Peer Trainers Compared with Basic Life Support Trainers in Delivering Effective Cardiopulmonary Resuscitation Training to Secondary School Students
Peer Trainers for CPR Teaching
Abstract
Teaching cardiopulmonary resuscitation (CPR) skills to the public is essential in improving cardiac arrest survival. American Heart Association suggested to incorporate it into the school curriculum. Peer trainers is a low cost and effective method in achieving this. The objective of this 3 months prospective controlled study was to compare the effectiveness of teaching compression only CPR between peers and certified basic life support (BLS) trainers to secondary school students. Improvement in knowledge and psychomotor skills of CPR compression were the primary outcome evaluated. Twelve peer trainers aged 16-years-old and twelve certified BLS trainers were recruited into the study. Compression only CPR was taught to 36 randomized secondary school students by either peer trainers (Group P) or BLS trainers (Group B). A pre-test, immediate post-test and 3 months retention test on knowledge and psychomotor skill were conducted. There was no statistically a significant difference in the mean scores of knowledge and psychomotor at pre-test, post-test and 3 months retention between Group P and Group B. There was significant increase of knowledge score between pre-test and post-test in Group P (mean difference 5.8+2.7, p<0.001) and in Group B (mean difference 4.7+2.7, p<0.001). Psychomotor score was significantly increased between pre-test and post -test in Group P (mean difference 7.11+1.49, p<0.001) and Group B (mean difference 7.22+1.5, p<0.001). Peer trainers is non-inferior to BLS trainers in teaching CPR to secondary school students as both groups showed significant improvement at post-test.
Keywords :
basic life support,
cardiopulmonary resuscitation,
community,
medical education,
training,
Abstrak
Pendidikan kemahiran resusitasi kardiopulmonari (CPR) kepada orang awam sangat penting dalam merendahkan kadar kematian serangan jantung. American Heart Association mencadangkan kemahiran tersebut harus dimasukkan ke dalam kurikulum sekolah. Pelatih rakan sebaya adalah kaedah yang berkos rendah dan berkesan dalam mencapai objektif ini. Objektif kajian terkawal 3 bulan ini adalah untuk membandingkan keberkesanan pengajaran kompresi CPR antara rakan sebaya dan jurulatih Basic Life Support (BLS) kepada pelajar sekolah menengah. Peningkatan pengetahuan dan kemahiran psikomotor pemampatan CPR adalah hasil utama yang dinilai. Dua belas pelatih rakan sebaya berusia 16 tahun dan dua belas pelatih BLS telah direkrut dalam kajian ini. Kompresi CPR diajarkan kepada 36 pelajar sekolah menengah secara rawak oleh pelatih rakan sebaya (Kumpulan P) atau pelatih BLS (Kumpulan B). Pra-ujian, pasca ujian serta ujian pengekalan 3 bulan mengenai pengetahuan dan kemahiran psikomotor telah dijalankan. Tidak terdapat perbezaan yang signifikan secara statistik dalam skor min pengetahuan dan psikomotor pada pra-ujian, pasca ujian serta ujian pengekalan 3 bulan antara Kumpulan P dan Kumpulan B. Terdapat peningkatan skor pengetahuan yang signifikan antara pra-ujian dan pasca ujian dalam Kumpulan P (perbezaan min 5.8+2.7, p<0.001) dan dalam Kumpulan B (perbezaan min 4.7+2.7, p<0.001). Skor psikomotor meningkat secara signifikan antara pra-ujian dan pasca ujian dalam Kumpulan P (perbezaan min 7.11+1.49, p<0.001) dan Kumpulan B (perbezaan min 7.22+1.5, p<0.001). Pengajar rakan sebaya adalah berkebolehan setara dengan pelatih BLS dalam mengajar CPR kepada pelajar sekolah menengah kerana kedua-dua kumpulan menunjukkan peningkatan yang signifikan pada pasca ujian.
Kata Kunci :
komuniti,
latihan,
pendidikan perubatan,
resusitasi kardiopulmonari,
sokongan asas kehidupan,
Correspondance Address
Shamsuriani Md Jamal. Department of Emergency Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia. Tel: +603-9145 5491 Email: suriazwa@gmail.com
