■要探索文学,护理提供者可获得的关于如何向残疾人提供CPR和BLS的政策或程序,目前的标准指南不适合他们的目的。
■使用四个数据库进行了范围审查,即,CINHAL,PubMed,Scopus,Medline和谷歌学者。使用的关键字包括,disab*,轮椅,心肺,复苏,“基本生命支持”,生命支持护理,和旁观者心肺复苏术。检索了1119篇论文,并在删除76篇重复后筛选了1043篇。回顾了18篇全文,5篇符合纳入标准。
■这五篇文章来自三个县,包括一个案例研究,三份专家意见文件和一份干预研究。其中四篇论文主张改进CPR和BLS指南,其中三篇论文讨论了补充标准CPR和BLS的技术和想法。
■范围审查发现缺乏证据来解释为残疾人提供CPR和BLS,并强调需要进一步研究。在没有进一步证据的情况下,教育工作者有理由向照顾者提供有关为残疾人补充CPR和BLS的想法和讨论。
残疾人和轮椅使用者面临过早死亡或可预防死亡的高风险。建议改善急救反应是减轻过早和可预防死亡的因素。改善急救反应将为残疾人和轮椅使用者提供与无残疾人相同的护理和康复机会。正式和非正式的照顾者目前没有规定的指导方针来提高他们对残疾人紧急事件的应对知识。建议制定改进的指南,以减少正式和非正式护理人员的恐惧和焦虑,同时增加他们应对紧急情况的信心。
UNASSIGNED: To explore literature, policies or procedures available to care providers on how to deliver CPR and BLS to people with a disability, for whom the current standard guidelines are not fit for purpose.
UNASSIGNED: A scoping review was conducted using four databases, namely, CINHAL, PubMed, Scopus, Medline and Google Scholar. Keywords used included, disab*, wheelchairs, cardiopulmonary, resuscitation, \"basic life support\", life support care, and bystander CPR. 1119 papers were retrieved and 1043 were screened following removal of 76 for duplication. 18 full text articles were reviewed and 5 met the inclusion criteria.
UNASSIGNED: The five articles were from three counties and included one case study, three expert opinion papers and one intervention study. Four of the papers advocated in favour of improved CPR and BLS guidelines and three of the papers discussed techniques and ideas for supplementation of standard CPR and BLS.
UNASSIGNED: The scoping review has uncovered a paucity of evidence explaining delivery of CPR and BLS for people with disability and highlights the need for further research. In the absence of further evidence, it is reasonable for educators to provide ideas and discussion about supplementing CPR and BLS for people with disability to carers.
People with disability and wheelchair users are at a high risk for premature or preventable deaths.Improved first aid responses are proposed to be a mitigating factor for premature and preventable deaths.Improved first aid responses will afford people with disability and wheelchair users the same opportunities for care and rehabilitation as people without disability.Formal and informal carers do not currently have prescriptive guidelines to improve their knowledge on responding to emergency events for people with disabilities.Development of improved guidelines is recommended to reduce fear and anxiety for formal and informal carers whilst also increasing their confidence to respond to emergency situations.