Effect Of Cardiopulmonary Resuscitation Training Research Articles

Effect of cardiopulmonary resuscitation training for layperson bystanders on outcomes of out-of-hospital cardiac arrest: A prospective multicenter observational study

BackgroundEffective bystander cardiopulmonary resuscitation (CPR) improves outcomes in out-of-hospital cardiac arrest (OHCA) patients. However, the effect of CPR training on the rate of return of spontaneous circulation (ROSC) among laypersons has yet to be thoroughly evaluated. MethodsThis prospective, multicenter observational study was conducted across 42 centers in Japan. We assessed OHCA patients who received bystander CPR from a layperson, excluding those performed by healthcare staff. The primary outcome was the ROSC rate. Secondary outcomes included pre-hospital ROSC, ROSC after hospital arrival, favorable neurological outcomes, and 30-day survival. Propensity score with inverse probability treatment weighting (IPTW) was used to adjust for confounders, including age, sex, presence or absence of witnesses, and past medical history. ResultsA total of 969 OHCA patients were included, divided into CPR-trained (n = 322) and control (n = 647). Before adjustment, the ROSC rate was higher in the trained group than the control (40.1% vs. 30.1%, P < 0.01). After IPTW adjustment, the trained group showed a significantly higher ROSC rate (36.7% vs. 30.6%; P = 0.02). All secondary outcomes in the trained group were significantly improved before adjustment. After IPTW adjustment, the trained group showed improved rates of pre-hospital ROSC and ROSC after hospital arrival (30.7% vs. 24.0%; P < 0.01, 23.9% vs. 20.7%; P = 0.04). There were no differences in neurological outcomes and 30-day survival. ConclusionThis study demonstrated that CPR training for laypersons was associated with increased ROSC rates in OHCA patients, indicating potential advantages of CPR training for non-healthcare professionals.

Effects of cardiopulmonary resuscitation training on mortality rates after out-of-hospital cardiac arrest: protocol for a systematic review and meta-analysis

IntroductionAn out-of-hospital cardiac arrest occurs at a rate of 67–170 cases per 100 000 inhabitants per year in Europe. The early recognition of the occurrence of a cardiac arrest, placing...

The Effect of Cardiopulmonary Resuscitation Training and Practices on the Knowledge Level of Pediatrics Residents

The Effect of Cardiopulmonary Resuscitation Training and Practices on the Knowledge Level of Pediatrics Residents

Critical hours in saving a life: Knowledge and awareness about Basic Life Support and effect of Cardiopulmonary Resuscitation training in I year MBBS students

Critical hours in saving a life: Knowledge and awareness about Basic Life Support and effect of Cardiopulmonary Resuscitation training in I year MBBS students

Effects of Near-Peer CPR Workshop on Medical Students’ Knowledge and Satisfaction

Background: The acquisition of competencies in cardiopulmonary resuscitation (CPR) among medical students requires specific and up-to-date training. In this study, a near-peer workshop group was used to assess the effects of cardiopulmonary resuscitation training on students’ satisfaction, acquisition, and retention of CPR knowledge. Methods: This quasi-experimental study using repeated measure analysis design was conducted with 120 medical students at the Birjand University of Medical Sciences, Iran. The educational content was presented in six workshop sessions under the supervision of a near-peer group. A questionnaire was used to assess demographics, knowledge, and satisfaction. Data analysis was conducted using SPSS 14. Results: The mean knowledge scores of participants 6.8±2.7, 16.1± 2.6, and 13.5±4.0 before, immediately, and two months after the workshop, respectively. These results showed that the mean knowledge score significantly increased immediately after the training. Although the mean scores fell slightly by two months after the intervention, they remained significantly higher than before the workshop. The satisfaction level of all the students of this method was reported as good. Conclusion: In accordance with the positive effects of collaborative learning methods in the teaching-learning process, we used a novel and efficient collaborative method to improve the quality of cardiopulmonary resuscitation (CPR) training. CPR training with a near-peer group had a positive impact on student knowledge acquisition, knowledge retention, and learning satisfaction. Therefore, this method may be a useful way to conduct such training workshops.

Investigating the Effect of Cardiopulmonary Resuscitation Training on the knowledge and Skills of High and Middle Schools Students and Teachers in Jeddah, KSA.

Investigating the Effect of Cardiopulmonary Resuscitation Training on the knowledge and Skills of High and Middle Schools Students and Teachers in Jeddah, KSA.

Short-Term Learning Effects of a Cardiopulmonary Resuscitation Program with Focus on the Relationship between Learning Effect and Trainees' Perceived Competence.

High-quality education and training are essential for effectively improving the quality of cardiopulmonary resuscitation (CPR); however, the relationship between the acquisition of motor skills and learners’ psychological characteristic has not been investigated fully. Therefore, we investigated the relationship between intrinsic motivation for training, self-efficacy for CPR, and CPR skill acquisition through training. Twenty health sciences undergraduate students participated in a 3-hour basic life support course. Their chest compression skills were assessed before and after the course. The main outcome of this study was the chest compression score, with changes in the score from pretest to posttest regarded as the short-term learning effects from training. The chest compression score was significantly higher after the course (median 53.5%, interquartile range [IQR] 39.8–83.0) than before the course (median 14.0%, IQR 0–43.3, p < 0.001). Furthermore, we found a significant correlation between perceived competence after the training and changes in the chest compression score from pretest to posttest (r = 0.483, p = 0.031), but other psychological indices did not correlate with changes in the chest compression score. A significant correlation was noted between trainees’ perceived competency and the short-term learning effects of CPR training. We suggest instructors focus on psychological components of training, including trainees’ perceived competence.

산소포화도 측정도구를 활용한 가슴압박 심폐소생술 교육 효과

본 연구는 1365자원봉사자를 대상으로 산소포화도 측정도구를 활용한 가슴압박 심폐소생술 교육을 실시한 후 산소포화도 측정도구를 활용한 가슴압박 심폐소생술 교육을 실시한 후 산소포화도 측정도구를 활용한 가슴압박 교육 만족도 측정하는 설문연구이다. 본 연구에서의 목적을 달성하기 위하여 설정한 가설을 검증하고자 SPSS 23.0 프로그램을 사용하여 수집한 자료를 다음과 같은 방법으로 분석 하였다. 첫 번째 연구 대상자의 일반적인 특성을 알아보기 위해 빈도, 백분율을 알아보았다. 두 번째 연구 도구는 첫 번째 심폐소생술 교육 전·후 지식과 두 번째 심장정지 초기 5분 교육 전 · 후 수행자신감 세 번째 심장정지 초기 5분간 산소포화도를 활용한 가슴압박 심폐소생술 교육 수행능력 네 번째 산소포화도를 활용한 가슴압박 심폐소생술 교육 만족도 변인이 신뢰도를 확인하기 위하여 Cronbach’s 계수분석을 수행 하였다. 본 연구에서 설정한 변인간의 상관관계를 알아보기위하여 pearson의 적률 상관분석을 실시하였다. 또한 첫 번째 가슴압박 심폐소생술 교육 전 · 후 지식이 산소포화도 측정도구를 활용한 가슴압박 심폐소생술 수행교육 만족도에 미치는 영향 두 번째 가슴압박 수행술기능력 교육 전 · 후 가슴압박 수행술기능력이 산소포화도 측정도구를 활용한 가슴압박 심폐소생술 수행교육 만족도에 미치는 영향을 알아보기 위하여 다중회귀분석을 수행 하였다. 이 연구 결과를 토대로 구체적인 목적은 다음과 같다. 첫 번째 가슴압박 심폐소생술 교육 전 · 후 지식이 산소포화도 측정도구를 활용한 가슴압박 심폐소생술 교육 만족도에 미치는 효과를 파악한다. 두 번째 심장정지 초기 5분간 수행처치 교육 전 · 후 자신감, 산소포화도 측정도구를 활용한 가슴압박 심폐소생술 술기능력을 파악하고, 산소포화도 측정도구를 활용한 가슴압박 교육 만족도를 알아보고자 한다.

The impact of cardiopulmonary resuscitation (CPR) training on schoolchildren and their CPR knowledge, attitudes toward CPR, and willingness to help others and to perform CPR: mixed methods research design

BackgroundThe benefits of cardiopulmonary resuscitation training for schoolchildren are well known, but the appropriate age for introducing training is still being discussed. This is a very important issue, since out-of-hospital cardiac arrest is a major public health concern. The objective of this study was to investigate the effects of implemented cardiopulmonary resuscitation training on the knowledge of schoolchildren in the last three grades of Slovenian elementary schools and theirs willingness, attitudes, and intentions toward helping others and performing cardiopulmonary resuscitation. The experience of training instructors was also explored.MethodsA mixed methods research design was employed, using a Separate Pre-Post Samples Design and focus groups. Research was conducted in 15 Slovenian public elementary schools offering cardiopulmonary resuscitation training. Focus groups included training instructors and developers. Data was collected with a structured questionnaire from April to June 2018 and analyzed using univariate and bivariate analyses. The three focus groups were convened in September and October 2018. Content analysis of the discussion transcriptions was conducted. The sample included 764 schoolchildren aged 12.5–14.5 years before cardiopulmonary resuscitation training and 566 schoolchildren after training. Three non-homogeneous focus groups included eight cardiopulmonary resuscitation instructors.ResultsSignificant progress in cardiopulmonary resuscitation knowledge was noted after training implementation, with the greatest progress seen in the youngest age group (mean age 12.5). The greatest increase after training was seen for the variables Attitude toward helping others (p = 0.001) and Self-confidence (p = 0.001). Analysis of the focus groups yielded two themes: (a) the effects of cardiopulmonary resuscitation training on schoolchildren, and (b) the systemic responsibility of the school system and professional bodies.ConclusionsSignificant progress in schoolchildren’s cardiopulmonary resuscitation knowledge after training was established. Early introduction of training is recommended. Cardiopulmonary resuscitation knowledge raises awareness of the responsibility to help others and increases self-confidence to provide bystander cardiopulmonary resuscitation. It can be concluded that early cardiopulmonary resuscitation training for children is crucial. It should be a mandatory part of school curricula in those countries where cardiopulmonary resuscitation is not yet mandatory.

Effects of cardiopulmonary resuscitation training for Mozambican nursing students in a low-resource setting: An intervention study

BackgroundThere is an increasing incidence of cardiovascular diseases in Africa. Nurses' ability to undertake cardiopulmonary resuscitation (CPR) can significantly impact the survival of patients who experience cardiac arrest. ObjectivesWe aimed to identify the effects of CPR training among Registered Nurse-Bachelor of Science in Nursing (RN-BSN) students in Mozambique. DesignA one-group pretest–posttest repeated-measures quasi-experimental design. SettingAuditorium of a general hospital and 2 Anne manikins, but no automatic external defibrillator. ParticipantsThirty-two RN-BSN students. MethodsStudents' attitudes and self-efficacy on CPR were measured by self-reported questionnaires three times (before, immediately after, and 20 weeks post intervention). Data were analyzed by the paired t-test and repeated-measures analysis of variance. ResultsAttitude and self-efficacy scores of students on CPR significantly increased immediately after CPR training, but decreased 20 weeks after the intervention (p < .001). Sociodemographic characteristics did not significantly differ throughout the measurements of attitude or self-efficacy. ConclusionsCPR manikin training positively affected attitude and self-efficacy in CPR among RN-BSN nursing students immediately, but not at 20 weeks, after the training. There is a need for research to repeatedly quantify parameters in a controlled study at different intervals and develop an instructor-training course customized to Mozambique.

The Effectiveness of Cardiopulmonary Resuscitation Training Using Feedback System on Chest Compression: A Comparative Study Between Doctor and Nurse

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Comparison of the effects of cardiopulmonary resuscitation training through modified team based learning and traditional method on knowledge and skills of nursing students in the College of Nursing and Midwifery, Shiraz, 2012

Comparison of the effects of cardiopulmonary resuscitation training through modified team based learning and traditional method on knowledge and skills of nursing students in the College of Nursing and Midwifery, Shiraz, 2012

심폐소생술 교육 효과에 대한 메타분석 연구

심폐소생술 교육 효과에 대한 메타분석 연구

Effects and influential factors of cardiopulmonary resuscitation training for residents in suburb of Beijing

Objective To investigate the effects of cardiopulmonary resuscitation (CPR) training for residents in suburb of Beijing, and analyze its influential factors. Methods A total of 116 Residents in suburban district of Beijing received CPR training course according to 2010 ACC/AHA CPR guidelines, and chest compression related skills were tested immediately after CPR training. Results A total of 116 residents compressed (44.39±10.21) mm and of which adequate compression rate was 30.2% (35/116). 78.4% (91/116) participants performed which was (118.70±22.81)/min adequate mean compression rate. Residents with different ages and level of education presented different compression depth (t/F=2.960, 4.149, respectively; P<0.05) and rate (t/F=2.037, 6.587, respectively; P<0.05). Conclusions The quality of CPR is impacted by ages, the level of education and other factors among Beijing suburban residents, and the depth of compression is the key and difficult point during training. Key words: Sudden death; Cardiopulmonary resuscitation; Health education; Influential factors

Abstract 17835: Effect of Cardiopulmonary Resuscitation Training on Favorable Neurological Outcome for In-Hospital Cardiac Arrest

Background: Many training courses for CPR have been performed to medical personnel but few data have been reported those effect. Method: From 2008 to 2009, during 24 month, 491 patients were registered in the Japanese Registry of CPR for In-hospital Cardiac Arrest (J-RCPR). In this study, 445 patients treated by the first responder received the CPR training (Group T n=357) and non-trained first responder (group n-T n=88) were analyzed. We evaluated the ratio of return of spontaneous circulation (ROSC) and good neurological function at discharge (CPC1 or 2 in Glasgow-Pittsburgh cerebral performance category) in each groups. We also analyzed each indexes by initial rhythm was VF/VT arrest (n=122) and PEA/Asystole (n=316). Result: The ratio of ROSC, good neurological performance were 65.8%, 21.1% in group T, and 59.1,10.3% in group n-T (In good CPC p&lt;0.05). In VF/VT, the ratio were 80.2%, 45.5% in group T, and 74.2%,15.4% in group n-T (In good CPC p&lt;0.01). In PEA/Asystole, the ratio were 60.8%, 12.5% in group T, and 50.0%, 5.9% in group n-T. Conclusion: In-hospital cardiac arrest treated by the first responder with the CPR training is significantly associated with higher rate of favorable neurological outcome, especially in VF/VT

The effect of cardiopulmonary resuscitation training on psychological variables of cardiac rehabilitation patients

As a component of cardiac rehabilitation (CR), cardiopulmonary resuscitation (CPR) training is widely recommended. These recommendations advocate the importance of offering CPR training to cardiac patients' families. Prior research examining the effect of CPR training on the cardiac patients spouse or family member, suggests that receiving CPR training within a supportive environment such as cardiac rehabilitation causes no adverse psychological effects in the family members. Patients are often excluded from CPR training due to fears of the possible physiological consequences. Conversely, there may be negative psychological consequences for patients who are excluded from CPR training. Although cardiac patients are at high risk of cardiac arrest themselves this should not preclude them from having the ability to help another. The aim of this study was to assess the impact on anxiety, depression and perception of control (POC) of CPR training for the cardiac patients as an integral part of an 8-week phase III Cardiac Rehabilitation Programme. Fifty-eight patients and 54 family members or partners attending an 8-week CR programme were offered optional CPR training during the final week of the programme. Forty-nine patient subjects were evaluated at four time points, using the hospital anxiety and depression scale and the control attitudes scale. Seventy-five percent (n = 37) of patients participated in the CPR training. Teaching CPR to cardiac patients did not affect anxiety levels adversely. There was an overall significant decrease in anxiety scores for both patient groups over time (p = 0.0071). Both patient groups showed an average moderate level of POC at baseline but the POC level in those who did the CPR training continued to increase slightly throughout the study period. If the patient agreed to undertake CPR training approximately 61% of their relatives or partners also undertook the training, but when the patient did not avail of the CPR training only 20% of their relatives or partners participated. Cardiac patients would appear to have a desire to learn CPR. It is recommended that cardiac patients be involved in CPR training as it poses them no adverse psychological consequences and may improve their perception of control. Inclusion of the patients in the CPR training may help increase the participation in CPR training by cardiac patients' families.

Effect of cardiopulmonary resuscitation training for parents of high-risk neonates on perceived anxiety, control, and burden

Objectives: Study objectives: (1) To compare the effects of 3 methods of cardiopulmonary resuscitation (CPR) training for parents of infants at risk for cardiac or respiratory arrest on anxiety, perception of control, and sense of burden; and (2) to identify parents’ attitudes about CPR training and willingness to perform CPR if needed. Methods: A longitudinal, controlled trial was conducted with parents and other caretakers of high-risk infants. Subjects were recruited from 5 level III neonatal intensive care units. We enrolled each of 578 subjects in 1 of 4 groups: (1) CPR-Video; (2) CPR-Didactic; (3) CPR-Social Support; or (4) control (no CPR training). Of these, 335 completed the entire study. Data were collected at baseline, and 2 weeks and 6 months after CPR training. The main outcomes measured were perceived anxiety, control, and burden related to caring for a high-risk infant and attitudes about responding to an emergency. Results: Subjects reported moderately high anxiety, sense of burden, and feelings of loss of control before CPR training. Within groups, subjects in all 3 treatment groups reported improvement in perceptions of anxiety, control, and burden 2 weeks after CPR training, with continued improvement evident 6 months after CPR training (P =.001). In contrast, perceptions were unchanged in the control group. Among groups, at 2 weeks there were significant differences in means between control and CPR-Didactic groups (P =.01), and at 6 months there were significant differences in means between control and CPR-Didactic groups (P =.01) and between control and CPR-Social Support groups (P =.01). Conclusion: CPR training is an important intervention for promoting a sense of control and reducing the anxiety and sense of burden experienced by parents of neonates at risk for cardiopulmonary arrest. (Heart Lung® 1999;28:326-33)

Effect of Cardiopulmonary Resuscitation Training for Parents of High-Risk Neonates on Perceived Anxiety, Control, and Burden.

Abstract Objectives: Study objectives: (1) To compare the effects of 3 methods of cardiopulmonary resuscitation (CPR) training for parents of infants at risk for cardiac or respiratory arrest on anxiety, perception of control, and sense of burden; and (2) to identify parents’ attitudes about CPR training and willingness to perform CPR if needed. Methods: A longitudinal, controlled trial was conducted with parents and other caretakers of high-risk infants. Subjects were recruited from 5 level III neonatal intensive care units. We enrolled each of 578 subjects in 1 of 4 groups: (1) CPR-Video; (2) CPR-Didactic; (3) CPR-Social Support; or (4) control (no CPR training). Of these, 335 completed the entire study. Data were collected at baseline, and 2 weeks and 6 months after CPR training. The main outcomes measured were perceived anxiety, control, and burden related to caring for a high-risk infant and attitudes about responding to an emergency. Results: Subjects reported moderately high anxiety, sense of burden, and feelings of loss of control before CPR training. Within groups, subjects in all 3 treatment groups reported improvement in perceptions of anxiety, control, and burden 2 weeks after CPR training, with continued improvement evident 6 months after CPR training (P =.001). In contrast, perceptions were unchanged in the control group. Among groups, at 2 weeks there were significant differences in means between control and CPR-Didactic groups (P =.01), and at 6 months there were significant differences in means between control and CPR-Didactic groups (P =.01) and between control and CPR-Social Support groups (P =.01). Conclusion: CPR training is an important intervention for promoting a sense of control and reducing the anxiety and sense of burden experienced by parents of neonates at risk for cardiopulmonary arrest. (Heart Lung® 1999;28:326-33)

A pilot study of effects of cardiopulmonary resuscitation training on participants' self-concepts.

The administration of cardiopulmonary resuscitation (CPR) was taught to a group of 12 adults. The Tennessee Self-concept Scale Form-C and the Fundamental Interpersonal Relations Orientation-Behavior Scale (FIRO-B) were administered before and after their training. A control group of 12 was administered both scales twice with one day between administrations. Analysis indicated both groups showed significant differences between the pre- and posttest administrations on expressed affection on the FIRO-B. However, participants in a brief CPR course did not score significantly differently from a control group on these measures, as expected.

Complications Among CPR Trainees

To the Editor.— The enthusiastic training of lay persons in cardiopulmonary resuscitation (CPR) is a legitimate national priority. Some inherent complications of such instruction might be averted by slight modifications of the teaching techniques. Most instructors are familiar with muscle sprains in the lower area of the back and in the neck and infection from improperly cleaned mannikins used for demonstrating mouth-to-mouth respiration. More recently, I have encountered acute temporomandibular arthropathy occurring several days after CPR instruction and vigorous simulated mouth-to-mouth breathing. The patient required several lidocainesteroid injections for relief. Other side effects of CPR training undoubtedly have been encountered, especially among relatively sedentary volunteers. In view of the highly litiginous nature of our society, such complications could have medicolegal ramifications—notwithstanding the altruistic intent underlying CPR instruction.