Hastane Öncesi Sağlık Personelinin Pron Kardiyo Pulmoner Resüsitasyon Hakkında Bilgi Düzeyinin Değerlendirilmesi

Year 2024, Volume: 7 Issue: 3, 102 - 107, 28.09.2024

Fatma Karakoyun , Gül Pamukçu Günaydın , Murat Genç

https://doi.org/10.54996/anatolianjem.1517671

Abstract

Amaç: Pron kardiyopulmoner resüsitasyon (KPR) (yüzüstü pozisyonda yapılan KPR), yüzüstü pozisyonda kardiyopulmoner arrest olan hastaların yönetiminde önemli bir müdahaledir. Bu tekniğin öğrenilmesi ve gerektiğinde uygulanması, hastane öncesi sağlık personeli için önemlidir. Bu çalışmanın amacı, hastane öncesi sağlık personelinin pron KPR konusundaki bilgi düzeylerini belirlemektir.

Gereç ve Yöntemler: Çalışmamız tek merkezde yürütülen kesitsel bir anket çalışmasıdır. 1-31 Temmuz 2021 tarihleri arasında Ankara Şehir Hastanesine ambulansla hasta nakleden hastane öncesi sağlık personeli çalışmaya dâhil edilmiştir. Katılımcılara 24'ü demografik bilgi ve eğitim durumunu belirlemeyi, 7'si ise pron KPR konusundaki teorik bilgiyi değerlendirmeyi amaçlayan toplam 31 soru yöneltilmiştir.

Bulgular: Çalışmaya toplam 99 hastane öncesi sağlık personeli katılmıştır. Katılımcıların ortalama yaşı 32±5 (Ort±SS) idi. Yanıtlar incelnediğinde, katılımcıların yarısının (n=45, %45,5) en az bir kez pron pozisyonda hasta taşıdığı, ancak çoğunluğun pron KPR konusunda eğitim almadığı (n=73, %73,7) ve hiç pron KPR uygulamadığı (n=88, %88,9) tespit edildi. Katılımcıların pron KPR konusundaki bilgi düzeyleri düşüktü; 7 soru üzerinden ortalama toplam doğru yanıt oranı 3±1 (Ort±SS), medyan 3 (0-6) (min-maks) idi. Katılımcıların cinsiyet, pron KPR eğitim durumu, mesleki deneyim yılı, daha önceki pron KPR deneyimi, mezun olduğu okul, mesleki unvan, rehber okuma durumu, rutin KPR eğitim durumu gibi değişkenlere göre ortalama ve medyan toplam doğru yanıt sayıları karşılaştırıldı. Gruplar arasında istatistiksel olarak anlamlı bir fark bulunamadı.

Sonuç: Hastane öncesi ambulans hizmetlerinde çalışan sağlık personelinin pron KPR konusunda yeterli bilgiye veya eğitime sahip olmadığını gözlemledik. Hastane öncesi sağlık personeli pron KPR ile karşılaşabileceğinden, bu grup için pron KPR uygulama eğitimi gerekmektedir.

Keywords

Pron KPR, yüzüstü KPR, hastane öncesi

Evaluation of Pre-Hospital Healthcare Personnel’s Knowledge and Experience Levels About Prone CPR: A Survey Study

Abstract

Aim: Prone cardiopulmonary resuscitation (CPR) (CPR performed in the prone position) is an important intervention for managing cardiopulmonary arrest in patients that experience cardiopulmonary arrest in the prone position. It is important for pre-hospital healthcare personnel to learn and practice this technique when necessary. This study aims to determine the knowledge level of pre-hospital healthcare personnel on this prone CPR.

Material and Methods: Our study is a cross-sectional survey study conducted at a single center. Pre-hospital healthcare personnel who transferred patients by ambulance to Ankara City Hospital between July 1-31, 2021, were included in the study. Participants were given a total of 31 questions, 24 of which aimed to determine demographic information and educational status, and 7 of which assessed theoretical knowledge about prone CPR.

Results: A total of 99 pre-hospital healthcare personnel participated in the study. The average age of the participants was 32±5 (Mean±SD). Examination of the responses revealed that half of the participants (n=45, 45.5%) had transported patients in the prone position, yet the majority had not received any training on prone CPR (n=73, 73.7%) and had never performed prone CPR (n=88, 88.9%). Participants knowledge levels were low about prone CPR, with a mean total correct anaswer rate of 3±1 (Mean±SD) out of 7 questions, median of 3 (0-6) (min-max). Mean and median number of total correct answers were compared according to participants' gender, prone CPR training status, years of experience, previous experience in prone CPR, the school of graduation, professional title, guideline reading status, routine CPR training status. No statistically significant difference was found between the groups.

Conclusion: We observed that healthcare personnel working in pre-hospital ambulance services do not have sufficient knowledge or training about prone CPR. Since pre-hospital healthcare personnel may encounter prone CPR, there is a need for training on performing prone CPR in this group.

Keywords

Prone CPR, reverse CPR, prehospital

Ethical Statement

Ethical approval was obtained from the Ankara City Hospital Ethics Committee with decision number E-2-21-559.

Supporting Institution

None

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