Availability and quality of cardiopulmonary resuscitation information for Spanish-speaking population on the Internet
Availability and quality of cardiopulmonary resuscitation information for Spanish-speaking population on the Internet
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DOI：
10.1016/j.resuscitation.2013.08.274
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发表时间：
2014-01-01
期刊：
影响因子：
6.5
通讯作者：
Sasson, Comilla
中科院分区：
文献类型：
--
作者：
Liu, Kirsten Y.;Haukoosa, Jason S.;Sasson, Comilla
背景资料：旁观者心肺复苏（CPR）是院外心脏骤停（OHCA）生存链中的重要环节;然而，在提供旁观者CPR方面存在种族/民族差异。大约32%的西班牙裔人在遇到心脏骤停时进行CPR，而大约41%的非西班牙裔人进行CPR。公共教育，通过互联网，可能是至关重要的，在改善西班牙裔之间的旁观者心肺复苏术的性能。本研究的目的是评估CPR相关文献的可用性和质量的主要讲西班牙语的个人在互联网上。使用以下术语搜索视频网站（YouTube）：“resucitacion cardiopulmonar”和“reanimacion cardiopulmonar”。入选标准为：CPR技术教育。排除标准为：小儿CPR技术指导，未提供任何CPR技术指导，或重复的网站。结果：在筛选的515个网站或视频中，有116个符合纳入标准。大多数网站（86%; 95%置信区间[CI] 79-92%）教导观众传统的旁观者CPR（主要是30：2 CPR），而只有14%（95% CI 9-21%）教导只用手的CPR。在使用视频的网站（N=62）中，84%以西班牙语进行，16%以英语进行。CPR教育的质量普遍较差（中位数为316，IQR为3.0）。只有一半的网站正确地接受了如何检查响应性、激活EMS和把手放在胸前的教育。88%的网站未能教育观众评估现场安全。大多数网站在压缩速度和压缩深度方面都有不适当的教育或没有教育（分别为59%和63%）。只有16%的网站包括5个或更多的质量标记适当的旁观者CPR.Conclusions：一小部分的互联网资源有高质量的CPR教育西班牙语人口。应更加重视提高因特网上为讲西班牙语的人口提供的教育资源的质量，并特别重视目前的基本生命支持建议。(C)2013爱思唯尔爱尔兰有限公司版权所有。
Background: Bystander cardiopulmonary resuscitation (CPR) is a vital link in the chain of survival for out-of-hospital cardiac arrest (OHCA); however, there are racial/ethnic disparities in the provision of bystander CPR. Approximately 32% of Hispanics perform CPR when confronted with cardiac arrest, whereas approximately 41% of non-Hispanics perform CPR. Public education, via the Internet, may be critical in improving the performance of bystander CPR among Hispanics. The objective of this study was to evaluate the availability and quality of CPR-related literature for primary Spanish-speaking individuals on the Internet.Methods: Two search engines (Google and Yahoo !) and a video-site (YouTube) were searched using the following terms: "resucitacion cardiopulmonar" and "reanimacion cardiopulmonar." Inclusion criteria were: education of CPR technique. Exclusion criteria were: instruction on pediatric CPR technique, failure to provide any instruction on CPR technique, or duplicated website. Data elements were collected on the content and quality of the websites and videos, such as assessing scene safety, verifying responsiveness, activating EMS, properly positioning hands on chest, performing accurate rate and depth of compressions.Results: Of the 515 websites or videos screened, 116 met criteria for inclusion. The majority of websites (86%; 95% Confidence Interval [CI] 79-92%) educated viewers on traditional bystander CPR (primarily, 30:2 CPR), while only 14% (95% CI 9-21%) taught hands-only CPR. Of websites that used video (N=62), 84% were conducted in Spanish and 16% in English. The quality of CPR education was generally poor (median score of 316, IQR of 3.0). Only half of websites properly educated on how to check responsiveness, activate EMS and position hands on chest. Eighty-eight percent of websites failed to educate viewers on assessing scene safety. The majority of websites had improper or no education on both rate and depth of compressions (59% and 63%, respectively). Only 16% of websites included 5 or more quality markers for proper bystander CPR.Conclusions: A small proportion of internet resources have high quality CPR education for a Spanishspeaking population. More emphasis should be placed on improving the quality of educational resources available on the Internet for Spanish-speaking populations, and with particular emphasis on current basic life support recommendations. (C) 2013 Elsevier Ireland Ltd. All rights reserved.