J Korean Acad Nurs.  2016 Jun;46(3):463-474. 10.4040/jkan.2016.46.3.463.

The Effect of Patient-centered CPR Education for Family Caregivers of Patients with Cardiovascular Diseases

Affiliations
  • 1College of Nursing and Research Institute of Nursing Science, Seoul National University, Seoul, Korea. esuh@snu.ac.kr
  • 2Department of Cardiology, Myongji Hospital, Seoul, Korea.
  • 3Department of Translational Medicine, College of Medicine, Seoul National University, Seoul, Korea.

Abstract

PURPOSE
For cardiovascular patients, family caregivers play a vital role in daily nursing and cardiac emergencies. This study aimed to evaluate the effect of patient-centered CPR education (PCE) for family caregivers of patients with cardiovascular diseases.
METHODS
Fifty-four participants were randomly assigned to the PCE or control group. The PCE group received tailored counseling on overall cardiovascular disease information and CPR followed by interactive instructor-guided CPR training and re-education follow-up by telephone 2 weeks later. The control group received only video-based CPR self-education and booklets. Cardiovascular disease and CPR knowledge and self-efficacy were measured before (pre-test), immediately after (post-test 1), and 4 weeks after the PCE (post-test 2). CPR skills and performance were measured pre-test and at post-test1.
RESULTS
The PCE group demonstrated significant improvements in knowledge (F=91.09, p<.001), self-efficacy (F=15.19, p<.001) and CPR skills and performance (F=8.10, p=.008), as well as significant differences over time (knowledge: F=364.25, p<.001; self-efficacy: F=1162.28, p<.001; CPR skills and performance: F=1798.81, p<.001). There were significant group-by-time interactions for knowledge (F=8.10, p=.001), self-efficacy (F=4.30, p=.019) and CPR skills and performance (F=4.81, p=.036) by repeated measures ANOVA.
CONCLUSION
This is the first study to demonstrate the effects of a patient-centered intervention with CPR education tailored for patients' and family caregivers' preferences, needs, and lifestyles. The results of this study encourage the use of tailored, patient-centered interventions in cardiovascular nursing practice.

Keyword

Patient-centered care; Cardiopulmonary resuscitation; Caregivers; Cardiovascular diseases

MeSH Terms

Adult
Aged
Cardiopulmonary Resuscitation/*education/methods
Caregivers/*psychology
Educational Measurement
Female
*Health Knowledge, Attitudes, Practice
Heart Arrest/*therapy
Humans
Male
Middle Aged
*Patient-Centered Care
Programmed Instruction as Topic
Self Efficacy
Telephone

Figure

  • Figure 1 Research design for the study.

  • Figure 2 Group differences over time in outcome measures.


Reference

1. McNally B, Robb R, Mehta M, Vellano K, Valderrama AL, Yoon PW, et al. Out-of-hospital cardiac arrest surveillance-cardiac arrest registry to enhance survival (CARES), United States, October 1, 2005-December 31, 2010. MMWR Surveill Summ. 2011; 60(SS08):1–19.
2. Park IS, Kim EJ, Sohn HS, Kang SH. Factors influencing the return of spontaneous circulation of patients with out-of-hospital cardiac arrest. J Digit Policy Manag. 2013; 11(9):229–238.
3. Iwami T, Kawamura T, Hiraide A, Berg RA, Hayashi Y, Nishiuchi T, et al. Effectiveness of bystander-initiated cardiac-only resuscitation for patients with out-of-hospital cardiac arrest. Circulation. 2007; 116(25):2900–2907. DOI: 10.1161/circulationaha.107.723411.
4. Dracup K, Moser DK, Taylor SE, Guzy PM. The psychological consequences of cardiopulmonary resuscitation training for family members of patients at risk for sudden death. Am J Public Health. 1997; 87(9):1434–1439. DOI: 10.2105/ajph.87.9.1434.
5. Kliegel A, Scheinecker W, Sterz F, Eisenburger P, Holzer M, Laggner AN. The attitudes of cardiac arrest survivors and their family members towards CPR courses. Resuscitation. 2000; 47(2):147–154. DOI: 10.1016/s0300-9572(00)00214-8.
6. Swor R, Khan I, Domeier R, Honeycutt L, Chu K, Compton S. CPR training and CPR performance: Do CPR-trained bystanders perform CPR? Acad Emerg Med. 2006; 13(6):596–601. DOI: 10.1197/j.aem.2005.12.021.
7. Niklasson C, Bohm K. Attitudes towards bystander cardiopulmonary resuscitation (CPR) among laypersons with and without CPR training. Resuscitation. 2015; 96:Suppl 1. 59. DOI: 10.1016/j.resuscitation.2015.09.137.
8. Lim S. CPR for saving their family. Korean Association of Cardio-Pulmonary Resuscitation Newsletter;2015. 9(1):p. 4–5.
9. Lee MH, Choi SH, Park MJ. Effect of CPR training for lay trainees on their knowledge and attitudes. J Korean Acad Fundam Nurs. 2007; 14(2):198–203.
10. Kim SM, Lee EJ. The effects of CPR clinical training on CPR performance and self efficacy in nursing students. J Korea Acad Ind Coop Soc. 2011; 12(12):5759–5765. DOI: 10.5762/KAIS.2011.12.12.5759.
11. Shaller D. Patient-centred care: What does it take? Oxford, UK: Picker Institute and The Commonwealth Fund;2007.
12. Epstein RM, Street RL Jr. The values and value of patient-centered care. Ann Fam Med. 2011; 9(2):100–103. DOI: 10.1370/afm.1239.
13. Hilgeman MM, Allen RS, Snow AL, Durkin DW, DeCoster J, Burgio LD. Preserving identity and planning for advance care (PIPAC): Preliminary outcomes from a patient-centered intervention for individuals with mild dementia. Aging Ment Health. 2014; 18(4):411–424. DOI: 10.1080/13607863.2013.868403.
14. Jayadevappa R, Chhatre S. Patient centered care: A conceptual model and review of the state of the art. Open Health Serv Policy J. 2011; 4:15–25. DOI: 10.2174/1874924001104010015.
15. Cohen J. Statistical power analysis for the behavioral sciences. New York, NY: Academic Press;1977.
16. Kromann CB, Bohnstedt C, Jensen ML, Ringsted C. The testing effect on skills learning might last 6 months. Adv Health Sci Educ Theory Pract. 2010; 15(3):395–401. DOI: 10.1007/s10459-009-9207-x.
17. Taylor K. Paternalism, participation and partnership - The evolution of patient centeredness in the consultation. Patient Educ Couns. 2009; 74(2):150–155. DOI: 10.1016/j.pec.2008.08.017.
18. Korean Association of CardioPulmonary Resuscitation. CPR guideline in Korea 2011 [Internet]. Seoul: Ministry of Health & Welfare, National Medical Center, National Emergency Medical Center, Korean Association of CardioPulmonary Resuscitation;2011. cited 2015 November 25. Available from: http://www.kacpr.org/popup/file/2011_guidelines.pdf.
19. Park JM. The effectiveness of competency and retention in cardiopulmonary resuscitation through self-directed learning [dissertation]. Daegu: Kyungpook National University;2006. 1–69.
20. Kim KS. Medical surgical nursing. Paju: Soomoosa;2013.
21. Schlessel JS, Rappa HA, Lesser M, Pogge D, Ennis R, Mandel L. CPR knowledge, self-efficacy, and anticipated anxiety as functions of infant/child CPR training. Ann Emerg Med. 1995; 25(5):618–623. DOI: 10.1016/s0196-0644(95)70174-5.
22. Leone RP, Walker CA, Curry LC, Agee EJ. Application of a marketing concept to patient-centered care: Co-producing health with heart failure patients. Online J Issues Nurs. 2012; 17(2):7.
23. Buckley T, McKinley S, Gallagher R, Dracup K, Moser DK, Aitken LM. The effect of education and counselling on knowledge, attitudes and beliefs about responses to acute myocardial infarction symptoms. Eur J Cardiovasc Nurs. 2007; 6(2):105–111. DOI: 10.1016/j.ejcnurse.2006.05.005.
24. Dudas K, Olsson LE, Wolf A, Swedberg K, Taft C, Schaufelberger M, et al. Uncertainty in illness among patients with chronic heart failure is less in person-centred care than in usual care. Eur J Cardiovasc Nurs. 2013; 12(6):521–528. DOI: 10.1177/1474515112472270.
25. Boyne JJ, Vrijhoef HJ, Spreeuwenberg M, De Weerd G, Kragten J, Gorgels AP. Effects of tailored telemonitoring on heart failure patients' knowledge, self-care, self-efficacy and adherence: A randomized controlled trial. Eur J Cardiovasc Nurs. 2014; 13(3):243–252. DOI: 10.1177/1474515113487464.
26. Holst M, Willenheimer R, Martensson J, Lindholm M, Stromberg A. Telephone follow-up of self-care behaviour after a single session education of patients with heart failure in primary health care. Eur J Cardiovasc Nurs. 2007; 6(2):153–159. DOI: 10.1016/j.ejcnurse.2006.06.006.
27. Bekelman DB, Plomondon ME, Carey EP, Sullivan MD, Nelson KM, Hattler B, et al. Primary results of the patient-centered disease management (PCDM) for heart failure study: A randomized clinical trial. JAMA Intern Med. 2015; 175(5):725–732. DOI: 10.1001/jamainternmed.2015.0315.
28. Boyde M, Turner C, Thompson DR, Stewart S. Educational interventions for patients with heart failure: A systematic review of randomized controlled trials. J Cardiovasc Nurs. 2011; 26(4):E27–E35. DOI: 10.1097/JCN.0b013e3181ee5fb2.
29. Mpotos N, Yde L, Calle P, Deschepper E, Valcke M, Peersman W, et al. Retraining basic life support skills using video, voice feedback or both: A randomised controlled trial. Resuscitation. 2013; 84(1):72–77. DOI: 10.1016/j.resuscitation.2012.08.320.
30. Hamilton R. Nurses' knowledge and skill retention following cardiopulmonary resuscitation training: A review of the literature. J Adv Nurs. 2005; 51(3):288–297. DOI: 10.1111/j.1365-2648.2005.03491.x.
Full Text Links
  • JKAN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr