A Study of the Factors Related to Cardiopulmonary Resuscitation Physical Fatigue and the Quality of Resuscitation - - - Studija faktora koji se odnose na fizički umor nakon kardiopulmonalne resuscitacije i kvalitet resuscitacije
Journal Title: Acta Facultatis Medicae Naissensis - Year 2017, Vol 34, Issue 1
Abstract
Effective chest compression is an important factor playing a key role in the cardiac arrest patient survival. An understanding of the factors causing an early physical fatigue can help to improve the quality of CPR operations in hospitals. Therefore, this study aimed to assess the factors relevant to the onset time of physical fatigue and resuscitation quality during cardiopulmonary resuscitation (CPR) provision by Iranian nurses. The present cross-sectional study was performed on 194 subjects selected based on a stratified random sampling procedure from different hospital wards. The participants were required to perform CPR operations on a manikin. As they were performing CPR, the time and the quality of compressions were measured by a chronometer and visual analogue fatigue scale, respectively. The rescuers themselves reported the onset time of physical fatigue. Statistical analyses run on the collected data revealed that the majority of participants experienced extreme physical fatigue after a two-minute CPR operation. Moreover, about 71.2% of the participants managed to provide compressions over five centimeters deep. Finally, the physical fatigue experienced by the participants was meaningfully correlated with the body weight, sex, university degree, and work place of the participants (p < 0.05).Since the findings of the present study showed that various factors including the sex, weight, height, university degree, and the work place of the rescuer were significantly correlated with the onset time of physical fatigue experienced during CPR operation, it is recommended that male nurses with greater height and weight be employed in the rescue teams in ICU wards. Moreover, it seems mandatory for the nurses currently working in such teams in hospitals to improve their physical fitness through doing aerobics on a regular basis so that they may experience less fatigue during their CPR operations in future. - - - Efektivna kompresija grudnog koša je važan faktor koji ima ključnu ulogu kod preživljavnja bolesnika sa srčanim zastojem. Razumevanje faktora koji dovode do ranog fizičkog zamora može da pomogne u unapređenju kvaliteta kardiopulmonalne resuscitacije koja se izvodi u bolnicama. Stoga, cilj ove studije bio je procena faktora relevantnih za početak fizičkog umora i kvalitet resuscitacije za vreme kardiopulmonalne resuscitacije koju izvode medicinske sestre u Iranu. Ova studija preseka je uključila 194 ispitanika iz različitih bolničkih odeljenja, izabranih metodom slučajnog uzorka. Od učesnika je traženo da izvedu kardiopulmonalnu resuscitaciju na lutki za reanimaciju. Dok su izvodili reanimaciju, vreme i kvalitet kompresija mereni su pomoću hronometra i vizuelno analogne skale za merenje umora. Učesnici su sami prijavljivali početak osećaja fizičkog umora. Statistička analiza prikupljenih podataka je ukazala da je većina učesnika osetila izuzetno jak fizički umor nakon dvominutnog izvođenja kardiopulmonalne resuscitacije. Oko 71,2% učesnika je uspelo da izvede kompresiju dublju od 5 cm. Fizički umor koji su učesnici osetili bio je u korelaciji sa težinom, polom, stepenom obrazovanja i radnim mestom učesnika (p < 0,05). S obzirom da su rezultati studije pokazali da su različiti faktori, uključujući pol, težinu, visinu, stepen obrazovanja i radno mesto osobe koja izvodi reanimaciju bili u značajnoj korelaciji sa početkom osećaja fizičkog umora u toku izvođenja reanimacije, preporuka je da muškarci sa većom težinom i visinom rade u timovima spasioca na odeljenjima urgentne medicine. Štaviše, nameće se kao obaveza da medicinske sestre koje rade u ovim timovima poboljšaju svoju fizičku kondiciju kroz redovne vežbe aerobika, što bi ubuduće dovelo do manjeg zamaranja tokom izvođenja kardiopulmonalne resuscitacije.
Authors and Affiliations
Mojtaba Rad, Mostafa Rad
Keywords
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- EP ID EP347580
- DOI 10.1515/afmnai-2017-0006
- Views 58
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