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Retention of Skills with and without Debriefing Three-Months after Cardiopulmonary Resuscitation Training in Makkah, Saudi Arabia: A Randomized Controlled Trial

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Open Journal of Preventive Medicine 2019年第11期9卷 141-154页

作者： Rehab Mohammed Gaafar soha aly elmorsy Abdulmajeed Soliman Khan Mohammad Kamel Al-harazi Shaimaa Kamel Al-harazi Nouf Kamel Al-harazi Saudi Heart Association Riyadh KSA Research Center King Abdullah Medical City Makkah KSA Internal Medicine Department Hera General Hospital Makkah Ministry of Health (MoH) Makkah KSA Community Medicine Department MoH Hera General Hospital Makkah KSA King Saud University for Health Sciences Riyadh KSA Umm Al-Qura University Makkah KSA

Background: Evidence of cardiopulmonary resuscitation (CPR) performance has driven interest in procedures, e.g., debriefing to improve CPR quality. Aim: To investigate retention of skills with and without debriefing 3-months after CPR training on high-fidelity manikins (HFM) among participants involved in the “Heart Safe City Initiative” event (HSCI) in Makkah, Saudi Arabia. Methodology: A randomized controlled design was used during October 2017-January 2018. Participants were divided into two groups: an intervention group to receive debriefing after CPR (debriefing group or “subjects”), and a non-intervention group (“controls”). Participants were tested repeatedly: before training (pre-training test), immediately after and 3-months after training (retention or late test);and scores for each test were recorded. Results: The study’s subjects and controls did not vary by age, sex, nationality, and profession’s criteria (p > 0.05, all analyses). The mean retention posttests scores significantly varied between subjects and controls [t>(df = 200) = 27.7, p p = 0.18). Further, the immediate posttest scores were significantly higher than the pretests’ within the study population as a whole group [mean difference 38.05% ± 27.59%, t>(df = 201) = 13.5, p t>(105) = 14.31, p t>(df = 95) = 13.50, p t>(df = 201) = 20.85, p t>(df = 105) = 21.46, p t>(df = 95) = 22.12, p t>(df = 200),4.76, p t(df = 97) = -2.95, p Conclusions: Debriefing using HFM training achieves the target of improving the public’s skills of CPR. Considering the urgent need to recruit every society member to be a heartsaver;debriefing after CPR training helps improve the quality and retention of basic CPR skills.

关键词： Cardiopulmonary Resuscitation Debriefing Retention Skills Saudi Arabia

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