ADULT CARDIOPULMONARY RESUSCITATION (CPR): KNOWLEDGE AND PRACTICES IN ADULTS

Abstract

BAckground

United State, reported up to 325,000 OHCA cases every year. CAD and heart failure (poor LV function < 30%) detected as main etiology in OHCA. Cerebral cortex, hippocampus, thalamus, cerebellum, and basal ganglia neuron are selectively damaged as they are very most susceptible to have hypoxic-ischemic injury. The overall survival rate, post OHCA was reported very low that is 1.4%. 5.3% survival rate in witnessed arrest. A study from Denmark, reported that every year around 5000 people suffered from OHCA. Their survival depends on time spend between collapse and receiving resuscitation. In 2020, sudden cardiac arrest mortality in the US was 436,852. Survival chance will be increased by double or triple, if resuscitation efforts taken instantly after cardiac arrest. AHA has released Heart and Stroke Statistics - 2022 Update. According to the report, cardiac arrest remains a public health crisis. Annually in US more than 356,000 OHCA are reported. OHCA mortality remains high all over the world. To improve survival rate in OHCA, general population should be trained adequately who will be capable to provide quality CPR. Methods: This was an interventional study, used evaluative approach and conducted at Buldhana and Satara city of Maharashtra amongst 350 adults by Purposive sampling method during the period of April 2023 to May 2023. Pretest and posttest knowledge and practices regarding Adult CPR were assessed through 20 questions and practices were assessed by 15 statements. Video-assisted teaching programme was provided after pretest data collection.

Results: Majority (79.43% of them) of the young adults are between 18-24 years were, 46.86% of the young adults are males and 53.14% of the young adults were females.86.00% are studied up to graduation level of education and 91.14% of them were students, 89.43% are having no family history and 62.29% are having not having previous Knowledge. In pretest, mean SD knowledge score was 10.59 and in posttest was 16.76 and so the difference is 6.17, Pretest practice means SD was 6.36 and posttest mean SD was 12.78 practice score, so the difference was 6.42, this difference was large and it is statistically significant difference found which was calculated using Student’s paired t-test. In posttest there was association found between gender -males, education- post graduates and Previous Knowledge about CPR and significant, positive, moderate correlation found between in posttest knowledge and practice score.

 Conclusion: This study concluded that it clearly indicates, there is the need for appropriate skill-based CPR education and demonstration for enhancing young adults ‘knowledge and improve practices about CPR