility rationale for do not resuscitate orders. J Crit Care. 1997; 12: 142-6. 22. Sandroni C, Nolan J, Cavallaro F, Antonelli M. In-hospital cardiac arrest: incidence, prognosis and possible measures to improve survival. Intensive Care Med. 2007; 33(2):237–45 23. Siriphuwanun V, Punjasawadwong Y, Lapisatepun W, Charuluxananan S, Uerpairojkit K, Patumanond J. The initial success rate of cardiopulmonary Resuscitation and its associated factors in patients with cardiac arrest within 24 Hours after anesthesia for an emergency surgery. Risk Manag Healthc Policy. 2014; 7:65–71. 24. Alizadeh M, Mousavi Movahed M, Sadredini S, Mostafavi A, Fathi M. The evaluation of the resuscitation results and its associated factors. Tehran University Medical Journal TUMS Publications. 2016 Dec 15; 74(9):640-4.
مجله علوم پزشکی پارس
دوره 18، شماره 1 - شماره پیاپی 51
فروردین 1399
صفحه 23-28