نوع مقاله : مقاله پژوهشی
نویسندگان
1 کمیته تحقیقات دانشجویی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران
2 مربی پرستار ی مراقبت های ویژه، گروه فوریت های پزشکی، دانشکده پیراپزشکی، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران
3 استادیار گروه پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی خراسان شمالی، بجنورد، ایران
4 دانشیار، گروه پرستاری، دانشکده پرستاری و مامایی، مرکز تحقیقات سالمت سالمندان، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران
چکیده
زمینه و هدف: کیفیت CPR عامل مهم تعیینکننده موفقیت احیا و میزان بقا میباشد. در همین راستا مطالعه حاضر با هدف بررسی تأثیر حضور پرستار مدیریتکننده دقیق زمان حین عملیات قلبی ریوی انجام شد.
مواد و روشها: مطالعه نیمهتجربی دوگروهه به مدت شش ماه بر روی 120 بیمار دچار ایست قلبی تنفسی در بیمارستان واسعی سبزوار انجام شد. در مرحله اول نمونهگیری (گروه کنترل)، عملیات احیا در کل بخشهای بیمارستان به روش رایج انجام میشد. در مرحله دوم مطالعه یک نفر پرستار به اعضای تیم احیا اضافه شد که زمان دقیق انجام هر اقدام را طبق گاید لاین به شخص مربوطه اعلام میکرد. مقادیر ETCO2 و بازگشت جریان خون خودبهخودی بیمار با استفاده از مانیتورینگ ثبت میشد. دادهها با نرمافزار spss نسخه 26 تجزیه و تحلیل گردید.
یافتهها: آنالیز متغیرهای اصلی مطالعه، میانگین و انحراف معیار ETCO2 در گروه کنترل (63/13) 21/20 و در گروه احیا در حضور پرستار مدیریتکننده دقیق زمان (83/15) 72/25 میلیمتر جیوه بهدست آمد که تفاوت آماری معنیداری بین دو گروه وجود داشت. میانگین تعداد فشردهسازی قفسه سینه در گروه کنترل و در گروه احیا در حضور پرستار مدیریتکننده دقیق زمان تفاوت معنیداری داشت. تفاوت آماری قابلتوجهی در میزان برگشت خودبهخودی جریان خون بهدست نیامد (42/0P=).
نتیجهگیری: به دلیل بحرانیبودن شرایط احیا حضور پرستار مدیریتکننده دقیق زمان میتواند باعث انجام عملیات طبق گاید لاین و درنتیجه بهبود برخی پیامدهای احیا گردد.
تازه های تحقیق
https://scholar.google.com/citations?user=4FNiRAEAAAAJ&hl=en
https://www.ncbi.nlm.nih.gov/myncbi/collections/mybibliography/
https://scholar.google.com/citations?user=nIY7jIAAAAAJ&hl=en
https://pubmed.ncbi.nlm.nih.gov/?term=mojtaba+rad
https://scholar.google.com/citations?user=nV3383IAAAAJ&hl=en
https://www.ncbi.nlm.nih.gov/myncbi/mohammad%20reza.armat.1/bibliography/public/
https://scholar.google.com/citations?user=aaBUOKkAAAAJ&hl=en
http://www.ncbi.nlm.nih.gov/myncbi/mostafa.rad.1/bibliography/public/
کلیدواژهها
موضوعات
عنوان مقاله [English]
Investigating the Effect of Accurate Time Manager Nurse on the Outcome of Return of Spontaneous Circulation (ROSC) and ETCO2 in Patients with Cardiac Respiratory Arrest
نویسندگان [English]
- Hossein Sharabadi 1
- Mojtaba Rad 2
- Mohammad Reza Armat 3
- Mostafa Rad 4
1 1. Student research committee, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran
2 . Instructor of Critical Care Nursing, Department of Medical Emergencies, School of Allied Medical Sciences, Sabzevar University of Medical Sciences, Sabzevar, Iran
3 Department of Nursing and Midwifery, Faculty of Nursing and Midwifery, North Khorasan University of Medical Sciences,Bojnord
4 Associate Professor, Department of Nursing, School of Nursing and Midwifery, Iranian Research Center of Healthy Aging, Sabzevar University of Medical Sciences, Sabzevar, Iran
چکیده [English]
Introduction: The quality of cardiopulmonary resuscitation (CPR) is a crucial determinant of the success of resuscitation efforts and survival rates. This study aimed to investigate the impact of having a time manager nurse on the return of spontaneous circulation (ROSC) and end-tidal carbon dioxide (ETCO2) levels in patients experiencing cardiac arrest.
Materials and Methods: A semi-experimental study with two groups was conducted using a convenience sampling method over six months at Vasei Sabzevar Hospital in 2019, involving 120 patients with cardiorespiratory arrest. In the first phase (control group), resuscitation operations were performed in all hospital departments using standard procedures. In the second phase, a nurse was added to the resuscitation team to announce the exact timing of each action according to CPR guidelines. ETCO2 and ROSC values were recorded using monitoring equipment. Data were analyzed using SPSS version 26.
Results: Analysis revealed that the mean (standard deviation) ETCO2 in the control group was 20.21 (13.63) mmHg, while in the resuscitation group with the time manager nurse, it was 25.72 (15.83) mmHg, indicating a statistically significant difference between the two groups. There was also a significant difference in the average chest compressions performed in the control group compared to the resuscitation group with the time manager nurse. However, no significant statistical difference was found in the rate of ROSC between the two groups (P = 0.42).
Conclusion: Given the critical nature of resuscitation conditions, the presence of a time manager nurse can facilitate the execution of procedures according to guidelines, potentially improving certain resuscitation outcomes.
کلیدواژهها [English]
- Cardiopulmonary Resuscitation
- Nurses
- capnography
- Return of Spontaneous Circulation
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