An Analytical Comparison of the Opinions of Physicians Working in Emergency and Trauma Surgery Departments at Tabriz and Vienna Medical Universities Regarding Family Presence during Resuscitation

The present study evaluated the opinions of physicians working in the emergency and trauma surgery departments of Vienna Medical University, in Austria, and Tabriz Medical University, in Iran, regarding the presence of patients’ relatives during resuscitation. In a descriptive-analytical study, the data obtained from questionnaires that had been distributed randomly to 40 specialists and residents at each of the participating universities were analyzed. The questionnaire consisted of two sections aimed at capturing the participants’ demographic data, the participants’ opinions regarding their support for the family’s presence during resuscitation, and the multiple potential factors affecting the participants’ attitudes, including health beliefs, triggers that could facilitate the procedure, self-efficacy, intellectual norms, and perceived behavioral control. The questionnaire also included a direct question (Question 16) on whether the participants approved of family presence. Each question could be answered using a Likert-type scale. The results showed that the mean scores for Question 16 were 4.31 ± 0.64 and 3.57 ± 1.31 for participants at Vienna and Tabriz universities, respectively. Moreover, physicians at Vienna University disapproved of the presence of patients’ families during resuscitation to a higher extent than did those at Tabriz University (P = 0.018). Of the studied prognostic factors affecting the perspectives of Vienna Medical University’s physicians, health beliefs (P = 0.000; B = 1.146), triggers (P = 0.000; B = 1.050), and norms (P = 0.000; B = 0.714) were found to be significant. Moreover, of the studied prognostic factors affecting the perspectives of Tabriz Medical University’s physicians, health beliefs (P = 0.000; B = 0.875), triggers (P = 0.000; B = 1.11), self-efficacy (P = 0.001; B = 0.5), and perceived behavioral control (P = 0.03; B = 0.713) were significant. Most physicians at Vienna and Tabriz Medical universities were not open towards family members’ presence during resuscitation.

本研究评估了奥地利维也纳医科大学与伊朗大不里士医科大学急诊及创伤外科医师对复苏期间患者家属在场的看法。本研究为描述性分析研究，向两所参与院校的各40名专科医师及住院医师随机发放问卷，并对回收数据展开分析。问卷包含两个模块：其一用于收集受访者的人口统计学资料，其二旨在调研受访者对复苏期间允许家属在场的支持态度，以及影响其态度的多项潜在因素，包括健康信念（health beliefs）、可推动该流程的触发因素、自我效能感（self-efficacy）、理智规范（intellectual norms）及知觉行为控制（perceived behavioral control）。问卷还设有第16题这一直截了当的问题，询问受访者是否认可家属在场，所有问题均采用李克特量表（Likert-type scale）作答。
结果显示，维也纳医科大学与大不里士医科大学受访者的第16题平均得分分别为4.31±0.64与3.57±1.31。此外，维也纳医科大学的医师相较于大不里士医科大学的医师，更不支持复苏期间患者家属在场（P=0.018）。针对影响维也纳医科大学医师态度的预后因素分析显示，健康信念（P=0.000；B=1.146）、触发因素（P=0.000；B=1.050）及理智规范（P=0.000；B=0.714）均具有统计学显著性。而影响大不里士医科大学医师态度的预后因素中，健康信念（P=0.000；B=0.875）、触发因素（P=0.000；B=1.11）、自我效能感（P=0.001；B=0.5）及知觉行为控制（P=0.03；B=0.713）均具有统计学显著性。两所医科大学的多数医师均对复苏期间允许患者家属在场持不开放态度。