Effectiveness of cardiopulmonary resuscitation training in the teaching of family members of cardiac patients

Abstract

Objective: To evaluate the effectiveness of a cardiopulmonary resuscitation training in the skill acquisition of family members of heart disease patients. Method: A quasi-experimental study, conducted in a hospital in São Paulo, Brazil. The study participants were one or more relatives of patients with heart disease that were hospitalized at the institution. In the first phase, the participant’s skills and theoretical knowledge on cardiopulmonary resuscitation were evaluated before and immediately after the training. The second phase took place one month after the training, in which the same evaluations were applied. The McNemar’s and Stuart-Maxwell tests were adopted (5% significance level). Results: The theoretical knowledge of family members before and after training increased and a great retention of this knowledge after 30 days of training was observed. Immediately after training, the family members showed significant improvement of skills in the 15 analyzed actions and, after one month of training, they maintained most of the acquired practices on cardiopulmonary resuscitation, except for chest compressions frequency and the time between turning on the defibrillator and delivering the shock. Conclusion: Cardiopulmonary resuscitation training was effective in the acquisition of theoretical and practical knowledge of the family members.

Efectividad de un proceso de capacitación en resucitación cardiopulmonar pediátrica

“…No existen estudios que permitan llegar a un consenso sobre la evaluación de la calidad del aprendizaje del contenido teórico y del contenido práctico (27). Los resultados de los estudios sobre entrenamiento en rcP únicamente permiten evidenciar que los participantes, sea personal sanitario o población en general, deben capacitarse continuamente (cada seis meses), especialmente aquellos en cuyo contexto no se observan casos de Pcr u ovace frecuentes (28,29). Si bien es cierto que la posibilidad de que una persona que sufra un Pcr reciba rcP por un testigo es muy baja, y que el control de la calidad de las maniobras de rcP suministradas por el testigo es limitado, el entrenamiento de personal no sanitario ha demostrado contribuir a una mayor supervivencia y mejor estado de las víctimas de un Pcr al egreso hospitalario (28).…”