| 周萍萍,潘慧斌,金志元,费杏珍,嵇朝晖.视频监控下借助“改良版心肺复苏质量报告卡”对院外心脏骤停患者院内救治的质量控制[J].浙江中西医结合杂志,2022,32(1): |
| 视频监控下借助“改良版心肺复苏质量报告卡”对院外心脏骤停患者院内救治的质量控制 |
| Quality control of out-of-hospital cardiac arrest |
| 投稿时间：2021-01-25 修订日期：2021-11-12 |
| DOI： |
| 中文关键词: 视频监控 报告卡 心肺复苏 质量控制 |
| 英文关键词:video surveillance,report card,cardio-pulmonary resuscitation,quality control |
| 基金项目:浙江省医药卫生科技计划项目(2020PY071) |
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| 中文摘要: |
| 目的 评价在视频监控下借助“改良版心肺复苏质量报告卡”对院外心脏骤停患者院内救治进行质量控制的效果。方法 将我院急诊抢救室2020年第一季度的25例院外心脏骤停患者作为改进前组,第二季度22例、第三季度27例、第四季度23例院外心脏骤停患者分别作为改进后组1、改进后组2、改进后组3,通过视频监控并借助“改良版心肺复苏质量报告卡”每季度对院外心脏骤停患者院内救治质量进行评价,针对存在的问题进行质量改进。结果 改进后三组的平均通气频率较改进前组明显下降,改进后三组的胸部按压时间比较改进前组明显上升,差异有统计学意义(X2=68.968,P=0.000；F=62.961,P=0.000)。改进后三组的PETCO2平均值较改进前组有上升,但差异无统计学意义(F=0.930,0.430)。结论 在视频监控下借助“改良版心肺复苏质量报告卡”对院外心脏骤停患者院内救治进行质量控制能改进心肺复苏质量,值得推广。 |
| 英文摘要: |
| Objective To evaluate the effect of quality control on out-of-hospital cardiac arrest"s hospital treatment under video surveillance by means of improved cardio-pulmonary resuscitation quality report card.Methods The 25 patients with out-of-hospital cardiac arrest in the first quarter of 2020 in our hospital"s emergency room were treated as the pre-improved group,the 22 patients with out-of-hospital cardiac arrest in the second quarter,27 patients with out-of-hospital cardiac arrest in the third quarter,and 23 patients with out-of-hospital cardiac arrest in the fourth quarter were respectively treated as improved group 1,improved group 2,and improved group 3. Evaluate the effect of out-of-hospital cardiac arrest"s hospital treatment quality under video surveillance by means of improved cardio-pulmonary resuscitation quality report card every quarter,and improve the quality continuously.Results The mean ventilation frequency in three improved groups were significantly lower than that in pre-improved group:χ2=68.968,P=0.000.The chest compression fraction in three improved groups were significantly higher than that in pre-improved group:F=62.961,P=0.000.The average for end-tidal carbon dioxide pressure in three improved groups were higher than that in pre-improved group,but no statistical significant difference: F=0.930,0.430.Conclusions Quality control of out-of-hospital cardiac arrest"s hospital treatment under video surveillance by the improved cardio-pulmonary resuscitation quality report card is helpful to improve the quality of cardiopulmonary resuscitation,which is worthy of further promotion. |
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