医护人员心肺复苏压力感知及应对策略的范围综述

doi:10.3761/j.issn.2096-7446.2026.11.007

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (11): 1327-1333.doi: 10.3761/j.issn.2096-7446.2026.11.007

医护人员心肺复苏压力感知及应对策略的范围综述

贾千会¹(), 陈若曦¹, 王慧霞², 刘俐宏³, 杨震⁴, 樊凯盛⁵, 樊落¹^,^*(), 张志刚², 胡娟娟¹

¹ 兰州大学第一医院护理部兰州市 730000
² 兰州大学第一医院重症医学科兰州市 730000
³ 甘肃中医药大学护理学院兰州市 730000
⁴ 兰州大学第一医院创伤外科兰州市 730000
⁵ 兰州大学第一医院住院医师规范化培训办公室兰州市 730000

收稿日期:2025-11-30 出版日期:2026-11-10 发布日期:2026-11-06
通讯作者: *樊落，E-mail：2569869312@qq.com
作者简介:贾千会：女，本科（硕士在读），主管护师，E-mail：995442465@qq.com
作者贡献声明
贾千会、陈若曦、刘俐宏：文献整理、论文撰写；王慧霞、杨震、樊凯盛、胡娟娟：论文修改；樊落、张志刚：研究指导、经费支持

Pressure perception and coping strategies in cardiopulmonary resuscitation implementation by healthcare personnel：a scoping review

JIA Qianhui¹(), CHEN Ruoxi¹, WANG Huixia², LIU Lihong³, YANG Zhen⁴, FAN Kaisheng⁵, FAN Luo¹^,^*(), ZHANG Zhigang², HU Juanjuan¹

¹ Nursing Department， the First Hospital of Lanzhou University， Lanzhou 730000， China
² Intensive Care Unit， the First Hospital of Lanzhou University， Lanzhou 730000， China
³ School of Nursing， Gansu University of Chinese Medicine， Lanzhou 730000， China
⁴ Trauma Surgery， the First Hospital of Lanzhou University， Lanzhou 730000， China
⁵ Office of Standardized Residency Training， the First Hospital of Lanzhou University， Lanzhou 730000， China

Received:2025-11-30 Online:2026-11-10 Published:2026-11-06
Contact: *FAN Luo，E-mail：2569869312@qq.com

摘要/Abstract

摘要：

目的对医护人员实施心肺复苏过程中的压力感知、评估工具及应对策略进行范围综述，为优化医护人员实施心肺复苏应对策略提供参考依据。方法以澳大利亚乔安娜布里格斯研究所2020版范围综述指南为方法学框架，检索PubMed、Web of Science、Embase、ProQuest、PsycINFO、CINAHL、中国知网、万方数据库、维普数据库和中国生物医学文献数据库，检索时限为建库至2025年7月9日。对医护人员实施心肺复苏压力感知表现、评估工具、应对策略进行归纳。结果共纳入9篇文献。医护人员实施心肺复苏压力感知是涵盖情绪应激、道德困境与职业认同危机的复杂心理体验。测量评估多依赖非特异性量表，仅有1项特异性量表。应对策略主要包括问题聚焦型与情绪聚焦型。结论医护人员实施心肺复苏压力感知是复杂且多维的，尚未开发本土化的测量工具，缺乏系统性、制度化的支持体系。因此，未来需开发本土化特异性评估工具，积极探索相关影响因素，构建系统性支持体系，以维护医护人员职业健康。

关键词: 医护人员, 心肺复苏, 压力感知, 范围综述

Abstract:

Objective To conduct a scoping review of pressure perception，assessment tools，and coping strategies among healthcare personnel during cardiopulmonary resuscitation（CPR） implementation，providing a reference basis for optimizing healthcare personnels’ CPR coping strategies. Methods Following the 2020 scoping review framework of the Joanna Briggs Institute（JBI），PubMed，Web of Science，Embase，ProQuest，PsycINFO，CINAHL，China National Knowledge Infrastructure（CNKI），Wanfang，VIP，and the China Biomedical Literature Database were systematically searched. The retrieval time limit was from the establishment of the databases to July 9，2025. The healthcare personnels’ pressure perceptions of CPR，assessment tools，and coping strategies were summarized. Results A total of 9 articles were included. Healthcare personnels’ pressure perception of CPR encompassed complex psychological experiences involving emotional distress，ethical dilemmas，and crises of professional identity. Measurement relied predominantly on non-specific scales，with only one specific instrument available. Coping strategies primarily fell into problem-focused and emotion-focused categories. Conclusion Healthcare personnels’ pressure perception of CPR is complex and multidimensional. No localized measurement tools have been developed，and systematic，institutionalized support systems are lacking. Future research should focus on developing localized，specific assessment tools，actively exploring relevant influencing factors，and establishing systematic support systems to safeguard the occupational health of healthcare personnel.

Key words: Healthcare Professionals, Cardiopulmonary Resuscitation, Pressure Perception, Scoping Review

贾千会, 陈若曦, 王慧霞, 刘俐宏, 杨震, 樊凯盛, 樊落, 张志刚, 胡娟娟. 医护人员心肺复苏压力感知及应对策略的范围综述[J]. 中华急危重症护理杂志, 2026, 7(11): 1327-1333.

JIA Qianhui, CHEN Ruoxi, WANG Huixia, LIU Lihong, YANG Zhen, FAN Kaisheng, FAN Luo, ZHANG Zhigang, HU Juanjuan. Pressure perception and coping strategies in cardiopulmonary resuscitation implementation by healthcare personnel：a scoping review[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(11): 1327-1333.

图/表 4

参考文献 26

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医护人员心肺复苏压力感知及应对策略的范围综述

Pressure perception and coping strategies in cardiopulmonary resuscitation implementation by healthcare personnel：a scoping review

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