Continuous chest compression cardiopulmonary resuscitation training promotes rescuer self-confidence and increased secondary training: a hospital-based randomized controlled trial*.
Continuous chest compression cardiopulmonary resuscitation training promotes rescuer self-confidence and increased secondary training: a hospital-based randomized controlled trial*.
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DOI：
10.1097/ccm.0b013e318236f2ca
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发表时间：
2012-03
影响因子：
8.8
通讯作者：
Abella BS
中科院分区：
文献类型：
--
作者：
Blewer AL;Leary M;Esposito EC;Gonzalez M;Riegel B;Bobrow BJ;Abella BS
最近的工作表明，持续按压心肺复苏是一种可接受的非专业人员复苏策略，尽管对非专业人员在持续胸压心肺复苏中的心肺复苏训练偏好知之甚少。我们假设，与标准的心肺复苏训练(30次按压：两次呼吸)相比，持续的胸压心肺复苏教育将导致受训者更大的信心，并将鼓励更广泛地传播心肺复苏技能。前瞻性多中心队列研究。三个学术医学中心的住院病房。住院患者的成年家庭成员或朋友(≥18岁)，有心脏相关诊断。在多中心随机试验中，住院患者的家属通过视频自学的教育方法进行培训。受试者被随机分为持续胸腔按压心肺复苏或标准心肺复苏教育模式。心肺复苏性能数据是使用心肺复苏技能-报告人体模型收集的。通过混合的定性和定量调查工具，评估受训者的观点和二级培训率。两组患者的胸部按压表现相似。持续胸部按压心肺复苏组的受训者明显更有可能表达与他人分享训练工具的愿望(207人中有152人[73%]，199人中有133人[67%]，p=.03)。受试者在首次注册后1个月被联系，以评估实际的分享，或“第二次培训”。持续按压心肺复苏组与家庭成员共用试剂盒的比例为2.0±3.4，标准心肺复苏组为1.2±2.2(p=0.03)。第二个结果是，持续按压心肺复苏组的受训者比标准的受训者更有可能对在实际事件中使用心肺复苏术的想法感到“非常舒服”(207人中有71人[34%]，199人中有57人[28%]，p=.08)。持续的胸腔按压心肺复苏教育使二级训练量在统计学上显著增加。这项工作表明，实施持续按压心肺复苏的视频自我指导培训计划可能会更广泛地传播救生技能，并可能提高救援者对新获得的心肺复苏知识的舒适感。网址：http://clinicaltrials.gov.唯一标识：NCT01260441。
Recent work suggests that delivery of continuous chest compression cardiopulmonary resuscitation is an acceptable layperson resuscitation strategy, although little is known about layperson preferences for cardiopulmonary resuscitation training in continuous chest compression cardiopulmonary resuscitation. We hypothesized that continuous chest compression cardiopulmonary resuscitation education would lead to greater trainee confidence and would encourage wider dissemination of cardiopulmonary resuscitation skills compared to standard cardiopulmonary resuscitation training (30 compressions: two breaths). Prospective, multicenter cohort study. Three academic medical center inpatient wards. Adult family members or friends (≥18 yrs old) of inpatients admitted with cardiac-related diagnoses. In a multicenter randomized trial, family members of hospitalized patients were trained via the educational method of video self-instruction. Subjects were randomized to continuous chest compression cardiopulmonary resuscitation or standard cardiopulmonary resuscitation educational modes. Cardiopulmonary resuscitation performance data were collected using a cardiopulmonary resuscitation skill-reporting manikin. Trainee perspectives and secondary training rates were assessed through mixed qualitative and quantitative survey instruments. Chest compression performance was similar in both groups. The trainees in the continuous chest compression cardiopulmonary resuscitation group were significantly more likely to express a desire to share their training kit with others (152 of 207 [73%] vs. 133 of 199 [67%], p = .03). Subjects were contacted 1 month after initial enrollment to assess actual sharing, or “secondary training.” Kits were shared with 2.0 ± 3.4 additional family members in the continuous chest compression cardiopulmonary resuscitation group vs. 1.2 ± 2.2 in the standard cardiopulmonary resuscitation group (p = .03). As a secondary result, trainees in the continuous chest compression cardiopulmonary resuscitation group were more likely to rate themselves “very comfortable” with the idea of using cardiopulmonary resuscitation skills in actual events than the standard cardiopulmonary resuscitation trainees (71 of 207 [34%] vs. 57 of 199 [28%], p = .08). Continuous chest compression cardiopulmonary resuscitation education resulted in a statistically significant increase in secondary training. This work suggests that implementation of video self-instruction training programs using continuous chest compression cardiopulmonary resuscitation may confer broader dissemination of life-saving skills and may promote rescuer comfort with newly acquired cardiopulmonary resuscitation knowledge. URL: http://clinicaltrials.gov. Unique identifier: NCT01260441.