An Yanhua, Wei Yun, Wang Dawei, Ma Bingchen, Wang Hua, Cao Qiumei
Department of General Practice, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Emergency Department, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Front Public Health. 2025 Jun 11;13:1541177. doi: 10.3389/fpubh.2025.1541177. eCollection 2025.
Epidemiological investigations have found that 80% of cardiac arrest (CA) events occur in public places or homes. Bystander cardiopulmonary resuscitation (CPR) is the most significant factor for out-of-hospital CA (OHCA) survival. Limited opportunities exist for community residents and family members of patients with chronic diseases to participate in CPR training programs. This study establishes an integrated "Hospital-Community-Family" public CPR training system and assesses its training feasibility.
Training system construction: the integrated "Hospital-Community-Family" public CPR training system included three levels members and two steps. The three levels members were emergency physicians at level A tertiary hospital, general practitioners (GPs) from community health service centers, and family members of patients with chronic diseases. Two steps included: (1) GPs receiving public CPR training by emergency physicians, passing the examination, and obtaining American Heart Association (AHA) certificate; (2) family members of patients with chronic diseases receiving CPR training from GPs in community health service centers. Training feasibility assessment: a questionnaire survey was used to investigate the CPR knowledge and cognition of family members of chronic disease patients before, after and 6 months after training.
Construction of the integrated "Hospital-Community-Family" public CPR training system involved eight trainers certified in American Heart Association (AHA) CPR training from the level A tertiary hospital, 23 general practitioners from the community who completed the AHA training and obtained certificates, and 149 family members of patients with chronic diseases under community care who received training. Training feasibility assessment was conducted of family members before, immediately after and 6 months post training, yielding mean scores of 9.83 ± 4.11, 13.97 ± 2.87, and 13.02 ± 3.12 (out of a total score of 17), respectively. The differences were statistically significant ( < 0.001). After 6 months, nearly half of the family members of patients with chronic diseases believed they possessed adequate CPR knowledge and skills and were confident in their CPR abilities.
The proposed integrated "Hospital-Community-Family" public CPR training system demonstrated significant acceptability, practical feasibility, and the necessity for its implementation.
流行病学调查发现，80%的心脏骤停（CA）事件发生在公共场所或家中。旁观者心肺复苏（CPR）是院外心脏骤停（OHCA）存活的最重要因素。社区居民和慢性病患者家属参与心肺复苏培训项目的机会有限。本研究建立了一个综合的“医院 - 社区 - 家庭”公众心肺复苏培训系统，并评估其培训可行性。
培训系统构建：综合的“医院 - 社区 - 家庭”公众心肺复苏培训系统包括三个层次的成员和两个步骤。三个层次的成员分别是三级甲等医院的急诊医生、社区卫生服务中心的全科医生（GP）以及慢性病患者家属。两个步骤包括：（1）全科医生接受急诊医生的公众心肺复苏培训，通过考试并获得美国心脏协会（AHA）证书；（2）慢性病患者家属在社区卫生服务中心接受全科医生的心肺复苏培训。培训可行性评估：采用问卷调查法，对慢性病患者家属在培训前、培训后及培训后6个月的心肺复苏知识和认知情况进行调查。
综合的“医院 - 社区 - 家庭”公众心肺复苏培训系统的构建涉及来自三级甲等医院的8名获得美国心脏协会（AHA）心肺复苏培训认证的培训师、23名完成AHA培训并获得证书的社区全科医生以及149名接受培训的社区护理慢性病患者家属。对家属在培训前、培训后即刻及培训后6个月进行培训可行性评估，平均得分分别为9.83±4.11、13.97±2.87和13.02±3.12（满分17分）。差异具有统计学意义（<0.001）。6个月后，近一半的慢性病患者家属认为自己具备足够的心肺复苏知识和技能，并对自己的心肺复苏能力有信心。
所提出的综合“医院 - 社区 - 家庭”公众心肺复苏培训系统显示出显著的可接受性、实际可行性以及实施的必要性。
