A new community-based cardiopulmonary resuscitation training program for primary care: needs assessment, development, and pilot testing.

IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Sandra Paredes-García, Nuria López-Batet, Francesc Carmona, Antoni Sisó-Almirall, Luis González-de Paz
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引用次数: 0

Abstract

Objective: The general population's interest in cardiopulmonary resuscitation (CPR) remains largely unknown. Fewer than one-third of individuals are familiar with CPR, and there are no comprehensive training programs available. This study aimed to examine CPR interest among patients visited in the primary care setting, design a new program, and assess the feasibility and efficacy of the training initiative.

Methods: This two-phase project aimed to (i) examine patients' knowledge and interests and (ii) design and evaluate a training program within the PC setting. Knowledge and interests were assessed using a survey. The training program design adhered to European guidelines. The pilot study assessed effectiveness through self-administered tests, instructor evaluation of the chain of survival, correct use of an automated external defibrillator (AED), and a manikin capable of measuring chest compression.

Results: A total of 243 patients participated. Among them, 26.16% had received prior CPR training, only 5% knew how to perform CPR maneuvers, and 84.8% were interested in learning. A 90-min training program was designed. After the training session (N = 50), all participants reported feeling capable of performing CPR techniques using the AED; 94% demonstrated proficiency in AED use, and 20% performed high-quality chest compressions (correct release, depth, and rate).

Conclusion: The general population had limited knowledge about CPR but was highly interested in acquiring CPR skills. The PC-based training program enabled bystanders to perform CPR and use AEDs, potentially improving survival rates in out-of-hospital cardiac arrests.

一种新的基于社区的初级保健心肺复苏培训方案:需求评估、开发和试点测试。
目的:普通人群对心肺复苏(CPR)的兴趣在很大程度上仍然未知。只有不到三分之一的人熟悉心肺复苏术,而且没有全面的培训项目。本研究旨在调查在初级保健机构就诊的患者对心肺复苏术的兴趣,设计一个新的计划,并评估培训计划的可行性和有效性。方法:这个两阶段的项目旨在(i)检查患者的知识和兴趣,(ii)设计和评估PC设置内的培训计划。知识和兴趣是通过调查来评估的。培训计划的设计遵循了欧洲的指导方针。该试点研究通过自我给药测试、讲师对生存链的评估、正确使用自动体外除颤器(AED)和能够测量胸压的人体模型来评估有效性。结果:共纳入243例患者。其中26.16%的人曾接受过心肺复苏培训,只有5%的人知道如何进行心肺复苏操作,84.8%的人有兴趣学习。设计了一个90分钟的训练计划。训练结束后(N = 50),所有参与者报告感觉有能力使用AED执行心肺复苏技术;94%的人熟练使用AED, 20%的人进行了高质量的胸外按压(正确的释放、深度和频率)。结论:普通人群对心肺复苏术的知识有限,但对掌握心肺复苏术的技能非常感兴趣。基于个人电脑的培训项目使旁观者能够实施心肺复苏术和使用除颤器,潜在地提高了院外心脏骤停的存活率。
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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来源期刊
Family practice
Family practice 医学-医学:内科
CiteScore
4.30
自引率
9.10%
发文量
144
审稿时长
4-8 weeks
期刊介绍: Family Practice is an international journal aimed at practitioners, teachers, and researchers in the fields of family medicine, general practice, and primary care in both developed and developing countries. Family Practice offers its readership an international view of the problems and preoccupations in the field, while providing a medium of instruction and exploration. The journal''s range and content covers such areas as health care delivery, epidemiology, public health, and clinical case studies. The journal aims to be interdisciplinary and contributions from other disciplines of medicine and social science are always welcomed.
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