medigraphic.com
ISSN 1561-2902 (Electronic)

2021, Number 1

<< Back Next >>

Revista Cubana de Educación Médica Superior 2021; 35 (1)

Effectiveness of a simulated clinical performance to raise the adults’ knowledge about Bystander Cardiopulmonary Resuscitation

Ávila CJA, Fonseca MCA, Fernández MH, Sosa GI

Language: Spanish
References: 17
Page: 1-15
PDF size: 614.14 Kb.


ABSTRACT

Introduction: Bystander cardiopulmonary resuscitation increases the chances of survival by seven times.
Objective: To assess the effectiveness of a simulated clinical situation carried out in homes to raise the level of knowledge about basic cardiopulmonary resuscitation in adults.
Methods: A before-and-after study without a control group was carried out between September and December 2018. The universe consisted of 620 patients from a family doctor’s office belonging to 19 de Abril Outpatient Polyclinic in Plaza de la Revolución Municipality (Havana, Cuba). A sample of 200 patients was selected and a survey was applied on them, carried out by the authors, before and after the intervention, which was subjected to an alpha test for internal validation. For the assessment of the demonstration, Student's t test, variance analysis (ANOVA) and a post hoc analysis were used.
Results: The mean age was 45.45 ± 14.45 years. The female sex predominated, with 102 people (51%). There were 63 (32%) patients with an associate’s degree. The difference in the means of scores before and after the demonstration was statistically significant in all school levels (P˂0.001). There were differences in the increase of scores after the simulated performance between the university students and the people with sixth grade (P=0.013).
Conclusions: Performance of a simulated clinical situation was an effective tool to raise the level of knowledge of the population under study, regardless of their level of education.


REFERENCES

  1. Sasson C, Rogers MAM, Dahl J, Kellermann AL. Predictors of survival from out-of-hospital cardiac arrest: a systematic review and meta-analysis. Circ Cardiovasc Qual Outcomes. 2010 [acceso 27/01/2019];3:63-81. Disponible en: https://www.ahajournals.org/doi/full/10.1161/circoutcomes.109.889576

  2. 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 [acceso 31/01/2021];142(Suppl 2):S551-S79. Disponible en: https://www.ahajournals.org/doi/epub/10.1161/CIR.0000000000000903

  3. Ming-Ju H, Bhanji F, Wen-Chu C, Chih-Wei Y, Kuo-Liong C, Matthew Huei-Ming M. Comparing the effect of self-instruction with that of traditional instruction in basic life support courses-A systematic Review. Resuscitation. 2016;108:8-19. DOI: https://dx.doi.org/10.1016/j.resuscitation.2016.08.021

  4. 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. 2020;73(1):53-68. DOI: https://doi.org/10.1016/j.rec.2018.11.013

  5. Liberman M, Golberg N, Mulder D, Sampalis J. Teaching cardiopulmonary resuscitation to CEGEP students in Quebec-a pilot project. Resuscitation. 2000;47:249-57. DOI: https://doi.org/10.1016/s0300-9572(00)00236-7

  6. Miró O, Escalada X, Jiménez-Fábrega X, Díaz N, Sanclemente G, Gómez X, et al. Programa de Reanimación Cardiopulmonar Orientado a Centros de Enseñanza Secundaria (PROCES): conclusiones tras 5 años de experiencia. Emergencias. 2008 [acceso 27/01/2019];20:229-36. Disponible en: http://emergencias.portalsemes.org/descargar/programa-de-reanimacion-cardiopulmonar-orientado-a-centros-de-ensenanza-secundaria-proces-conclusiones-tras-5-anos-de-experiencia/force_download/

  7. 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 [acceso 31/01/2021];142(Suppl 2):S366-S468. Disponible en: https://www.ahajournals.org/doi/pdf/10.1161/CIR.0000000000000916

  8. Declaración de Helsinki de la asociación médica mundial. Principios éticos para las investigaciones médicas en seres humanos. Seúl, Corea: 59ª Asamblea General; 2008 Oct. Disponible en: https://icmer.org/wp-content/uploads/2019/Etica/declarac_Helsinki_ivestigacs_medicas_seres_hum.pdf

  9. Sastre Carrera MJ, García García LM, Bordel Nieto F, López-Herce Cid J, Carrillo Álvarez A, Benítez Robredo MT, et al. Enseñanza de la reanimación cardiopulmonar básica en población general. Aten Primaria. 2004 [acceso 05/02/2019];34(8):408-13. Disponible en: https://www.elsevier.es/es-revista-atencion-primaria-27-articulo-ensenanza-reanimacion-cardiopulmonar-basica-poblacion-13068217

  10. Piriz Assa AR, Hidalgo Marrero Y, Rodríguez Portelles AC, Córdova Vega CA, Durán Calzadilla Y, Céspedes Segura S. Propuesta de entrenamiento en emergencias y reanimación cardiopulmocerebral para testigos presenciales no profesionales de salud. Medisur. 2018 [acceso 05/02/2019];16(6):867-75. Disponible en: http://medisur.sld.cu/index.php/medisur/article/view/4195/2739

  11. Smiak Yacubosky NV, Radlovachki Majlak LR, Torres Maidana GI. Conocimientos de la población adulta sobre reanimación cardiopulmonar básica. Coloquio de enfermería argentino; 2018 [acceso 05/02/2019]. Disponible en: http://coloquioenfermeria2018.sld.cu/index.php/coloquio/2018/paper/view/489/450

  12. Garrido Carrasco G. Soporte vital básico: conocimientos de la población adulta del barrio de la "Rondilla" [Tesis de especialidad]. Valladolid: Repositorio de tesis de la Universidad de Valladolid; 2015 [acceso 27/01/2019]. Disponible en: http://uvadoc.uva.es/bitstream/10324/30404/1/TFG-H1213.pdf

  13. García Martínez JC, Márquez Hernández VV, Casas Salmerón MA, Granero Molina J, Fernández Sola C, López-Rodríguez MM. Estrategia de entrenamiento práctico en RCP para diseminar información entre la población general de Almería. Therapeía. 2018 [acceso 05/02/2019];10:57-74. Disponible en: https://dialnet.unirioja.es/descarga/articulo/6677707.pdf

  14. 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: https://doi.org/10.1016/j.resuscitation.2018.03.018

  15. Wang R, Lagakos SW, Ware JH, Hunter DJ, Drazen JM. Statistics in medicine-reporting of subgroup analyses in clinical trials. N Engl J Med. 2007 [acceso 05/02/2019];357:2189-94. Disponible en: https://www.nejm.org/doi/full/10.1056/nejmsr077003

  16. Angulo-Menéndez P, Lana A, Morís de la Tassa J. Conocimientos y disposición para realizar soporte vital básico por agentes de la policía local. An Sist Sanit Navar. 2017;40(2):177-85. DOI: https://doi.org/10.23938/ASSN.0033

  17. Mancini ME, Soar J, Bhanji F, Billi JE, Dennett J, Finn J, et al. Education, Implementation and Teams Chapter Collaborators. Part 12: education, implementation, and teams: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations. Circulation. 2010;122(Suppl 2):S539-S81. DOI: https://dx.doi.org/10.1161/CIRCULATIONAHA.110.971143




2020     |     www.medigraphic.com