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The Effect of Patient-centered CPR Education for Family Caregivers of Patients with Cardiovascular Diseases

Journal of Korean Academy of Nursing 2016³â 46±Ç 3È£ p.463 ~ 474
KMID : 0806120160460030463
±èÇö¼± ( Kim Hyun-Sun ) - Seoul National University College of Nursing Research Institute of Nursing Science

±èÇöÁø ( Kim Hyun-Jin ) - Myongji Hospital Department of Cardiology
¼­Àº¿µ ( Suh Eun-Young ) - Seoul National University College of Nursing Research Institute of Nursing Science

Abstract

Purpose: For cardiovascular patients, family caregivers play a vital role in daily nursing and cardiac emergencies. This study aimed to evaluatethe effect of patient-centered CPR education (PCE) for family caregivers of patients with cardiovascular diseases.

Methods: Fifty-four participantswere randomly assigned to the PCE or control group. The PCE group received tailored counseling on overall cardiovascular disease informationand CPR followed by interactive instructor-guided CPR training and re-education follow-up by telephone 2 weeks later. The controlgroup received only video-based CPR self-education and booklets. Cardiovascular disease and CPR knowledge and self-efficacy were measuredbefore (pre-test), immediately after (post-test 1), and 4 weeks after the PCE (post-test 2). CPR skills and performance were measuredpre-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 interactionsfor 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 interventionsin cardiovascular nursing practice.
KeyWords

Patient-centered care, Cardiopulmonary resuscitation, Caregivers, Cardiovascular diseases
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