Cardiopulmonary resuscitation training of family members before hospital discharge using video self-instruction: a feasibility trial.

Cardiopulmonary resuscitation training of family members before hospital discharge using video self-instruction: a feasibility trial.
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DOI:
10.1002/jhm.847
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发表时间:
2011-09
影响因子:
2.6
通讯作者:
Abella, Benjamin S.
Abella, Benjamin S.
中科院分区:
医学4区
文献类型:
--
作者:
Blewer, Audrey L.;Leary, Marion;Decker, Christopher S.;Andersen, James C.;Fredericks, Amanda C.;Bobrow, Bentley J.;Abella, Benjamin S.

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旁观者心肺复苏 (CPR) 是心脏骤停 (SCA) 的重要治疗方法,但旁观者心肺复苏率较低。对于发生在家庭环境中的 SCA 来说尤其如此,因为高危患者的家庭成员通常没有接受过心肺复苏术培训。旨在评估针对 SCA 风险增加患者家属的新型医院心肺复苏教育计划的可行性。前瞻性、多中心、队列研究。 3家医院的住院病房。因心脏病相关诊断而入院的住院患者的家属。通过监考视频自我指导 (VSI) 计划向家庭成员提供心肺复苏 (CPR) 培训。培训结束后,对心肺复苏技能和参与者对其培训经历的看法进行了评估。出院后一个月进行了调查,以衡量登记的家庭成员对其他个人进行“二次培训”的比率。在 3 个研究中心,756 名受试者接受了心肺复苏指导; 280 人同意接受培训,136 人接受了使用 VSI 计划的指导。其中,136 人中有 78 人 (57%) 之前没有接受过心肺复苏培训。训练后,胸外按压表现总体上是足够的(平均按压频率 90 ± 26/分钟,平均深度 37 ± 12 毫米)。第 1 个月时,122 名受试者中有 57 名 (47%) 为朋友或家人进行了二次培训,计算出每个分发的套件平均有 2.1 人接受培训。医院环境提供了一个独特的“捕获点”,可以为与高危人群接触的重要且训练不足的人群提供心肺复苏指导。
Bystander cardiopulmonary resuscitation (CPR) is a crucial therapy for sudden cardiac arrest (SCA), yet rates of bystander CPR are low. This is especially the case for SCA occurring in the home setting, as family members of at-risk patients are often not CPR trained. To evaluate the feasibility of a novel hospital-based CPR education program targeted to family members of patients at increased risk for SCA. Prospective, multicenter, cohort study. Inpatient wards at 3 hospitals. Family members of inpatients admitted with cardiac-related diagnoses. Family members were offered CPR training via a proctored video-self instruction (VSI) program. After training, CPR skills and participant perspectives regarding their training experience were assessed. Surveys were conducted one month postdischarge to measure the rate of “secondary training” of other individuals by enrolled family members. At the 3 study sites, 756 subjects were offered CPR instruction; 280 agreed to training and 136 underwent instruction using the VSI program. Of these, 78 of 136 (57%) had no previous CPR training. After training, chest compression performance was generally adequate (mean compression rate 90 ± 26/minute, mean depth 37 ± 12 mm). At 1 month, 57 of 122 (47%) of subjects performed secondary training for friends or family members, with a calculated mean of 2.1 persons trained per kit distributed. The hospital setting offers a unique “point of capture” to provide CPR instruction to an important, undertrained population in contact with at-risk individuals.
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发表时间: 2008-10-01
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影响因子: 6.5
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