Effect Of Two Training Cycles On Cardiopulmonary Resuscitation And Chest Compressions Skills Of Newly Recruited Nurses

ObjectiveCurrently,there is no uniform recommendation for how often cardiopulmonary resuscitation(CPR)training should be retrained.The purpose of this study was to study the appropriate training interval related to high quality cardiopulmonary resuscitation for new nurses,and to provide reference for nursing departments to develop relevant management strategies.MethodsA prospective cluster random design method was used in this study.A total of 160 newly enrolled registered nurses in the General Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine and its four branches were selected.According to different hospital districts,new nurses were randomly divided into two groups to receive intensive training for six months from August 2020 to February 2021.The control group was trained at a 6-month interval,and the observation group was trained at a 3-month interval.At the end of the study,the proportion of new nurses who performed chest compressions as excellent,the value of a single index of chest compressions performance,the proportion of appropriate and inadequate compressions,the theoretical assessment results,and the score of self-efficacy were compared.The measurement data conforming to the normal distribution were tested by two independent samples in a group design,and the comparison of two classification indexes was tested by the chi-square test or the continuity correction chi-square test.The comparison of measurement data or grade data that do not conform to the normal distribution is conducted by using the Wilcoxon rank sum test of two independent samples.The Wilcoxon signed rank sum test of paired samples was used to compare the matched data which did not conform to the normal distribution.Results1.The influence of training frequency on the implementation of high-quality chest compressionsA total of 148 subjects were included in the study.Baseline assessment showed that 6.08%of the subjects(9/148)performed excellent chest compressions,and there was no statistically significant difference in the proportion of new nurses performing excellent chest compressions between the two groups in the training frequency(P=0.302).2.The influence of training frequency on single index of chest compressions performance,theoretical knowledge and self-efficacyIn the operational assessment before training,there was no significant difference in the single index of chest compressions performance,the score of theoretical knowledge and the score of self-efficacy between the two groups(P>0.05),which indicated that the two groups were comparable.At the end of the study,the depth of chest compressions,the proportion of insufficient depth,the proportion of over-deep depth,the fraction of compressions,the proportion of correct times of compressions and the score of self-efficacy of the two groups of new nurses were significantly different from those before the training(P<0.05).The theoretical knowledge score of the training group at the end of the study was higher than that before the training every 3 months,and the proportion of frequency of over-slowness was lower than that before the training(P<0.05).The theoretical knowledge score of the training group at the end of the study and before the training every 6 months had no difference(P>0.05),as opposed to a depth ratio and frequency ratio and appropriate right thoracic resilient rate at the end of every 6 months training group research is higher than before the training,and the difference is statistically significant(P<0.05),while every 3 months training group and the depth of the appropriate ratio and frequency ratio and right thoracic resilient rate at the end of the study and training before the difference was not statistically significant(P<0.05).At the end of the study,every 3 month press the depth of the training set,insufficient depth ratio,proportion of depth is deep,the theoretical knowledge points,self-efficacy scores and every 6 months training group differences statistically significant(P<0.05),and each march training way on the proportion of depth,the depth is deep,theory of knowledge points and self-efficacy scores higher than that of every 6 months training group,In sufficient depth ratio was lower than that of the training group every 6 months.In addition,there were no statistically significant differences in depth appropriate proportion,average frequency,frequency appropriate proportion,frequency excessively slow proportion,frequency excessively fast proportion,thoracic rebound rate,compression fraction and total correct proportion between the training group every 3 months and the training group every 6 months(P>0.05).ConclusionCPR training for medical staff should realize regularly,keep the CPR skills in order to improve the importance of cardiac arrest patients rescue success rate,but it is difficult to prove 3 months interval than six months of training,on the expression of high-quality chest compressions has better efficiency,nursing departments in formulating the related management strategies should be considered.