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A community intervention study on patients' resuscitation and defibrillation quality after embedded training in a cardiac rehabilitation program

González Salvado, Violeta; Abelairas-Gomez, C.; Peña Gil, Carlos; Neiro Rey, María Carmen; Barcala-Furelos, R.; González Juanatey, José Ramón; Rodríguez Núñez, Antonio
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URI: http://hdl.handle.net/20.500.11940/15649
PMID: 30753449
DOI: 10.1093/her/cyz002
ISSN: 0268-1153
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Health Educ Res . 2019 Jun 1;34(3):289-299. doi: 10.1093/her/cyz002. (656.0Kb)
Acceso a la versión del editor (121.4Kb)
Date issued
2019
Journal title
HEALTH EDUCATION RESEARCH
Type of content
Artigo
DeCS
enfermedad coronaria | tratamiento por actividad física | educación de pacientes como asunto | concepto de sí mismo | resucitación cardiopulmonar | mediana edad | humanos | adulto | cardioversión eléctrica
MeSH
Adult | Middle Aged | Humans | Cardiopulmonary Resuscitation | Coronary Disease | Electric Countershock | Exercise Therapy | Self Concept | Patient Education as Topic
Abstract
The aim of this study was to examine the effectiveness of a novel cardiopulmonary resuscitation (CPR) training method embedded in a cardiac rehabilitation program at enhancing patients' CPR and defibrillation skills. One hundred and fourteen participants with coronary heart disease enrolled on an exercise-based cardiac rehabilitation program were included. Two groups were randomly allocated to different training programs: CPR-retraining based on hands-on rolling refreshers during the 2-month program (G-CPR, n = 53) versus standard one-time training (G-Stan, n = 61). Resuscitation and defibrillation skills and self-confidence were evaluated at baseline, following brief basic life support (BLS) instruction and after the distinct training programs. Baseline skills were equally poor, improving significantly although irregularly after brief instruction. After the program, CPR quality was further enhanced in G-CPR, which achieved better results regarding correct compressions by depth, rate, hands position and global CPR quality (P < 0.01, all analysis). Defibrillation skills improved similarly after instruction and were reasonably maintained after the program, although delay to shock was reduced in G-CPR. CPR self-confidence was superior in G-CPR (P < 0.001). In conclusion, CPR hands-on rolling refreshers embedded into an exercise-based cardiac rehabilitation program enhanced patients' CPR and defibrillation skills and self-confidence to perform CPR at 2 months, compared with standard one-time training. This method could help to bring effective training to high-risk populations.

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