Yerel bir t�p merkezinde risk d�zeyi y�ksek olan hastalar�n aile �yelerine y�nelik kardiyopulmoner res�sitasyon (kalp masaj�) e�itimi: Risk d�zeyi y�ksek hastalar ile risk ta��mayan hastalarda aile �yelerinin kar��la�t�r�lmas�

Han, Kap Su; Lee, Ji Sung; Kim, Su Jin; Lee, Sung Woo

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Yerel bir t�p merkezinde risk d�zeyi y�ksek olan hastalar�n aile �yelerine y�nelik kardiyopulmoner res�sitasyon (kalp masaj�) e�itimi: Risk d�zeyi y�ksek hastalar ile risk ta��mayan hastalarda aile �yelerinin kar��la�t�r�lmas� [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2018; 24(3): 224-233 | DOI: 10.5505/tjtes.2017.01493

Yerel bir t�p merkezinde risk d�zeyi y�ksek olan hastalar�n aile �yelerine y�nelik kardiyopulmoner res�sitasyon (kalp masaj�) e�itimi: Risk d�zeyi y�ksek hastalar ile risk ta��mayan hastalarda aile �yelerinin kar��la�t�r�lmas�

Kap Su Han¹, Ji Sung Lee², Su Jin Kim¹, Sung Woo Lee¹
¹Acil T�p B�l�m�, Kore �niversitesi Anam Hastanesi, Seul, Kore Cumhuriyeti
²Klinik Ara�t�rma Merkezi, Asan T�p Merkezi, Seul, Kore Cumhuriyeti

AMA�: Hedef pop�lasyona (ani kalp durmas� y�n�nden potansiyel riskleri ta��yan hastalar�n aile �yeleri) y�nelik hastane merkezli bir kardiyopulmoner res�sitasyon e�itim modeli geli�tirilmi� olup, ge�erli k�lmak amac�yla hedef pop�lasyon ile hedef d��nda kalan pop�lasyon aras�nda CPR e�itim sonu�lar�n� kar��la�t�rd�k.
GERE� VE Y�NTEM: Hastalar�n e�itim s�recindeki aile �yeleri hastan�n rahats�zl��na ba�l� olarak �� gruba ayr�lm��t�r: 1) ani kalp durmas� riski ta��yan kalp hastalar�n�n aile �yelerinin dahil edildi�i kardiyak (CS) risk grubu; 2) kardiyovask�ler hastal�k y�n�nden risk fakt�rlerini ta��yan hastalar�n aile �yelerinin dahil edildi�i kardiyovask�ler (CV) risk grubu; ve 3) risk ta��mayan grup. E�itim �ncesi ve e�itim sonras� anketler ve beceri testleri ile e�itim sonras�nda 3 ay s�reyle telefon �zerinden ger�ekle�tirilen bir anket uygulanm��t�r. E�itime ili�kin sonu�lar de�erlendirilmi�tir.
BULGULAR: Toplam 203 aile �yesinin, 21 ayr� CPR e�itim s�n�f�na kayd� ger�ekle�tirilmi�tir. CV grubuyla (n=79) ve risk ta��mayan grupla (n=36) k�yasland��nda CS grubunda (n=88) e�itim d�zeyi daha d��k olan ev han�mlar� ve ya�l� bireyler yer alm��t�r. CS grubu, sa�l�k uzmanlar� taraf�ndan motive edilerek e�itime kat�lm��t�r. CS, CV ve risk ta��mayan gruplarda bilgi, CPR ger�ekle�tirme konusundaki isteklilik ve beceriler y�n�nden ilerleme oldu�u kaydedilmi�tir. CS grubunda ya�l� bireylere ve e�itim d�zeyinin d��k olmas�na ra�men, e�itimin katk�s� di�er gruplardaki ki�ilerle benzerlik g�stermi�tir. CS grubunda, CPR e�itiminin getirdi�i ilave yararlar ve y�ksek yan�t oran� g�zlenmi�tir.
TARTI�MA: Kalp rahats�zl�� olan hastalar�n aile �yeleri, �zellikle iyile�me ve ilave yararlar a��s�ndan CPR e�itimi i�in uygun bir hedef pop�lasyon te�kil edebilmektedir. Hedefe y�nelik uygulamalar, CPR i�lemini ger�ekle�tirecek olan ��nc� ki�ilerin say�s�n� art�rmak amac�yla etkili bir e�itim stratejisi olabilmektedir.

Anahtar Kelimeler: Aile, e�itim; kardiyopulmoner res�sitasyon; seyirci; y�ksek risk.

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

Kap Su Han¹, Ji Sung Lee², Su Jin Kim¹, Sung Woo Lee¹
¹Department of Emergency Medicine, Korea University Anam Hospital, Seoul-Republic of Korea
²Clinical Research Center, Asan Medical Center, Seoul-Republic of Korea

BACKGROUND: We developed a hospital-based cardiopulmonary resuscitation (CPR) training model focused on the target population (family members of patients with potential risks for cardiac arrest) and compared the outcome of CPR training between target and non-target populations for validity.
METHODS: Family members of patients in training were divided into three groups on the basis of patients� diseases, as follows: 1) the cardio-specific (CS) risk group, including family members of patients with cardiac disease at risk of cardiac arrest; 2) the cardiovascular (CV) risk group, including family members of patients with risk factors for cardiovascular disease; and 3) the no-risk group. Pre- and post-training surveys and skill tests as well as a post-training 3-month telephone survey were conducted. Educational outcomes were analyzed.
RESULTS: A total of 203 family members were enrolled into 21 CPR training classes. The CS group (n=88) included elderly persons and housewives with a lower level of education compared with the CV (n=79) and no-risk groups (n=36). The CS group was motivated by healthcare professionals and participated in the training course. The CS, CV, and no-risk groups showed improvements in knowledge, willingness to perform CPR, and skills. Despite the older age and lower level of education in the CS group, the effects of education were similar to those in the other groups. A high rate of response and secondary propagation of CPR training were observed in the CS group.
CONCLUSION: Family members of patients with heart disease could be an appropriate target population for CPR training, particularly in terms of recruitment and secondary propagation. Targeted intervention may be an effective training strategy to improve bystander CPR rates.

Keywords: Bystander, cardiopulmonary resuscitation; family; high risk; training.

Kap Su Han, Ji Sung Lee, Su Jin Kim, Sung Woo Lee. 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): 224-233

Sorumlu Yazar: Su Jin Kim, South Korea
Makale Dili: �ngilizce

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