Ismail, Norhayati
(2016)
A study on knowledge and practice on post cardiac arrest care among healthcare providers working in Emergency Department in Kelantan.
Masters thesis, Universiti Sains Malaysia.
Abstract
INTRODUCTION
2010 American Heart Association (AHA) guidelines on CPR and ECC had created
the fifth link of the chain of survival which is integrated post cardiac arrest care. Since 2002
two landmark study (HACA et al and Bernard et al) prove that therapeutic hypothermia in
resuscitated patient with initial rhythm ventricular fibrillation improve their survival rate with
good neurological outcome. (Passali, Pantazopoulos et al. 2011) found that nurses and
doctors knowledge of basic and advanced life was suboptimal and practice is varied (Nick
Truman et al. 2015). Therapeutic hypothermia implementation is low (Abella, Rhee et al.
2005).
OBJECTIVE
1 To determine the level of knowledge of post cardiac arrest care among healthcare
personnel in Emergency Department in Kelantan
2. To determine the level of practice of post cardiac arrest care among healthcare personnel
in Emergency Department in Kelantan
3. To compare the mean of knowledge and practice of post cardiac arrest care among
general, district and university hospital
4. To determine factors associated with the level of knowledge and practice of post cardiac
arrest care among healthcare personnel in Emergency Department in Kelantan.METHADOLOGY
The questionnaire is created based on 2010 AHA guidelines on CPR and ECC which
has 3 domains, demographic, knowledge and practice had been validated. The study was a
cross sectional study conducted for six months period from Jun till November 2015 in whole
tenth of Emergency Departments in Kelantan. Sample size calculated is 156 and the respond
rate was 155, 99%.Data was entered and analyzed via SPSS version 22.
RESULT
We enrolled 155 people with age range from 24 to 57 years old. Male population
(52.9%) are more than female (47.10%).The mean knowledge score is 5.25 , while the mean
practice score is 7.5. The median score of knowledge among workplace are different general
hospital (6.0,Iqr 3) district hospital (5.0,Iqr 2) and university hospital (7,0 ,Iqr 3).
In this study we found that five variables were statistically significant with knowledge score
which were ACLS trained, position, workplace, place of practice, and number of patient with
ROSC attended before. We also found that median practice score of respondent attended
ACLS course and service duration is significantly different.CONCLUSION
Healthcare personnel working in emergency department in Kelantan had low
knowledge and average practice of post cardiac arrest care. The score of knowledge between
districts, university and general hospital are different, however practice score are not.
Previously attended ACLS course was found to be a significant factor for better knowledge
and practice score. Workplace, place of practice, number of cardiac arrest patient with ROSC
attended before and position of healthcare personnel was found to be a significant factor
affecting knowledge of post cardiac arrest care. Service duration was found to be a significant
factor for practice score.
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