Deraman@Ismail, Norwani
(2015)
A pilot study on the knowledge and attitude toward the new American Heart Association (AHA) cardiopulmonary resuscitation 2010 guideline on "C-A-B" sequence and the correlation with the willingness to perform bystander CPR among health personnel in Emergency Department, Hospital Sains Malaysia (HUSM).
Masters thesis, Universiti Sains Malaysia.
Abstract
Introduction: Cardiopulmonary resuscitation, carried out in an integrated and
coordinated series of actions known as chain of survival is an important element
in cardiac arrest case. The presence of bystander CPR to initiate basic life support
before arrival of EMS in out of hospital cardiac arrest is not promising in our
local setting, even in Malaysia. Deterrence in doing resuscitation process might
be due to various reasons, including mouth to mouth ventilation. Thus, this study
focuses on the impact of the latest CAB sequence with the willingness to do
bystander CPR.
Objectives: 1) To compare the knowledge and attitude between health personnel
in EDHUSM. 2) To determine the association between the CPR sequence and the
willingness to do bystander CPR. 3) To determine the associated factors
contribute to the willingness of bystander CPR
Methods: This is a cross-sectional study using the modified questionnaire survey
form to achieve all the objectives. The questionnaire form was distributed among
the health personnel in EDHUSM. All health personnel in EDHUSM who
fulfilled the inclusion criteria had been enrolled in this study. This survey was
done from November 2013 to March 2014.
Results: Out of 96 participants surveyed, all of them completed the questionnaire
form making the response rate of 100 %. There were imbalances between the
knowledge and attitude between the groups of health personnel. Comparing
between the groups, medical officer had more knowledge on basic life support
and it reflected on the confidence level upon encounter cardiac arrest case.
Although majority of participants agreed that rescue breathing were the
deterrence step and acronym CAB was more practical for the bystander CPR
outside hospital, but study has shown that no significant difference between
preferred CPR sequence and the willingness to do bystander CPR with the fisher
exact test (p value of 0.554). It might not be reflected true outside population
because the participants were those who had already involve in resuscitation
process daily. They know the importance of bystander CPR, either CAB or ABC
sequence will not alter the decision to be bystander CPR. The only significant
factor determine the willingness to do bystander was year of service (p value of
0.049)
Conclusion: People are aware of the importance of bystander CPR during cardiac
arrest. Majority of participants preferred the CAB sequence but their willingness
to do bystander CPR is not related with the chosen CPR sequence.
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