Erdal TEKİN, Kadir KÜÇÜKCERAN, Sibel Güçlü UTLU

Hekimlerin Mesleki Tecrübe ve Branşlaşmaya Göre Kardiyopulmoner Resüsitasyon Bilgilerinin Değerlendirilmesi

Amaç: Erzurum ilinde çalışan hekimlerin ihtisas, ihtisas süresi ve kardiyopulmoner resüsitasyon (KPR) eğitim kursu alma durumlarına bakılarak KPR bilgilerini ölçmeyi amaçladık. Gereç ve Yöntemler: Erzurum ilinde Sağlık Bilimleri Üniversitesi Erzurum Bölge Eğitim ve Araştırma Hastanesi ve Atatürk Üniversitesi Araştırma Hastanesinde görev yapan hekim, uzman hekim ve asistan hekimler çalışmaya dahil edildi. AHA 2015 KPR guideline referans alınarak 15 soruluk çok seçmeli, tek cevaplı anket oluşturuldu. Çalışmaya katılan hekimlerin branş, cinsiyet, hekimlik tecrübeleri (5 yıldan az, 5-10 yıl, 10-15 yıl, 15 yıldan fazla), KPR eğitimi alma durumu ve sorulara ne kadar doğru cevap verdikleri kaydedildi. Verdikleri doğru cevap sayılarına göre; ihtisas durumları, KPR eğitim alma durumları ve hekimlik tecrübeleri kıyaslandı. Bulgular: Çalışmamıza 251 kişi katıldı. Katılımcıların 66’sı (%26,3) pratisyen hekim, 109’u (%43,4) asistan hekim ve 76’sı (%30,3) uzman hekimdi. Pratisyen hekim, asistan hekim ve uzman hekimlerin verdikleri doğru cevap sayısına göre aralarında istatistiksel olarak anlamlı fark yoktu. Hekimlik tecrübesi ile verilen doğru cevap sayıları kıyaslandığında 15 yıldan fazla hekimlik tecrübesi olanların doğru cevap sayısı diğer gruplara göre istatistiki olarak anlamlı düşük bulundu (15 yıldan fazla-10-15 yıl p=0,001, 15 yıldan fazla-5-10 yıl p=0,002, 15 yıldan fazla-5 yıldan az p=0,009). Katılımcıların ortalama doğru cevap sayısı 7.71±1.93 olarak tespit edildi. 10 bandını acil tıp ve kardiyoloji dışında aşan olmadı (11,22±1.56, 10±1,26). Sonuç: Sonuç olarak kardiyopulmoner resüsitasyon gibi hayati bir konuda; mesleki tecrübenin arttığı durumlarda ve KPR ile az muhatap olunacak branşlarda eğitime daha çok önem verilmelidir.

Anahtar Kelimeler:

Kardiyopulmoner resüsitasyon, Hekimler, Uzmanlaşma

Evaluation of Cardiopulmonary and Resuscitation Knowledge of Physicians by Their Professional Experience and Specialization

Objective: To measure cardiopulmonary resuscitation (CPR) knowledge of physicians in Erzurum by their specialization, specialization period, and status of taking CPR-training. Material and Methods: Physicians, specialist physicians, and physician assistants who serve in Erzurum Regional Training and Research Hospital and Atatürk University Research Hospital were included in the study. 15-question, single-answer multiple-choice survey was created under 2015 AHA Guidelines for CPR. Information such as specialty, genders, medical experience (less than 5 years, 5-10 years, 10-15 years, more than 15 years), taking CPR-training, and how correctly they answered the questions were noted. Under their correct answers, their specializations, status of taking CPRtraining and medical experience were compared. Results: 251 physicians participated in our study. 66(26.3%) of them were primary care physicians, 109(43.4%) of them were physician assistants, and 76(30.3%) of them were specialist physicians. By the number of their correct answers, there was no statistically significant difference between primary care physicians, physician assistants, and specialist physicians. Comparing their medical experience and correct answers, number of correct answers of those having more than 15-years medical experience was found statistically significantly lower than other groups (more than 15 years-10-15 years p=0.001, more than 15 years-5-10 years p=0.002, more than 15 years-less than 5 years p=0.009). Participants’ average number of correct answers was found as 7.71±1.93. Other than emergency medicine and cardiology, none passed 10 correct answers (11.22±1.56, 10±1.26). Conclusion: As a result, training should be given more importance on a vital issue such as cardiopulmonary resuscitation, in cases where professional experience increases, and in specialties with less contact with CPR.

Keywords:

Cardiopulmonary Resuscitation, Physcians, Specialization,

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Referans1. Bogle BM, Ning H, Mehrotra S, Goldberger JJ, Lloyd-Jones DM. Lifetime Risk for Sudden Cardiac Death in the Community. J Am Heart Assoc 2016; 29;5(7).
Referans2. Narayan DP, Biradar SV, Reddy MT, Bk S. Assessment of knowledge and attitude about basic life support among dental interns and postgraduate students in Bangalore city, India. World J Emerg Med 2015; 6(2):118-22.
Referans3. Sasson C, Rogers MA, Dahl J, Kellermann AL. Predictors of survival from out-of-hospital cardiac arrest: a systematic review and meta-analysis. Circ Cardiovasc Qual Outcomes 2010; 3(1):63-81.
Referans4. Roger VL, Go AS, Lloyd-Jones DM, Adams RJ, Berry JD, Brown TM et al. American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics--2011 update: a report from the American Heart Association. Circulation 2011; 1;123(4):18-209.
Referans5. Rea TD, Helbock M, Perry S, Garcia M, Cloyd D, Becker L, Eisenberg M. Increasing use of cardiopulmonary resuscitation during out-of-hospital ventricular fibrillation arrest: survival implications of guideline changes. Circulation 2006; 19;114(25):2760-5.
Referans6. Kellum MJ, Kennedy KW, Ewy GA. Cardiocerebral resuscitation improves survival of patients with out-ofhospital cardiac arrest. Am J Med 2006; 119(4):335-40.
Referans7. Bobrow BJ, Clark LL, Ewy GA, Chikani V, Sanders AB, Berg RA, Richman PB, Kern KB. Minimally interrupted cardiac resuscitation by emergency medical services for out-of-hospital cardiac arrest. JAMA 2008; 12;299(10):1158-65.
Referans8. Neumar RW, Shuster M, Callaway CW, Gent LM, Atkins DL, Bhanji F et al. Part 1: Executive Summary: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015; 3;132:315-67.
Referans9. Akıllı NB, Cander B, Köylü R, Dündar ZD, Ayan M. How much do we know about cardiopulmonary resuscitation?. JAEM 2012; 11:102–5
Referans10. Nambiar M, Nedungalaparambil NM, Aslesh OP. Is current training in basic and advanced cardiac life support (BLS & ACLS) effective? A study of BLS & ACLS knowledge amongst healthcare professionals of North-Kerala. World J Emerg Med 2016; 7(4):263-269.
Referans11. Aroor AR, Saya RP, Attar NR, Saya GK, Ravinanthanan M. Awareness about basic life support and emergency medical services and its associated factors among students in a tertiary care hospital in South India. J Emerg Trauma Shock 2014; 7(3):166-9.
Referans12. Baduni N, Prakash P, Srivastava D, Sanwal MK, Singh BP. Awareness of basic life support among dental practitioners. Natl J Maxillofac Surg 2014; 5(1):19-22.
Referans13. Roshana S, Kh B, Rm P, Mw S. Basic life support: knowledge and attitude of medical/paramedical professionals. World J Emerg Med 2012; 3(2):141-5.