Page 27 - 消防月刊9月號

肆、結論
統合 3 篇文獻的評讀結果，僅第 3 篇文獻 各指標無統計學上顯著差異，其餘 2 篇文獻皆 顯示，簡化壓胸指示能增加壓胸深度、壓胸速 率、正確壓胸比率、減少中斷壓胸時間及增加 手部正確位置性，由此可見簡化壓胸指示能增 進 DA-CPR 品質。受試者也表示，簡化壓胸指 示能增進旁觀者執行動機及簡化執行困難度。
綜上，簡化壓胸指示能提升整體 CPR 品 質，然上述研究皆為國外研究，無法完全類推 到本土研究上，此外上述研究皆為模擬試驗， 亦無法完全類推到人體，期望未來能有更多實 證醫學研究證據驗證簡化壓胸指示之成效。
伍、參考文獻
Deakin, C. D., Nolan, J. P., Soar, J., Sunde, K., Koster, R. W., Smith, G. B., & Perkins, G. D. (2010). European Resuscitation Council Guidelines for Resuscitation 2010 Section 4. Adult advanced life support. Resuscitation, 81(10), 1305- 1352. doi:10.1016/j.resuscitation.2010.08.017
Kleinman Monica, E., Brennan Erin, E., Goldberger Zachary, D., Swor Robert, A., Terry, M., Bobrow Bentley, J., . . . Rea, T. (2015). Part 5: Adult Basic Life Support and Cardiopulmonary Resuscitation Quality. Circulation, 132(18_suppl_2), S414-S435. doi:10.1161/CIR.0000000000000259
Rasmussen, S. E., Nebsbjerg, M. A., Krogh, L. Q., Bjørnshave, K., Krogh, K., Povlsen, J. A., . . . Løfgren, B. (2017). A novel protocol for dispatcher assisted CPR improves CPR quality and motivation among rescuers-A randomized controlled simulation
study. Resuscitation, 110, 74-80. doi:10.1016/ j.resuscitation.2016.09.009
Ro, Y. S., Shin, S. D., Lee, Y. J., Lee, S. C., Song, K. J., Ryoo, H. W., . . . Birkenes, T. S. (2017). Effect of Dispatcher-Assisted Cardiopulmonary Resuscitation Program and Location of Out-of-Hospital Cardiac Arrest on Survival and Neurologic Outcome. Annals of Emergency Medicine, 69(1), 52-61. doi:10.1016/j.annemergmed.2016.07.028
Trethewey, S. P., Vyas, H., Evans, S., Hall, M., Melody, T., Perkins, G. D., & Couper, K. (2019). The impact of resuscitation guideline terminology on quality of dispatcher-assisted cardiopulmonary resuscitation: A randomised controlled manikin study. Resuscitation, 142, 91-96. doi:10.1016/j.resuscitation.2019.07.016
van Tulder, R., Roth, D., Havel, C., Eisenburger, P., Heidinger, B., Chwojka, C. C., . . . Schreiber, W. (2014). "Push as hard as you can" instruction for telephone cardiopulmonary resuscitation: a randomized simulation study. The Journal of emergency medicine, 46(3), 363-370. doi:10.1016/
j.jemermed.2013.08.067
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