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

• Kim HS
• Kim HJ
• Suh EE

• KMID: 2413352
• DOI: http://doi.org/10.4040/jkan.2016.46.3.463

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

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  Figure 1 Research design for the study.

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  Figure 2 Group differences over time in outcome measures.

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