Rationale of cardiopulmonary resuscitation training as an element of multilevel educational and motivational project (MEDMOTION)
Abstract
Patients after acute coronary syndrome (ACS) are of increased risk of out-of-hospital cardiac arrest (OHCA).
Therefore, education of patients’ family members within the Multilevel EDucational and MOtivational intervention in patients after myocardial infarcTION (MEDMOTION) project includes practical cardiopulmonary
resuscitation (CPR) skills training.
The aim of this part of the MEDMOTION project is to assess the efficacy of CPR training.
Methods The MEDMOTION project is designed as a multicenter, two-phase study with a 2-year follow-up. In
phase 1 (the observational, prospective, multicentre study), patients in all centres will be treated, educated
and motivated according to the current practice adopted in these centres. In phase 2 (the randomized,
open-label, multicentre study), the participating centres will be randomized (1:1) to active group (multi-level educational and motivational interventions) or to control group (continuation of the previous strategy).
In the active group, the relatives cohabitating with the patient will be encouraged to participate in CPR
classes and hands-on training supported with CPR dedicated MEDMOTION brochure. To convince persons
emotionally close to the patient to participate in the proposed activities, we plan to conduct motivational
conversations highlighting the importance of increased patient safety and family responsibility.
Keywords: resuscitation trainingeducationmotivation
References
- McNally B, Robb R, Mehta M, et al. Centers for Disease Control and Prevention. 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(8): 1–19.
- Szczerbinski S, Ratajczak J, Lach P, et al. Epidemiology and chronobiology of out-of-hospital cardiac arrest in a subpopulation of southern Poland: A two-year observation. Cardiol J. 2020; 27(1): 16–24.
- Ratajczak J, Łach P, Szczerbiński S, et al. Atmospheric conditions and the occurrence of out-of-hospital cardiac arrest in Poland — preliminary analysis of poorly understood phenomena. Medical Research Journal. 2018; 3(3): 121–126.
- Kubica A, Kochman W, Bogdan M. Aleksandra Jurek, Ewa Olejarczyk, Przemysław Magielski, Marek Koziński, Grzegorz Grześk, Rajmund Wilczek, Adam Sukiennik, Elżbieta Grześk, Aleksander Araszkiewicz. The influence of undergone percutaneous coronary interventions, and earlier hospitalizations with myocardial infarction on the level of knowledge and the effectiveness of health education in patients with myocardial infarction. Advances in Interventional Cardiology. 2009; 5: 25–30.
- Cariou G, Pelaccia T. Are they trained? Prevalence, motivations and barriers to CPR training among cohabitants of patients with a coronary disease. Intern Emerg Med. 2017; 12(6): 845–852.
- Kubica A, Gruchała M, Jaguszewski M, et al. Adherence to treatment — a pivotal issue in long-term treatment of patients with cardiovascular diseases. An expert standpoint. Medical Research Journal. 2018; 2(4): 123–127.
- Kubica A, Obońska K, Fabiszak T, et al. Adherence to antiplatelet treatment with P2Y12 receptor inhibitors. Is there anything we can do to improve it? A systematic review of randomized trials. Curr Med Res Opin. 2016; 32(8): 1441–1451.
- Kubica A, Kasprzak M, Obońska K, et al. Discrepancies in assessment of adherence to antiplatelet treatment after myocardial infarction. Pharmacology. 2015; 95(1-2): 50–58.
- Kubica A, Kasprzak M, Siller-Matula J, et al. Time-related changes in determinants of antiplatelet effect of clopidogrel in patients after myocardial infarction. Eur J Pharmacol. 2014; 742: 47–54.
- Buszko K, Kosobucka A, Michalski P, et al. The readiness for hospital discharge of patients after acute myocardial infarction: a new self-reported questionnaire. Medical Research Journal. 2017; 2(1): 20–28.
- Buszko K, Obońska K, Michalski P, et al. The Adherence Scale in Chronic Diseases (ASCD). The power of knowledge: the key to successful patient — health care provider cooperation. Medical Research Journal. 2016; 1(1): 37–42.
- Kubica A, Kosobucka A, Michalski P, et al. The Adherence in Chronic Diseases Scale — a new tool to monitor implementation of a treatment plan. Folia Cardiol. 2017; 12: 19–26.
- Buszko K, Pietrzykowski Ł, Michalski P, et al. Validation of the Functioning in Chronic Illness Scale (FCIS). Medical Research Journal. 2018; 3(2): 63–69.
- Kubica A. Self-reported questionnaires for a comprehensive assessment of patients after acute coronary syndrome. Medical Research Journal. 2019; 4(2): 106–109.
- Noel L, Jaeger D, Baert V, et al. GR-RéAC. Effect of bystander CPR initiated by a dispatch centre following out-of-hospital cardiac arrest on 30-day survival: Adjusted results from the French National Cardiac Arrest Registry. Resuscitation. 2019; 144: 91–98.
- de Visser M, Bosch J, Bootsma M, et al. An observational study on survival rates of patients with out-of-hospital cardiac arrest in the Netherlands after improving the 'chain of survival'. BMJ Open. 2019; 9(7): e029254.
- Becker TK, Gul SS, Cohen SA, et al. Florida Cardiac Arrest Resource Team. Public perception towards bystander cardiopulmonary resuscitation. Emerg Med J. 2019; 36(11): 660–665.
- Jarrah S, Judeh M, AbuRuz ME. Evaluation of public awareness, knowledge and attitudes towards basic life support: a cross-sectional study. BMC Emerg Med. 2018; 18(1): 37.
- Schmid KM, Mould-Millman NK, Hammes A, et al. Barriers and Facilitators to Community CPR Education in San José, Costa Rica. Prehosp Disaster Med. 2016; 31(5): 509–515.
- González-Salvado V, Abelairas-Gómez C, Gude F, et al. Targeting relatives: Impact of a cardiac rehabilitation programme including basic life support training on their skills and attitudes. Eur J Prev Cardiol. 2019; 26(8): 795–805.
- González-Salvado V, Abelairas-Gómez C, Peña-Gil C, et al. Basic life support training into cardiac rehabilitation programs: A chance to give back. A community intervention controlled manikin study. Resuscitation. 2018; 127: 14–20.
- Gonzï Lez-Salvado V, Abelairas-Gï Mez C, Peï A-Gil C, et al. A community intervention study on patients' resuscitation and defibrillation quality after embedded training in a cardiac rehabilitation program. Health Educ Res. 2019; 34(3): 289–299.
- Han KSu, Lee JiS, Kim SuJ, et al. Targeted cardiopulmonary resuscitation training focused on the family members of high-risk patients at a regional medical center: A comparison between family members of high-risk and no-risk patients. Ulus Travma Acil Cerrahi Derg. 2018; 24(3): 224–233.
- Kubica A, Kosobucka A, Fabiszak T, et al. Assessment of adherence to medication in patients after myocardial infarction treated with percutaneous coronary intervention. Is there a place for newself-reported questionnaires? Curr Med Res Opin. 2019; 35(2): 341–349.
- Kosobucka A, Michalski P, Pietrzykowski Ł, et al. Adherence to treatment assessed with the Adherence in Chronic Diseases Scale in patients after myocardial infarction. Patient Prefer Adherence. 2018; 12: 333–340.
- Michalski P, Kosobucka A, Pietrzykowski Ł, et al. Knowledge and learning preferences of patients with myocardial infarction. Medical Research Journal. 2017; 1(4): 120–124.
- Yue P, Zhu Z, Wang Y, et al. Determining the motivations of family members to undertake cardiopulmonary resuscitation training through grounded theory. J Adv Nurs. 2019; 75(4): 834–849.
- Kubica A. Współpraca z pacjentem – podstawowy warunek skuteczności terapii w chorobie wieńcowej. Choroby Serca i Naczyń. 2009; 6: 131.
- Michalski P, Kosobucka A, Pietrzykowski Ł, et al. Effectiveness of therapeutic education in patients with myocardial infarction. Medical Research Journal. 2018; 2(3): 89–96.
- Michalski P, Kosobucka A, Nowik M, et al. Edukacja zdrowotna pacjentów z chorobami układu sercowo-naczyniowego. Folia Cardiologica. 2017; 11(6): 519–524.
- Kosobucka A, Kasprzak M, Michalski P, et al. Relation of the Readiness for Hospital Discharge after Myocardial Infarction Scale to socio-demographic and clinical factors. An observational study. Medical Research Journal. 2018; 3(1): 32–37.