Sakamoto Masahiko, Ogawa Takahisa, Hasumi Junpei
Pediatrics, Saku Central Hospital Advanced Care Center, Saku, JPN.
Orthopedics, Saku Central Hospital Advanced Care Center, Saku, JPN.
Cureus. 2024 Sep 1;16(9):e68412. doi: 10.7759/cureus.68412. eCollection 2024 Sep.
Introduction Bystander cardiopulmonary resuscitation (CPR) significantly increases out-of-hospital cardiac arrest survival rates. Early CPR implementation and public education are essential for everyone, including children. Despite challenges such as ensuring proper chest compression depth in children, early CPR training at school is beneficial and supported by various studies. However, few studies demonstrate the effectiveness of CPR training for children in environments outside of school, such as health festivals. We conducted chest compression training for children under 15 years who attended a hospital festival and evaluated the changes in their confidence and knowledge of the training. Methods This study evaluated chest compression training in children under 15 years old at a hospital festival. Participants included preschoolers to junior high school students. Training effectiveness was assessed using pre- and post-training questionnaires to measure confidence in and knowledge of chest compressions. Data were analyzed using the χ² test to compare responses before and after training, with a p-value < 0.05 considered statistically significant. The training involved a 10-minute hands-only session using CPR mannequins conducted by paramedics, doctors, and nursing students. Results The study included 180 children (51% male, 49% female). Only 14% had prior CPR training. After CPR training, significant improvements in confidence and knowledge regarding chest compressions were observed among preschool and elementary school students. The overall correct response rate increased from 51% to 97% for the location and from 59% to 92% for the depth of chest compressions. Discussion This study evaluated CPR training for children at a hospital festival and showed that few children have experience with CPR training. Our CPR training improved children's confidence and knowledge of chest compressions. Despite concerns about the strength of younger children in effective chest compressions, preschool, and elementary school children showed high motivation and capability. This study highlights the importance of early CPR education supported by both school and health festival initiatives. The limitations include the short training duration and lack of automated external defibrillator instructions. Conclusion We confirmed that CPR training at a hospital festival improves children's knowledge and confidence. Future large-scale studies are needed to evaluate long-term retention and broader age ranges.
引言 旁观者心肺复苏术（CPR）可显著提高院外心脏骤停的存活率。早期实施心肺复苏术以及开展公众教育对每个人来说都至关重要，包括儿童。尽管存在诸如确保儿童正确的胸外按压深度等挑战，但在学校开展早期心肺复苏术培训是有益的，并且得到了各项研究的支持。然而，很少有研究证明在学校以外的环境（如健康节）中对儿童进行心肺复苏术培训的效果。我们对参加医院节的15岁以下儿童进行了胸外按压培训，并评估了他们对培训的信心和知识的变化。
方法 本研究评估了在医院节对15岁以下儿童进行的胸外按压培训。参与者包括学龄前儿童到初中生。使用培训前和培训后的问卷来评估培训效果，以测量对胸外按压的信心和知识。使用χ²检验分析数据，以比较培训前后的回答，p值<0.05被认为具有统计学意义。培训包括由护理人员、医生和护理专业学生使用心肺复苏模拟人进行的10分钟单纯胸外按压课程。
结果 该研究纳入了180名儿童（51%为男性，49%为女性）。只有14%的儿童之前接受过心肺复苏术培训。经过心肺复苏术培训后，学龄前和小学生在胸外按压的信心和知识方面有显著提高。胸外按压位置的总体正确回答率从51%提高到了97%，胸外按压深度的正确回答率从59%提高到了92%。
讨论 本研究评估了在医院节对儿童进行的心肺复苏术培训，结果显示很少有儿童有过心肺复苏术培训经历。我们的心肺复苏术培训提高了儿童对胸外按压的信心和知识。尽管担心年幼儿童进行有效胸外按压的力度，但学龄前和小学生表现出了很高的积极性和能力。本研究强调了学校和健康节倡议所支持的早期心肺复苏术教育的重要性。局限性包括培训时间短以及缺乏自动体外除颤器的指导。
结论 我们证实了在医院节进行的心肺复苏术培训提高了儿童的知识和信心。未来需要开展大规模研究来评估长期记忆情况以及更广泛的年龄范围。
