Effectiveness of a simplified cardiopulmonary resuscitation training program for the non-medical
staff of a university hospital
Sammanfattning
BACKGROUND:
The 2010 Consensus on Science and Treatment Recommendations Statement recommended that
short video/computer self-instruction courses, with minimal or no instructor coaching, combined with
hands-on practice can be considered an effective alternative to instructor-led basic life support
courses. The purpose of this study was to examine the effectiveness of a simplified cardiopulmonary
resuscitation (CPR) training program for non-medical staff working at a university hospital.
METHODS:
Before and immediately after a 45-min CPR training program consisting of instruction on chest
compression and automated external defibrillator (AED) use with a personal training manikin, CPR
skills were automatically recorded and evaluated. Participants' attitudes towards CPR were evaluated
by a questionnaire survey.
RESULTS:
From September 2011 through March 2013, 161 participants attended the program. We evaluated
chest compression technique in 109 of these participants. The number of chest compressions
delivered after the program versus that before was significantly greater (110.8 ± 13.0/min vs 94.2 ±
27.4/min, p < 0.0001), interruption of chest compressions was significantly shorter (0.05 ± 0.34
sec/30 sec vs 0.89 ± 3.52 sec/30 sec, p < 0.05), mean depth of chest compressions was significantly
greater (57.6 ± 6.8 mm vs 52.2 ± 9.4 mm, p < 0.0001), and the proportion of incomplete chest
compressions of <5 cm among all chest compressions was significantly decreased (8.9 ± 23.2% vs
38.6 ± 42.9%, p < 0.0001). Of the 159 participants who responded to the questionnaire survey after
the program, the proportion of participants who answered 'I can check for a response,' 'I can perform
chest compressions,' and 'I can absolutely or I think I can use an AED' increased versus that before
the program (81.8% vs 19.5%, 77.4% vs 10.1%, 84.3% vs 23.3%, respectively).
CONCLUSIONS:
A 45-min simplified CPR training program on chest compression and AED use improved CPR quality
and the attitude towards CPR and AED use of non-medical staff of a university hospital.