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Self-instructional CPR training for parents of high risk infants

机译：针对高危婴儿父母的自我指导心肺复苏术培训

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Objective: Premature infants (PRE) and infants with congenital heart disease (CHD) are at high risk for respiratory or cardiac arrest in their first year. Bystander cardiopulmonary resuscitation (CPR) is a major predictor of resuscitation outcome. The purpose of this study was to assess the usefulness of a self-instructional DVD kit (Infant CPRAnytime?) for families of high-risk infants. We hypothesized that comfort level of performing CPR would increase, parents would share the kit with others, and review it during the year. Methods: Parents of PRE (<35 weeks or <2500. g) or CHD infants received a self-instructional CPR kit. One parent completed a questionnaire, reviewed the DVD, and practiced CPR before discharge. They were asked to share the kit with other care providers, practice CPR every 3 months, and complete questionnaires at 4 and 12 months. Results: We enrolled 311 subjects: 238 PRE and 73 CHD. Comfort level performing CPR increased from 2.8 at baseline to 3.5 at 12 months (p= 0.023). The kit was shared with 3.1 additional persons and reviewed by the parent 1.8 times over 12 months. Eight emergency rescue events were reported: choking (3) and CPR (5). All events requiring CPR were in infants with CHD. Six infants survived with reported good or stable neurologic status. Conclusions: Self-instructional tools provide an excellent method of CPR training for parents of high risk infants. Caregiver comfort increased over 12 months and parents continued to review the kit during the first year. An additional 3.1 persons used the kit for CPR training.
机译：目的：早产儿（PRE）和先天性心脏病（CHD）的婴儿在第一年内呼吸或心脏骤停的风险较高。旁观者心肺复苏（CPR）是复苏结果的主要预测指标。这项研究的目的是评估一种自我指导DVD套件（婴儿CPRAnytime？）对高危婴儿家庭的实用性。我们假设进行心肺复苏术的舒适度会提高，父母会与他人共享该工具包，并在一年中对其进行检查。方法：PRE（<35周或<2500.g）或CHD婴儿的父母接受了自我指导的CPR套件。一位家长填写了一份问卷，审阅了DVD，并在出院前进行了心肺复苏术。他们被要求与其他护理提供者共享该工具包，每3个月进行一次心肺复苏术，并在4个月和12个月时完成问卷调查。结果：我们招募了311名受试者：238 PRE和73 CHD。执行CPR的舒适度水平从基线时的2.8增加到12个月时的3.5（p = 0.023）。该工具包与其他3.1个人共享，并在12个月内接受了父母1.8次的审查。据报告发生了八次紧急救援事件：窒息（3）和心肺复苏（5）。所有需要CPR的事件均发生在冠心病婴儿中。六名婴儿存活，报告神经系统状况良好或稳定。结论：自我指导工具为高危婴儿的父母提供了一种出色的心肺复苏术培训方法。护理人员的舒适度在过去的12个月中有所提高，并且在第一年中，父母继续检查该套件。另外有3.1人使用该套件进行CPR培训。

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