Pellegrino Jeffrey L, Vance Jennifer, Asselin Nicholas
School of Disaster Sciences and Emergency Services, University of Akron, Akron, USA.
Nursing, Aultman College of Nursing and Health Sciences, Canton, USA.
Cureus. 2021 May 16;13(5):e15053. doi: 10.7759/cureus.15053.
We sought to summarize, in a systematic review, the effectiveness of songs to support learning, performance, and recall of quality characteristics of cardiopulmonary resuscitation (CPR) compression rate, and depth. We systematically reviewed the literature from eight academic indexes from the fields of medicine, nursing, allied health, and education, from 2014 to 2020 to identify studies that evaluated an intervention of song use during CPR training against control and reported outcomes of compression rate and depth. There were 185 studies initially identified for review, eight met criteria for inclusion and analysis. For the critical outcome of compression depth, a pooled song group (n=446) when compared to a non-song group (n=443) demonstrated higher odds of being in the recommended range (OR 3.47). All studies, however, performed an average compression depth shallower than recommended guidelines in each arm. The available literature, we found, utilized heterogenous methodology and was at high risk of bias. When pooled, there were trends towards improved CPR metric performance in groups who were exposed to songs during treatment, though this only reached significance when groups were tested at >30 days from initial exposure. Findings of lower compression rates in the song groups suggest that song selection should favor beats per minute closer to the midpoint of the 100-120 ideal range to allow for variation when used as mental metronomes.
我们试图通过一项系统评价来总结歌曲对支持心肺复苏（CPR）按压速率和深度等质量特征的学习、操作及记忆的有效性。我们系统检索了2014年至2020年医学、护理、相关健康及教育领域八个学术数据库中的文献，以识别评估在CPR培训中使用歌曲干预对照情况并报告按压速率和深度结果的研究。最初确定了185项研究以供审查，其中八项符合纳入和分析标准。对于按压深度这一关键结果，汇总的歌曲组（n = 446）与非歌曲组（n = 443）相比，处于推荐范围的几率更高（比值比3.47）。然而，所有研究中每组的平均按压深度均比推荐指南浅。我们发现，现有文献采用的方法各异，且存在较高的偏倚风险。汇总分析时，在治疗期间接触歌曲的组中，CPR指标表现有改善趋势，不过只有在初次接触后>30天进行测试时，这种趋势才具有统计学意义。歌曲组中较低按压速率的结果表明，歌曲选择应倾向于每分钟节拍数更接近100 - 120理想范围中点的歌曲，以便在用作心理节拍器时能有一定变化空间。
