PDF(Pubmed)
Abstract：
BACKGROUND: Over 30,000 people experience out-of-hospital cardiac arrest in the United Kingdom annually, with only 7-8% of patients surviving. One of the most effective methods of improving survival outcomes is bystander intervention in the form of calling the emergency services and initiating chest compressions. Additionally, the public must feel empowered to act and use this knowledge in an emergency. This study aimed to evaluate an ultra-brief CPR familiarisation video that uses empowering social priming language to frame CPR as a norm in Scotland.
METHODS: In a randomised control trial, participants (n = 86) were assigned to view an ultra-brief CPR video intervention or a traditional long-form CPR video intervention. Following completion of a pre-intervention questionnaire examining demographic variables and prior CPR knowledge, participants completed an emergency services-led resuscitation simulation in a portable simulation suite using a CPR manikin that measures resuscitation quality. Participants then completed questionnaires examining social identity and attitudes towards performing CPR.
RESULTS: During the simulated resuscitation, the ultra-brief intervention group\'s cumulative time spent performing chest compressions was significantly higher than that observed in the long-form intervention group. The long-form intervention group\'s average compressions per minute rate was significantly higher than the ultra-brief intervention group, however both scores fell within a clinically acceptable range. No other differences were observed in CPR quality. Regarding the social identity measures, participants in the ultra-brief condition had greater feelings of expected emergency support from other Scottish people when compared to long-form intervention participants. There were no significant group differences in attitudes towards performing CPR.
CONCLUSIONS: Socially primed, ultra-brief CPR interventions hold promise as a method of equipping the public with basic resuscitation skills and empowering the viewer to intervene in an emergency. These interventions may be an effective avenue for equipping at-risk groups with resuscitation skills and for supplementing traditional resuscitation training.
METHODS: In a randomised control trial, participants (n = 86) were assigned to view an ultra-brief CPR video intervention or a traditional long-form CPR video intervention. Following completion of a pre-intervention questionnaire examining demographic variables and prior CPR knowledge, participants completed an emergency services-led resuscitation simulation in a portable simulation suite using a CPR manikin that measures resuscitation quality. Participants then completed questionnaires examining social identity and attitudes towards performing CPR.
RESULTS: During the simulated resuscitation, the ultra-brief intervention group\'s cumulative time spent performing chest compressions was significantly higher than that observed in the long-form intervention group. The long-form intervention group\'s average compressions per minute rate was significantly higher than the ultra-brief intervention group, however both scores fell within a clinically acceptable range. No other differences were observed in CPR quality. Regarding the social identity measures, participants in the ultra-brief condition had greater feelings of expected emergency support from other Scottish people when compared to long-form intervention participants. There were no significant group differences in attitudes towards performing CPR.
CONCLUSIONS: Socially primed, ultra-brief CPR interventions hold promise as a method of equipping the public with basic resuscitation skills and empowering the viewer to intervene in an emergency. These interventions may be an effective avenue for equipping at-risk groups with resuscitation skills and for supplementing traditional resuscitation training.
摘要：
背景：在英国，每年有超过30,000人经历院外心脏骤停，只有7-8%的患者存活。改善生存结果的最有效方法之一是以呼叫紧急服务和开始胸部按压的形式进行旁观者干预。此外,公众必须感到有权在紧急情况下采取行动和使用这些知识。这项研究旨在评估超简短的CPR熟悉视频，该视频使用授权的社交启动语言将CPR作为苏格兰的规范。
方法：在一项随机对照试验中，参与者(n=86)被分配观看超简短CPR视频干预或传统的长格式CPR视频干预.完成干预前调查问卷后，检查人口统计学变量和先前的CPR知识，参与者使用测量复苏质量的CPR人体模型在便携式模拟套件中完成了紧急服务主导的复苏模拟.然后，参与者完成了问卷调查，以检查社会认同和对执行CPR的态度。
结果：在模拟复苏期间，超简短干预组进行胸外按压的累积时间显著高于长式干预组.长型干预组的平均每分钟按压率明显高于超短干预组,然而,两项评分均在临床可接受范围内.在CPR质量方面没有观察到其他差异。关于社会认同措施，与长期干预参与者相比,处于超短暂状态的参与者对其他苏格兰人的预期紧急支持有更大的感觉.对执行CPR的态度没有显着差异。
结论：社会准备，超简短的心肺复苏干预有望成为一种为公众提供基本复苏技能并授权观众在紧急情况下进行干预的方法。这些干预措施可能是为高危人群提供复苏技能和补充传统复苏培训的有效途径。
方法：在一项随机对照试验中，参与者(n=86)被分配观看超简短CPR视频干预或传统的长格式CPR视频干预.完成干预前调查问卷后，检查人口统计学变量和先前的CPR知识，参与者使用测量复苏质量的CPR人体模型在便携式模拟套件中完成了紧急服务主导的复苏模拟.然后，参与者完成了问卷调查，以检查社会认同和对执行CPR的态度。
结果：在模拟复苏期间，超简短干预组进行胸外按压的累积时间显著高于长式干预组.长型干预组的平均每分钟按压率明显高于超短干预组,然而,两项评分均在临床可接受范围内.在CPR质量方面没有观察到其他差异。关于社会认同措施，与长期干预参与者相比,处于超短暂状态的参与者对其他苏格兰人的预期紧急支持有更大的感觉.对执行CPR的态度没有显着差异。
结论：社会准备，超简短的心肺复苏干预有望成为一种为公众提供基本复苏技能并授权观众在紧急情况下进行干预的方法。这些干预措施可能是为高危人群提供复苏技能和补充传统复苏培训的有效途径。
