Iberoamerican Journal of Medicine
https://iberoamjmed.com/article/doi/10.53986/ibjm.2021.0049
Iberoamerican Journal of Medicine
Original article

Effectiveness of the Family and Friends CPR course in learning cardiopulmonary resuscitation in relatives of patients with high cardiovascular risk or who have suffered a cardiovascular event

Efectividad del curso de RCP Familiares y Amigos en el aprendizaje de la reanimación cardiopulmonar en familiares de pacientes con alto riesgo cardiovascular o que hayan sufrido un evento cardiovascular

Bruno Enzo Vargas-Sánchez, Miluska Madeleine Salazar-Arteaga, Aida Del Carmen Rotta-Rotta, Roy Germán Dueñas-Carbajal

Downloads: 6
Views: 1287

Abstract

Introduction: Early, high-quality cardiopulmonary resuscitation (CPR) increases survival rates in cardiac arrest. Although most cases occur at home and are witnessed, CPR is performed in few of these cases. For this reason, teaching CPR is especially important in relatives of patients with high cardiovascular risk. Therefore, the aim of this study was to demonstrate the effectiveness of the Family and Friends CPR course in the theoretical and practical learning of cardiopulmonary resuscitation in relatives of patients with high cardiovascular risk or who have suffered a cardiovascular event.
Materials and methods: We carried out an analytical, quasi-experimental, prospective, before-and-after study. We selected 20 participants during outpatient consultation at the Cardiology Department of the Cayetano Heredia Hospital in Lima, Peru. A theoretical knowledge questionnaire and an adult CPR checklist were used to assess the level of theoretical and practical knowledge, respectively. The theoretical knowledge was measured at three points in time (before, immediately after and one month after the intervention) and the practical skills at two points in time (immediately after and a month after the intervention).
Results: The level of theoretical knowledge was low (8.64 ± 2.47) before the intervention, achieving a good level of knowledge immediately after (17.33 ± 2.02) and one month later (16.5 ± 1.91). Furthermore, the medians of the level of practical knowledge were 15 immediately after and one month later, showing that they maintained a good level of practical knowledge.
Conclusions: The Family and Friends CPR course was effective in the theoretical and practical learning of CPR in the studied population, and was sustained one month after the intervention.

Keywords

Cardiopulmonary resuscitation; Cardiac arrest; Learning; Relatives; Cardiovascular diseases

Resumen

Introducción: La reanimación cardiopulmonar (RCP) temprana y de alta calidad incrementa la tasa de supervivencia en el paro cardíaco. Si bien la mayoría de casos ocurre en el hogar y son presenciados por testigos, en pocos casos se inicia RCP. Por ello, resulta importante su enseñanza y especialmente en familiares de pacientes con alto riesgo cardiovascular. En consecuencia, el propósito de este estudio era demostrar la efectividad de la enseñanza del curso Familiares y Amigos RCP en el aprendizaje teórico y práctico de la reanimación cardiopulmonar en familiares de pacientes con alto riesgo cardiovascular o que han presentado un evento cardiovascular.
Materiales y métodos: Estudio de tipo analítico, cuasi experimental, prospectivo, de intervención antes y después. Se reclutaron 20 participantes durante la consulta externa del Servicio de Cardiología del Hospital Cayetano Heredia en Lima, Perú. Se utilizó un cuestionario de conocimientos teóricos y una lista de cotejo sobre RCP en adultos para evaluar el nivel de conocimiento teórico y práctico, respectivamente. La parte teórica fue medida en tres momentos (antes, inmediatamente después y un mes después de la intervención) y la parte práctica en dos momentos (inmediatamente después y un mes después de la intervención).
Resultados: El nivel de conocimiento teórico fue malo (8.64 ± 2.47) antes de la intervención, logrando un nivel de conocimiento bueno inmediatamente después (17.33 ± 2.02) y un mes después (16.5 ± 1.91). Además, las medianas del nivel de conocimiento práctico fueron de 15 inmediatamente después y un mes después, mostrando que mantuvieron un nivel de conocimiento práctico bueno.
Conclusiones: El curso Familiares y Amigos RCP fue efectivo en el aprendizaje teórico y práctico sobre RCP en la población estudiada, y se mantuvo un mes posterior a la intervención.

Palabras clave

Reanimación cardiopulmonar; Paro cardiaco; Aprendizaje; Familiares; Enfermedades cardiovasculares

References

1. Matiz S, Arizac C, Santander D. [Basic pediatric cardiopulmonary resuscitation–Practical implementation of 2010 guidelines]. Rev Colomb Cardiol. 2014;21(6):419-27. doi: 10.1016/j.rccar.2014.06.004.
2. Myat A, Song KJ, Rea T. Out-of-hospital cardiac arrest: current concepts. Lancet. 2018;391(10124):970-9. doi: 10.1016/S0140-6736(18)30472-0.
3. Virani SS, Alonso A, Benjamin EJ, Bittencourt MS, Callaway CW, Carson AP, et al. Heart Disease and Stroke Statistics-2020 Update: A Report From the American Heart Association. Circulation. 2020;141(9):e139-e596. doi: 10.1161/CIR.0000000000000757.
4. Guillén RT. Epidemiología y registro utstein del paro cardio respiratorio en la Unidad de Trauma Shock en el Hospital Nacional Dos de Mayo, Enero - Agosto 2004 (tesis). Lima: Universidad Nacional Mayor de San Marcos. 2005:1-64. Available from: https://cybertesis.unmsm.edu.pe/handle/20.500.12672/2031.
5. Escudero S. [Stop heart and resuscitation according to Utstein: Emergency hospital Jose Casimiro Ulloa January - August, 2008]. Actas Peru Anestesiol. 2011;19(2):48-55.
6. Böttiger BW, Van Aken H. Kids save lives--Training school children in cardiopulmonary resuscitation worldwide is now endorsed by the World Health Organization (WHO). Resuscitation. 2015;94:A5-7. doi: 10.1016/j.resuscitation.2015.07.005.
7. Committee on the Treatment of Cardiac Arrest: Current Status and Future Directions; Board on Health Sciences Policy; Institute of Medicine. Strategies to Improve Cardiac Arrest Survival: A Time to Act. Graham R, McCoy MA, Schultz AM, editors. Washington (DC): National Academies Press (US); 2015.
8. Leong BS. Bystander CPR and survival. Singapore Med J. 2011;52(8):573-5.
9. Yan S, Gan Y, Jiang N, Wang R, Chen Y, Luo Z, et al. The global survival rate among adult out-of-hospital cardiac arrest patients who received cardiopulmonary resuscitation: a systematic review and meta-analysis. Crit Care. 2020;24(1):61. doi: 10.1186/s13054-020-2773-2.
10. Robles NA. Influencia de una intervención educativa en el aprendizaje de reanimación cardiopulmonar básica en adolescentes de una institución educativa privada (tesis). Lima: Escuela de Enfermería Padre Luis Tezza afiliada a la Universidad Ricardo Palma. 2013:1-134. Available from: https://repositorio.urp.edu.pe/handle/urp/370.
11. Goff DC Jr, Lloyd-Jones DM, Bennett G, Coady S, D'Agostino RB, Gibbons R, et al. 2013 ACC/AHA guideline on the assessment of cardiovascular risk: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014;129(25 Suppl 2):S49-73. doi: 10.1161/01.cir.0000437741.48606.98.
12. Pletcher MJ, Moran AE. Cardiovascular Risk Assessment. Med Clin North Am. 2017;101(4):673-88. doi: 10.1016/j.mcna.2017.03.002.
13. Messerli FH. Hypertension and sudden cardiac death. Am J Hypertens. 1999;12(12 Pt 3):181S-188S. doi: 10.1016/s0895-7061(99)00106-5.
14. Siscovick DS, Sotoodehnia N, Rea TD, Raghunathan TE, Jouven X, Lemaitre RN. Type 2 diabetes mellitus and the risk of sudden cardiac arrest in the community. Rev Endocr Metab Disord. 2010;11(1):53-9. doi: 10.1007/s11154-010-9133-5.
15. Zaman S, Kovoor P. Sudden cardiac death early after myocardial infarction: pathogenesis, risk stratification, and primary prevention. Circulation. 2014;129(23):2426-35. doi: 10.1161/CIRCULATIONAHA.113.007497.
16. Sörös P, Hachinski V. Cardiovascular and neurological causes of sudden death after ischaemic stroke. Lancet Neurol. 2012;11(2):179-88. doi: 10.1016/S1474-4422(11)70291-5.
17. Benjamin EJ, Virani SS, Callaway CW, Chamberlain AM, Chang AR, Cheng S, et al. Heart Disease and Stroke Statistics-2018 Update: A Report From the American Heart Association. Circulation. 2018;137(12):e67-e492. doi: 10.1161/CIR.0000000000000558.
18. Han KS, Lee JS, Kim SJ, Lee SW. Targeted cardiopulmonary resuscitation training focused on the family members of high-risk patients at a regional medical center: A comparison between family members of high-risk and no-risk patients. Ulus Travma Acil Cerrahi Derg. 2018;24(3):224-33. doi: 10.5505/tjtes.2017.01493.
19. Cartledge S, Bray JE, Leary M, Stub D, Finn J. A systematic review of basic life support training targeted to family members of high-risk cardiac patients. Resuscitation. 2016;105:70-8. doi: 10.1016/j.resuscitation.2016.04.028.
20. Liu H, Clark AP. Cardiopulmonary resuscitation training for family members. Dimens Crit Care Nurs. 2009 Jul-;28(4):156-63. doi: 10.1097/DCC.0b013e3181a473ae.
21. Case R, Cartledge S, Siedenburg J, Smith K, Straney L, Barger B, et al. Identifying barriers to the provision of bystander cardiopulmonary resuscitation (CPR) in high-risk regions: A qualitative review of emergency calls. Resuscitation. 2018;129:43-7. doi: 10.1016/j.resuscitation.2018.06.001.
22. González-Salvado V, Rodríguez-Ruiz E, Abelairas-Gómez C, Ruano-Raviña A, Peña-Gil C, González-Juanatey JR, et al. Training adult laypeople in basic life support. A systematic review. Rev Esp Cardiol (Engl Ed). 2020;73(1):53-68. doi: 10.1016/j.rec.2018.11.013.
23. Chiang WC, Ko PC, Chang AM, Chen WT, Liu SS, Huang YS, et al. Bystander-initiated CPR in an Asian metropolitan: does the socioeconomic status matter? Resuscitation. 2014;85(1):53-8. doi: 10.1016/j.resuscitation.2013.07.033.
24. Blewer AL, Ibrahim SA, Leary M, Dutwin D, McNally B, Anderson ML, et al. Cardiopulmonary Resuscitation Training Disparities in the United States. J Am Heart Assoc. 2017;6(5):e006124. doi: 10.1161/JAHA.117.006124.
25. Sandoval NE. Efectividad de un programa de capacitación sobre Reanimación Cardiopulmonar Básica en el nivel de conocimiento y práctica del personal de Enfermería del Servicio de Emergencia de la Clínica El Golf - SANNA Octubre San Isidro 2018. USMP. 2019:1-78. Available from: https://repositorio.usmp.edu.pe/handle/20.500.12727/5253.
26. Saad R, Sampaio Favarato MH, Ferreira de Paiva E, do Patrocinio Tenorio Nunes M. Medical Student Skill Retention After Cardiopulmonary Resuscitation Training: A Cross-Sectional Simulation Study. Simul Healthc. 2019;14(6):351-8. doi: 10.1097/SIH.0000000000000383.
27. González-Salvado V, Abelairas-Gómez C, Peña-Gil C, Neiro-Rey C, Barcala-Furelos R, González-Juanatey JR, et al. Basic life support training into cardiac rehabilitation programs: A chance to give back. A community intervention controlled manikin study. Resuscitation. 2018;127:14-20. doi: 10.1016/j.resuscitation.2018.03.018.
28. Cheng A, Magid DJ, Auerbach M, Bhanji F, Bigham BL, Blewer AL, et al. Part 6: Resuscitation Education Science: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020;142(16_suppl_2):S551-S579. doi: 10.1161/CIR.0000000000000903.
29. Panchal AR, Bartos JA, Cabañas JG, Donnino MW, Drennan IR, Hirsch KG, et al. Part 3: Adult Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020;142(16_suppl_2):S366-S468. doi: 10.1161/CIR.0000000000000916.
30. Bobrow BJ, Spaite DW, Berg RA, Stolz U, Sanders AB, Kern KB, et al. Chest compression-only CPR by lay rescuers and survival from out-of-hospital cardiac arrest. JAMA. 2010;304(13):1447-54. doi: 10.1001/jama.2010.1392.
31. Ogawa T, Akahane M, Koike S, Tanabe S, Mizoguchi T, Imamura T. Outcomes of chest compression only CPR versus conventional CPR conducted
by lay people in patients with out of hospital cardiopulmonary arrest witnessed by bystanders: nationwide population based observational study. BMJ. 2011;342:c7106. doi: 10.1136/bmj.c7106.
32. Iwami T, Kawamura T, Hiraide A, Berg RA, Hayashi Y, Nishiuchi T, et al. Effectiveness of bystander-initiated cardiac-only resuscitation for patients with out-of-hospital cardiac arrest. Circulation. 2007;116(25):2900-7. doi: 10.1161/CIRCULATIONAHA.107.723411.
33. Rea TD, Fahrenbruch C, Culley L, Donohoe RT, Hambly C, Innes J, et al. CPR with chest compression alone or with rescue breathing. N Engl J Med. 2010;363(5):423-33. doi: 10.1056/NEJMoa0908993.
34. Kim HS, Kim HJ, Suh EE. The Effect of Patient-centered CPR Education for Family Caregivers of Patients with Cardiovascular Diseases. J Korean Acad Nurs. 2016;46(3):463-74. doi: 10.4040/jkan.2016.46.3.463.
35. Bhanji F, Donoghue AJ, Wolff MS, Flores GE, Halamek LP, Berman JM, et al. Part 14: Education: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015;132(18 Suppl 2):S561-73. doi: 10.1161/CIR.0000000000000268.
36. Nishiyama C, Iwami T, Murakami Y, Kitamura T, Okamoto Y, Marukawa S, et al. Effectiveness of simplified 15-min refresher BLS training program: a randomized controlled trial. Resuscitation. 2015;90:56-60. doi: 10.1016/j.resuscitation.2015.02.015.
37. Lin Y, Cheng A, Grant VJ, Currie GR, Hecker KG. Improving CPR quality with distributed practice and real-time feedback in pediatric healthcare providers - A randomized controlled trial. Resuscitation. 2018;130:6-12. doi: 10.1016/j.resuscitation.2018.06.025.
38. Plant N, Taylor K. How best to teach CPR to schoolchildren: a systematic review. Resuscitation. 2013;84(4):415-21. doi: 10.1016/j.resuscitation.2012.12.008.
39. Wissenberg M, Lippert FK, Folke F, Weeke P, Hansen CM, Christensen EF, et al. Association of national initiatives to improve cardiac arrest management with rates of bystander intervention and patient survival after out-of-hospital cardiac arrest. JAMA. 2013;310(13):1377-84. doi: 10.1001/jama.2013.278483.
40. Nord A. Bystander CPR. New aspects of CPR training among students and the importance of bystander education level on survival. Department of Medical and Health Sciences. Linköping University, Sweden; 2017. Avialbale from: http://www.diva-portal.org/smash/get/diva2:1153723/FULLTEXT01.pdf.
41. Semeraro F, Frisoli A, Loconsole C, Mastronicola N, Stroppa F, Ristagno G, et al. Kids (learn how to) save lives in the school with the serious game Relive. Resuscitation. 2017;116:27-32. doi: 10.1016/j.resuscitation.2017.04.038.
42. Ciccone MM, Aquilino A, Cortese F, Scicchitano P, Sassara M, Mola E, et al. Feasibility and effectiveness of a disease and care management model in the primary health care system for patients with heart failure and diabetes (Project Leonardo). Vasc Health Risk Manag. 2010;6:297-305. doi: 10.2147/vhrm.s9252.


Submitted date:
06/12/2021

Reviewed date:
07/25/2021

Accepted date:
08/28/2021

Publication date:
10/03/2021

6159c3aaa953954a70075ab2 iberoamericanjm Articles
Links & Downloads

Iberoam J Med

Share this page
Page Sections