Cardiopulmonary Resuscitation Performed by Bystanders: A Systematic Review

Selamat Yasin, Siti Azuna Abu Bakar, M. S. Nurumal, Syamsul Ahmad Arifin
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引用次数: 1

Abstract

Cardiopulmonary resuscitation (CPR) is the most popular treatment for unexpected cardiac arrest. In order to enhance the survival and neurological prognosis of out of hospital cardiac arrest patients, both healthcare practitioners and lay rescuers must learn this technique. Millions of people die each year as a result of sudden cardiac arrest across the world due to ineffective CPR performed by bystander. The aim of this review is to identify the existing literature on knowledge, attitude and practice of the community at the out of hospital cardiac arrest level. Guided by the PRISMA Statement review checklist, a systematic review of the Scopus and Web of Science database and Science Direct has identified 332 related studies. The articles were assessed and analysed after evaluation using The Critical Appraisal Skills Programme Qualitative checklist. Total article accepted were n=11. We reviewed 1150 articles and selected 332 for complete evaluation. We included 11 of the 332 papers in this review that was published since 2018. We classified 11 recommendations; those with the highest scores were 1) Knowledge assisted CPR among bystander CPR remain poor, 2) CPR challenge on stranger, 3) CPR challenge on barrier, 4) The impact on quality CPR on survival rate and 5) Conventional CPR with mouth to mouth vs chest-compression only - CPR. CPR at out-of-hospital cardiac arrest, with several factors that influences such as knowledge, attitude, practice of community bystander CPR. While, the willingness (self-efficacy), the barriers and reluctant of bystander CPR still not clear. The targeted group for CPR training and tailored of training CPR for the bystander CPR give the effect and quality of CPR performance. Furthermore, the motivating factors to begin CPR at the out-of-hospital cardiac arrest level that emerged from a study of these publications. Recommendations not supported by evidence include mass training events, pulse taking prior to CPR by community and CPR using chest compressions alone. We evaluated and classified the potential impact of interventions that have been proposed to improve bystander CPR rates. Our results may help communities design interventions to improve their bystander CPR rates.
由旁观者实施的心肺复苏:系统回顾
心肺复苏术(CPR)是治疗意外心脏骤停最常用的方法。为了提高院外心脏骤停患者的生存率和神经预后,医护人员和非专业救援人员都必须学习这项技术。全世界每年有数百万人死于心脏骤停,原因是旁观者实施的CPR无效。本综述的目的是确定现有文献的知识,态度和实践的社区在院外心脏骤停水平。在PRISMA声明审查清单的指导下,对Scopus和Web of Science数据库以及Science Direct进行了系统审查,确定了332项相关研究。在使用关键评估技能计划定性检查表进行评估后,对文章进行评估和分析。接受的文章总数n=11篇。我们回顾了1150篇文章,选择了332篇进行完整的评价。我们纳入了自2018年以来发表的332篇论文中的11篇。我们对11条建议进行了分类;得分最高的是:1)旁观者的知识辅助心肺复苏仍然很差,2)陌生人的心肺复苏挑战,3)障碍的心肺复苏挑战,4)质量心肺复苏对生存率的影响,5)口对口与胸部按压的传统心肺复苏。院外心脏骤停的心肺复苏术,与社区旁观者心肺复苏术的知识、态度、实践等因素有关。而旁观者实施CPR的意愿(自我效能感)、障碍和不情愿仍不明确。对心肺复苏术培训的目标人群和对旁观者进行针对性的心肺复苏术培训,可以提高心肺复苏术的效果和质量。此外,在院外心脏骤停水平开始心肺复苏术的激励因素从这些出版物的研究中出现。没有证据支持的建议包括大规模训练活动、社区在心肺复苏术前进行脉搏测量和仅使用胸部按压进行心肺复苏术。我们评估并分类了已提出的提高旁观者CPR率的干预措施的潜在影响。我们的研究结果可能有助于社区设计干预措施,以提高他们的旁观者CPR率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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