Han Sangsoo, Park Hye Ji, Nah Sangun, Lee Eun Hae, Lee Hyun Ji, Park Ju Ok, Lee Choung Ah
Department of Emergency Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Republic of Korea.
Department of Emergency Medicine, Dongtan Sacred Heart Hospital, Hallym University, Hwaseong-si, Gyeonggi-do, Republic of Korea.
PLoS One. 2021 May 6;16(5):e0251277. doi: 10.1371/journal.pone.0251277. eCollection 2021.
Cardiopulmonary resuscitation (CPR) training can increase the likelihood of patient survival and better neurological outcomes. However, conventional learning (CL) has cost, time, and space constraints. This study aimed to evaluate whether laypersons who completed instructor-led distance learning (DL) acquired a level of CPR skill comparable to that achieved via CL training.
This randomized controlled study recruited students from 28 Korean high schools who were randomized to complete instructor-led DL or CL training. The CL training involved classroom-based face-to-face training, whereas the instructor-led DL training was provided online using a videoconferencing system.
The study enrolled 62 students who were randomized to the CL group (31 participants) or the DL group (31 participants). Relative to the CL group, the DL group achieved remarkably similar results in terms of most CPR variables. In addition, the DL group had a significant improvement in the mean compression depth (before: 46 mm [interquartile range: 37-52 mm] vs. after: 49 mm [interquartile range: 46-54 mm], p<0.001).
Instructor-led DL can be a suitable alternative to CL for providing CPR training to laypersons. In settings like the current COVID-19 pandemic, where face-to-face CL is not practical, DL may be a useful tool for delivering CPR training.
心肺复苏（CPR）培训可提高患者存活几率并改善神经功能预后。然而，传统学习（CL）存在成本、时间和空间限制。本研究旨在评估完成由教员指导的远程学习（DL）的非专业人员所获得的心肺复苏技能水平是否与通过传统学习培训所达到的水平相当。
这项随机对照研究招募了来自28所韩国高中的学生，他们被随机分配完成由教员指导的远程学习或传统学习培训。传统学习培训包括基于课堂的面对面培训，而由教员指导的远程学习培训则使用视频会议系统在线提供。
该研究招募了62名学生，他们被随机分配到传统学习组（31名参与者）或远程学习组（31名参与者）。相对于传统学习组，远程学习组在大多数心肺复苏变量方面取得了非常相似的结果。此外，远程学习组的平均按压深度有显著改善（之前：46毫米[四分位间距：37 - 52毫米]，之后：49毫米[四分位间距：46 - 54毫米]，p<0.001）。
由教员指导的远程学习可以作为向非专业人员提供心肺复苏培训的传统学习的合适替代方式。在当前新冠疫情这样的情况下，面对面的传统学习不切实际，远程学习可能是进行心肺复苏培训的有用工具。
