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Título: Using a smartphone app to aid training for high quality chest compression
Autores: Cheung, A; Caritas Medical Centre, Hong Kong.
Chiang, V; The Hong Kong Polytechnic University, Hong Kong.
Mok, E; The Hong Kong Polytechnic University, Hong Kong.
Fecha: 2013-10-13
Publicador: Hunter New England Local Health District
Fuente: Ver documento
Tipo: info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Tema: Nursing; Midwifery; Smartphone Technology; Smartphone Applications; Cardiopulmonary Resuscitation; CPR
Descripción: Background: Effective chest compressions increases the survival rate of the victims. High quality cardiopulmonary resuscitation (CPR) may result in better patient outcomes, but skills decline over time. The study aims to investigate the effect of a smartphone app to aid in a CPR course on skills acquisition and retention. Method: A prospective, randomised controlled trial was conducted with 198 undergraduate nursing students assigned to the intervention group, using a culturally sensitive smartphone app which provided audio-visual prompts and debriefing during CPR training, or to the control group with traditional instructor-led training. Participants were to perform 1-minute chest compressions on a sensored resuscitation manikin connected to a computerized reporting system before, immediately post, and 4 weeks after the training. Results: Results showed that the mean chest compression rate in both groups maintained within the 2010 American Heart Association CPR guideline of at least 100 beats per minute, before and after the CPR training. Both groups achieved a mean chest compression depth of less than 50mm immediately before and after training, but progressive improvement was made across time. Participants in the intervention group (50.64 +/- 3.72mm) performed significantly better than the control group (48.72 +/- 4.03mm) during retention test with p<.00. The correct percentage in the overall performance in the intervention group was significantly improved at post-training test (82.69% +/- 22.75) and retention test (87.39% +/- 13.74) with p<.000, whereas a decline in correct performance in the control group was noticed (from 80.08% +/- 24.19 to 56.35% +/- 35.95), with p<.000. Conclusion: This study displayed the possibility of improving CPR performance from initial training up to at least 4 weeks after training, when the participants were exposed to the CPR smartphone app which provided audio-visual prompts and feedback to aid the achievement of high quality CPR.
Idioma: Inglés
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