Title "Usporedba poznavanja ALS/BLS kod bolničkih i izvanbolničkih zdravstvenih djelatnika"
Title (english) "Comparison of knowledge of ALS/BLS among hospital and out-hospital health workers"
Author Maja Oreb
Mentor Morena Milić (mentor)
Committee member Dubravka Bartolek Hamp (predsjednik povjerenstva)
Committee member Marijo Bekić (član povjerenstva)
Committee member Morena Milić (član povjerenstva)
Granter University of Dubrovnik (Department for Professional Studies) Dubrovnik
Defense date and country 2022-09-28, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Public Health and Health Care Public Health
Abstract UVOD: Reanimacijske postupke čini skup mjera oživljavanja koje se poduzimaju da bi bolesniku koji je prestao disati i/ili čije je srce prestalo kucati vratili vitalne funkcije. KPR uključuje bazične tj. osnovne (BLS; eng, Basic life support) i napredne (ALS; eng. Advanced life support) Reanimaciju dijelimo na dvije skupine mjere održavanja života, a to su ALS i BLS. BLS ili eng, Basic life support su osnovne mjere oživljavanja i sve započinje neposredno tj. „na licu mjesta“ osiguravanjem prohodnosti dišnoga puta, davanjem umjetnoga disanja i vanjskom masažom srca kako bi se uspostavila i osigurala elementarna opskrba vitalnih organa za kisikom. „kupuju“ vrijeme do defibrilacije, rješavaju problem opskrbe pluća kisikom davanjem umjetnog disanja i prijenosom kisika u tkiva masažom srca. ALS ili eng. Advanced life support se nadovezuju napredne mjere oživljavanja i nastupaju nakon provedbe osnovnih mjera održavanja života te uključuju primjenu svih raspoloživih suvremenih pomagala i uređaja za održavanje dišnog puta, kardiopulmonalne funkcije.
CILJ: Cilj ovoga rada bio je kroz anonimnu anketu utvrditi prikupiti informacije o poznavanje BLS i ALS metoda održavanja života kod bolničkog i izvanbolničkog osoblja s obzirom na njihov prvi susret sa KPR-om reanimacijom, stupanj obrazovanja te učestalost kontinuiranog obnavljanja znanja iz područja KPR-a, te usporedba tko bolje posjeduje teorijsko znanje: bolničko ili izvanbolničko osoblje.
METODE: Prospektivno istraživanje obuhvatilo je 72 ispitanika sestrinstva izvanbolničkih i bolničkih djelatnosti. Podaci su prikupljeni anonimnom anketom preko Google anketom. Anketa je sadržavala 15 pitanja koja su obuhvaćala demografske podatke ispitanika, njihov stupanj obrazovanja, teoretsko i praktično poznavanje BSL i ALS postupka KPR-a te pojavnost kontinuirane KPR edukacije među ispitanicima. Prikupljeni podaci prikazani su tablicama. Analiza i usporedba rezultata obrađena je uz statistički model IBM_SPSS_ver21. Statistički značajna razlika prihvaćena je uz vrijednost P<0.05.
REZULTATI: Najveći broj zdrastvenih djelatnika sestrinstva svoje prvo znanje iz KPR-a stječe u srednjoj školi (58%; podjednako u izvanbolničkim-29% i bolničkim djelatnostima-29%) te u vozačkoj školi (22%). BLS postupak KPR-a zna primijeniti 64% ispitanika, ALS 35%, dok 1% ispitanika ne zna primijeniti protokol KPR u cijelosti. Mogućnost obnove znanja iz KPR-a ima samo 28% ispitanika. Među njima 24% obnavlja znanje svake dvije godine (10% u bolničkim i 14% u izvanbolničkim djelatnostima), a 14% svake četiri godine (8% u bolničkim i 6% u izvanbolničkim djelatnostima). Važno je istaknuti da 63% ispitanika nije imalo mogućnosti obnavljanja znanje iz KPR-a kako u bolničkim (32%) tako i u izvanbolničkim djelatnostima (31%).
ZAKLJUČAK: Iako je sestrinstvo iz bolničkih i izvanbolničkih djelatnosti educirano iz KPR-a u srednjim školama, tek 35% ih ima saznanje o primjeni ALS metoda, a 1% još uvijek ne bi znalo pristupiti KPR. Pri tome bolničko osoblje vlada znanjem iz KPR-a bolje, uz neznatnu statističku razliku. Većina zdravstvenih djelatnika sestrinstva iz obje skupine još uvijek nema dostatne mogućnosti za kontinuiranu obnovu znanja iz KPR-a.
Abstract (english) INTRODUCTION: Reanimation procedures, i.e. cardiopulmonary resuscitation (CPR),
consists of a set of resuscitation measures that are taken to restore vital functions to a patient
who has stopped breathing and/or whose heart has stopped beating. CPR includes basic (BLS;
eng. Basic life support) and advanced (ALS; eng. Advanced life support) life support
measures. BLS is started immediately, i.e. "on the spot" by ensuring the patency of the airway, giving artificial respiration and external heart massage in order to establish and ensure basic oxygen supply to vital organs. ALS are added after the implementation of basic life support measures and include the use of all available modern aids and devices for maintaining cardiopulmonary function.
AIM: The aim of this paper was to collect information using anonymous survey to
determine the extent of the knowledge and familiarity with the BLS and ASL life
support methods among the hospital and non-hospital staff, from the point of view
of the timing of their first encounter with CPR, the level of education and the
frequency with which the staff refresh their CPR knowledge. Finally, the aim was
also to determine who has comparatively better theoretical knowledge of CPR: the
hospital or non-hospital staff.
METHODS: The prospective survey covered 72 respondents – members of nursing
profession in both hospital and non-hospital positions. Data were collected through
an anonymous Google interface-based survey. The survey was composed of
15 questions, covering the respondents’ demographic data, level of education,
theoretical and practical knowledge of BLS and ALS CPR procedures, as well as
the incidence of continuous CPR training among the respondents. The data thus
collected were presented in a tabular format. The analysis and the comparison of
the results were processed using the IBM_SPSS_ver21 statistical model. A
statistically significant difference was accepted at the value of P<0.05.
RESULTS: The majority of nursing staff first learn about CPR in high school
(58%; both the hospital and non-hospital staff at an equal rate of 29%) and as part
of the driving school programme (22%). 64% of the respondents know how to
apply the BLS procedure of CPR, 35% know how to apply the ASL procedure of
CPR, while 1% of respondents do not know how to apply the full CPR protocol.
Only 28% of respondents have an opportunity to refresh their knowledge of CPR.
Among them, 24% refresh their knowledge every two years (10% among the
hospital staff and 14% among the non-hospital staff); 14% every four years (8%
among the hospital and 6% among the non-hospital staff). It is important to
emphasise that 63% of respondents did not have an opportunity to refresh their
knowledge of CPR either in the hospital (32%) or in the non-hospital setting
(31%).
CONCLUSION: Although the nursing staff both in the hospital and non-hospital
settings are trained in CPR in high school, only 35% have knowledge on
application of ALS methods, while 1% would still not know how to apply the CPR
protocol. Furthermore, the hospital nursing staff have a higher level of CPR
knowledge, albeit by a statistically insignificant margin. The majority of the
nursing healthcare professionals in either setting still do not have sufficient
opportunity to refresh their knowledge of CPR on a continuous basis.
Keywords
kardiopulmonalna reanimacija
BSL i ASL mjere oživljavanja
anketa
kontinuirana KPR edukacija
bolničko i izvanbolničko osoblje u KPR-u
Keywords (english)
cardiopulmonary resuscitation
BSL and ASL life support interventions
survey
continuous CPR training
hospital and non-hospital staff in CPR.
Language croatian
URN:NBN urn:nbn:hr:155:177009
Study programme Title: Nursing Study programme type: professional Study level: undergraduate Academic / professional title: stručni/a prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva (stručni/a prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva)
Type of resource Text
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Created on 2022-11-30 10:49:08