Nofzinger Jenna R, Kakish Edward, Bahhur Nael O, Ryno Joseph, Pillai Mahesh, DeBelly Jessica, Jones Corion
Barnes-Jewish Hospital, St. Louis Missouri.
University of Toledo Health Science Campus (OH).
Spartan Med Res J. 2019 Jul 1;4(1):8749. doi: 10.51894/001c.8749.
It is estimated that there are approximately 1,000 sudden cardiac events occurring daily outside of the hospital setting in the US.
The objectives of this pilot project were to determine lay participants' ability to remember the steps of hands-only cardiopulmonary resuscitation (HOCPR) following a 30-minute instructional session regarding proper technique and their willingness to perform bystander CPR (BCPR) on victims of sudden cardiac arrest outside in the community.
A nine-item survey questionnaire that was created by the authors was first administered to a sample of 75 adults who had volunteered at their institutions' emergency department. Inclusion criteria included all adults over the age of eighteen years.
To gauge whether basic HOCPR training improved bystander preparedness and willingness to provide assistance to a victim of sudden cardiac event.
After IRB approval, participants were shown a one-minute video by the American Heart Association (AHA) and provided a 30-minute demonstration of key HOCPR skills on a mannequin. A post-instruction nine-item survey was sent by mail/email or administered by phone at one month after training to assess participants' retention of HOCPR knowledge and attitude.
The initial survey responses showed 75 (100%) were able to recall the basic steps of HOCPR, with 59 (79%) "very likely" to help provide BCPR. Not needing to provide breaths made 57 (76%) of lay participants more willing to assist a person in need. A subgroup of 31 (41%) of the initial 75 participants were lost to follow-up. Out of the 44 (59%) who completed the one-month survey, 44 (100%) of participants remembered the primary HOCPR steps and technique. A subgroup of 32 (73%) one-month respondents indicated that they were more likely to assist victims if rescue breathing was not required, and 11 (25%) had reportedly tried to teach family and friends about HOCPR.
These results indicate that of those involved in the survey, the majority could recall the correct steps and be willing to provide HOCPR. These results could help in shaping community outreach and training programs designed to improve the rate and quality of response to victims of sudden cardiac arrest.
据估计，美国每天在院外发生的心脏骤停事件约有1000起。
本试点项目的目的是确定非专业参与者在接受30分钟关于正确操作技术的徒手心肺复苏（HOCPR）教学课程后，记住其步骤的能力，以及他们在社区户外对心脏骤停受害者实施旁观者心肺复苏（BCPR）的意愿。
作者编制的一份包含九个项目的调查问卷首先被发放给75名在其机构急诊科自愿参与的成年人样本。纳入标准包括所有18岁以上的成年人。
评估基础HOCPR培训是否提高了旁观者为心脏骤停事件受害者提供帮助的准备程度和意愿。
在获得机构审查委员会（IRB）批准后，向参与者播放了美国心脏协会（AHA）的一分钟视频，并在人体模型上进行了30分钟的HOCPR关键技能演示。培训一个月后，通过邮件/电子邮件或电话发放一份包含九个项目的教学后调查问卷，以评估参与者对HOCPR知识的掌握情况和态度。
初始调查问卷的回复显示，75人（100%）能够回忆起HOCPR的基本步骤，其中59人（79%）“非常有可能”帮助实施BCPR。不需要进行人工呼吸使57名（76%）非专业参与者更愿意帮助有需要的人。最初的75名参与者中有31人（41%）失访。在完成一个月调查问卷的44人（59%）中，44人（100%）记住了主要的HOCPR步骤和技术。32名（73%）一个月调查问卷的受访者表示，如果不需要进行人工呼吸，他们更有可能帮助受害者，据报告有11人（25%）试图向家人和朋友传授HOCPR知识。
这些结果表明，参与调查的大多数人能够回忆起正确步骤，并愿意实施HOCPR。这些结果有助于制定社区宣传和培训计划，以提高对心脏骤停受害者的反应速度和质量。
