Ramesh Aruna C, Hariprasad K V, Abhishek K B, Murthy M R Keshava, Edison Marcia, Hoek Terry L Vanden
Department of Emergency Medicine, Ramaiah Medical College and Hospitals, Bengaluru, Karnataka, India.
Department of Emergency Medicine, Chamarajanagar Institute of Medical Sciences, Chamarajanagara, Karnataka, India.
Indian J Anaesth. 2022 Feb;66(2):140-145. doi: 10.4103/ija.ija_685_21. Epub 2022 Feb 24.
Out-of-hospital cardiac arrest is one of the leading causes of death in India. Only 1.3% of these arrests receive bystander cardiopulmonary resuscitation (CPR). Bystander CPR increases a victim's chances of survival; training school children in Hands-Only CPR (HOCPR) is a proven method of increasing bystander CPR rates. Heart Rescue India is an international project working to improve care for cardiovascular diseases, and as a part of it, a ten module Cardiovascular disease (CVD) educational programme, including HOCPR training, was conducted in ten schools in 2017-18. The objective of our study was to assess the effectiveness of HOCPR training for 8-grade high school students.
Four hundred fourteen of the 530 enroled students from ten schools of Bengaluru participated in the study. The participants attended a one-hour didactic session about the recognition of cardiac arrest and HOCPR in three simple steps. Subsequently, students received hands-on training for HOCPR. The sessions included pre- and post-assessment of knowledge and skills. The results were statistically analysed using paired t-test and the McNemar test.
The mean overall pre-assessment score for knowledge was 62.07 ± 28.38%, and the post-assessment score was 72.42 ± 26.58% ( < 0.001). In addition, there was a statistically significant improvement in the post-training scores for HOCPR in all three parameters, namely compressions per minute, depth and chest recoil.
The study demonstrated a simple yet effective HOCPR programme for high school children.
院外心脏骤停是印度主要的死亡原因之一。这些心脏骤停事件中只有1.3%的患者接受了旁观者心肺复苏术（CPR）。旁观者心肺复苏术可增加患者的生存几率；对学童进行仅胸外按压心肺复苏术（HOCPR）培训是提高旁观者心肺复苏术实施率的一种经证实的方法。“印度心脏救援”是一个致力于改善心血管疾病护理的国际项目，作为该项目的一部分，2017 - 2018年在十所学校开展了一个包含十个模块的心血管疾病（CVD）教育项目，其中包括HOCPR培训。我们研究的目的是评估针对八年级高中生的HOCPR培训的效果。
来自班加罗尔十所学校的530名注册学生中有414名参与了该研究。参与者参加了一场为时一小时的关于心脏骤停识别和HOCPR三个简单步骤的理论课程。随后，学生们接受了HOCPR的实践培训。这些课程包括知识和技能的课前与课后评估。结果采用配对t检验和McNemar检验进行统计学分析。
知识的总体课前平均评估分数为62.07±28.38%，课后评估分数为72.42±26.58%（<0.001）。此外，在每分钟按压次数、按压深度和胸廓回弹这三个参数方面，HOCPR培训后的分数有统计学显著提高。
该研究证明了一个针对高中生的简单而有效的HOCPR项目。
