Dalle Heriyansyah, Trisyani Yanny, Nur'aeni Aan
Postgraduate Program of Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia.
Department of Emergency and Critical Care Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia.
Risk Manag Healthc Policy. 2025 May 19;18:1635-1650. doi: 10.2147/RMHP.S519931. eCollection 2025.
Out-of-hospital cardiac arrest (OHCA) is a critical medical emergency requiring immediate intervention to improve patient outcomes. Training the lay public in emergency intervention techniques has significantly enhanced survival rates. Easily accessible training programs are essential for equipping individuals with the necessary knowledge and skills. However, challenges such as standardized guidelines and cost-effective program delivery must be addressed. This study aimed to explore innovative practices in training and provide recommendations for enhancing emergency response capabilities in OHCA.
The PRISMA Extension for Scoping Reviews (PRISMA-ScR) framework guided a comprehensive scoping review to identify relevant literature from PubMed, ScienceDirect, Scopus, EBSCOhost, and one search engine, Google Scholar. JBI tools were utilized to select high-quality articles, and thematic analysis was conducted to identify relevant innovations in OHCA training.
This review analyzed 13 articles discussing various methods of CPR training for the general public, considering cost, ease of use, and effectiveness. The findings highlight innovative approaches to improving the public's emergency response to OHCA. Smartphone apps significantly increase the likelihood of CPR and defibrillator use by laypersons. Low-cost DIY manikins are a viable alternative when resources are limited. Short CPR training videos and hands-only CPR training proved effective in training lay responders, while feedback devices and XR and VR-based training increased participants' confidence in CPR. Policy-based approaches, such as mandated CPR training, can broadly increase training coverage. Although advanced technologies offer high effectiveness, the cost and complexity of implementation remain significant challenges.
The study provides valuable insights for developing innovative and effective training strategies to improve community emergency response to OHCA. However, further research should focus on long-term evaluation and integrating innovative technologies with low-cost training methods to develop more standardized and contextually appropriate training guidelines.
院外心脏骤停（OHCA）是一种危急的医疗紧急情况，需要立即进行干预以改善患者预后。对普通公众进行紧急干预技术培训显著提高了生存率。易于获取的培训项目对于使个人具备必要的知识和技能至关重要。然而，必须解决诸如标准化指南和具有成本效益的项目实施等挑战。本研究旨在探索培训中的创新做法，并为增强OHCA的应急响应能力提供建议。
采用范围综述的PRISMA扩展版（PRISMA-ScR）框架指导全面的范围综述，以从PubMed、ScienceDirect、Scopus、EBSCOhost以及一个搜索引擎谷歌学术中识别相关文献。利用JBI工具选择高质量文章，并进行主题分析以识别OHCA培训中的相关创新。
本综述分析了13篇讨论针对普通公众的各种心肺复苏术（CPR）培训方法的文章，考虑了成本、易用性和有效性。研究结果突出了改善公众对OHCA应急响应的创新方法。智能手机应用显著增加了非专业人员进行心肺复苏和使用除颤器的可能性。在资源有限时，低成本的自制人体模型是一种可行的替代方案。简短的CPR培训视频和仅胸外按压的CPR培训在培训非专业急救人员方面被证明是有效的，而反馈设备以及基于扩展现实（XR）和虚拟现实（VR）的培训增加了参与者进行CPR的信心。基于政策的方法，如强制进行CPR培训，可以广泛提高培训覆盖率。尽管先进技术具有高效性，但实施成本和复杂性仍然是重大挑战。
该研究为制定创新且有效的培训策略以改善社区对OHCA的应急响应提供了有价值的见解。然而，进一步的研究应侧重于长期评估，并将创新技术与低成本培训方法相结合，以制定更标准化且符合实际情况的培训指南。
