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1.
Artigo em Inglês | MEDLINE | ID: mdl-30909545

RESUMO

Background: Literature indicates that patients who receive cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED) from bystanders have a greater chance of surviving out-of-hospital cardiac arrest (OHCA). A few evaluative studies involving CPR/AED education programs for rural adolescents have been initiated. This study aimed to examine the impact of a 50 min education program that combined CPR with AED training in two rural campuses. Methods: A quasi-experimental pre-post design was used. The 50 min CPR/AED training and individual performance using a Resusci Anne manikin was implemented with seventh grade students between August and December 2018. Results: A total of 336 participants were included in this study. The findings indicated that the 50 min CPR/AED education program significantly improved participant knowledge of emergency responses (p < 0.001), correct actions at home (p < 0.01) and outside (p < 0.001) during an emergency, and willingness to perform CPR if necessary (p < 0.001). Many participants described that "I felt more confident to perform CPR/AED," and that "It reduces my anxiety and saves the valuable rescue time." Conclusions: The brief education program significantly improved the immediate knowledge of cardiac emergency in participants and empowered them to act as first responders when they witnessed someone experiencing a cardiac arrest. Further studies should consider the study design and explore the effectiveness of such brief programs.


Assuntos
Reanimação Cardiopulmonar/educação , Desfibriladores/psicologia , Aprendizagem , Parada Cardíaca Extra-Hospitalar/psicologia , Adolescente , Reanimação Cardiopulmonar/psicologia , Feminino , Humanos , Masculino , Parada Cardíaca Extra-Hospitalar/prevenção & controle , Estudantes/estatística & dados numéricos
3.
Nurse Educ Today ; 65: 232-238, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29605787

RESUMO

AIM OF THE STUDY: The objective of this study was to compare the immediate and 6-month efficacy of basic life support (BLS) and automatic external defibrillation (AED) training using standard or blended methods. METHODS: First-year students of medicine and nursing (n = 129) were randomly assigned to a control group (face-to-face training based on the European Resuscitation Council [ERC] Guidelines) or to an experimental group that trained with a self-training video, a new website, a Moodle platform, an intelligent manikin, and 45 min of instructor presence. Both groups were homogeneous and were evaluated identically. Theoretical knowledge was evaluated using a multi-choice questionnaire (MCQ). Skill performance was evaluated by the instructor's rubric and on a high-fidelity Resusci Anne QCPR manikin. RESULTS: Immediately after the course, there were no statistically significant differences in knowledge between the two groups. The median score of practical evaluation assessed by the instructor was significantly better in the experimental group (8.15, SD 0.93 vs 7.7, SD 1.18; P = 0.02). No differences between groups were found when using a high-fidelity manikin to evaluate chest compressions and lung inflations. At six months, the scores in knowledge and skill performance were significantly lower compared to the evaluations at the end of the instruction, but they remained still higher compared to baseline. The experimental group had higher scores in practical skills evaluated by the instructor than the control group (7.44, SD 1.85 vs 6.10, SD 2.6; P = 0.01). CONCLUSIONS: The blended method provides the same or even higher levels of knowledge and skills than standard instruction both immediately after the course and six months later.


Assuntos
Reanimação Cardiopulmonar/educação , Competência Clínica/normas , Desfibriladores/psicologia , Estudantes/psicologia , Ensino/normas , Reanimação Cardiopulmonar/métodos , Avaliação Educacional/métodos , Feminino , Humanos , Masculino , Pesquisa Qualitativa , Estatísticas não Paramétricas , Adulto Jovem
4.
Sociol Health Illn ; 40(1): 171-187, 2018 01.
Artigo em Inglês | MEDLINE | ID: mdl-29034477

RESUMO

Technologies inside bodies pose new challenges in a technological culture. For people with pacemakers and defibrillators, activities such as passing security controls at airports, using electromagnetic machines, electrical domestic appliances and electronic devices, and even intimate contacts with their loved ones can turn into events where the proper functioning of their device may be at risk. Anticipation of potentially harmful events and situations thus becomes an important part of the choreography of everyday life. Technologies inside bodies not only pose a challenge for patients living with these devices but also to theorising body-technology relations. Whereas researchers usually address the merging of bodies and technologies, implants ask us to do the opposite as well. How are we to understand human-technology relations in which technologies should not entangle with bodies because they serve other purposes? Based on a study of the daily life practices of people with pacemakers and defibrillators in the Netherlands and the US, I argue that disentanglement work, i.e. work involved to prevent entanglements with objects and people that may inflict harm upon implanted devices, is key to understanding how hybrid bodies can survive in today's densely populated technological landscape.


Assuntos
Atividades Cotidianas , Desfibriladores/psicologia , Marca-Passo Artificial/psicologia , Comportamento Sexual , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Países Baixos , Próteses e Implantes/efeitos adversos , Estados Unidos
5.
Int Emerg Nurs ; 33: 7-13, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-28256337

RESUMO

INTRODUCTION: Nurses are often the first responders to in-hospital cardiac emergencies. A positive attitude towards cardiopulmonary resuscitation with defibrillation may contribute to early cardiopulmonary resuscitation and rapid defibrillation, which are associated with enhanced long-term survival. The aim of this study was to translate and adapt the 31-item attitudes towards cardiopulmonary resuscitation with defibrillation and the national resuscitation guidelines (ACPRD) instrument into Chinese and to evaluate its psychometric properties in a sample of Taiwanese hospital nurses. METHODS: The ACPRD instrument was translated into Chinese using professional translation services. Content validity index based on five experts to refine the translated instrument. The final instrument was applied to a sample of 290 female nurses, recruited from a regional hospital in southern Taiwan, to assess its internal consistency, factor structure, and discriminative validity. RESULTS: The Chinese ACPRD instrument showed good internal consistency (Cronbach's alpha=0.87). Seven factors emerged from the factor analysis. The instrument showed good discriminative validity and were able to differentiate the attitudes of nurses with more experience of defibrillation or cardiopulmonary resuscitation from those with less experience. Nurses working in emergency ward or intensive care unit also showed significantly higher overall scores compared to those working in other units. CONCLUSION: The Chinese ACPRD demonstrated adequate content validity, internal consistency, sensible factor structure, and good discriminative validity. Among Chinese-speaking nurses, it may be used as a tool for assessing the effectiveness of educational programs that aim to improve their confidence in performing cardiopulmonary resuscitation with defibrillation.


Assuntos
Atitude do Pessoal de Saúde , Reanimação Cardiopulmonar/psicologia , Desfibriladores/psicologia , Enfermeiras e Enfermeiros/psicologia , Psicometria/normas , Adulto , Reanimação Cardiopulmonar/normas , Reanimação Cardiopulmonar/estatística & dados numéricos , Desfibriladores/normas , Desfibriladores/estatística & dados numéricos , Feminino , Humanos , Enfermeiras e Enfermeiros/estatística & dados numéricos , Psicometria/métodos , Reprodutibilidade dos Testes , Inquéritos e Questionários , Taiwan
6.
Med Intensiva ; 41(5): 270-276, 2017.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-27773493

RESUMO

AIM: To evaluate layperson (university student) ability to use an automated external defibrillator (AED). DESIGN: A repeated measures quasi-experimental study with non-probabilistic sampling and a control group was carried out. SCOPE: Teacher training degree students at the University of Santiago de Compostela (Spain). PARTICIPANTS: The sample consisted of 129 subjects (69% women and 31% men), between 19-47 years of age (mean 23.2±4.7 years). As inclusion criterion, the subjects were required to have no previous knowledge of AED. INTERVENTIONS: Times to apply defibrillation with an AED to a mannequin were recorded untrained (T0), after a theoretical and practice explanation lasting less than one minute (T1), and 6 months after the training process (T2). MAIN VARIABLES OF INTEREST: The primary endpoint was the time taken to deliver a defibrillation discharge. The "improvement effect" variable was defined by the absolute time difference between T1 and T0, while the "degree of forgetfulness effect" variable was defined as the absolute difference between T1 and T2. RESULTS: The mean times were T0=67.7s; T1=44.2s; T2=45.9s. The time to apply defibrillation was reduced after explanation training (T1

Assuntos
Desfibriladores/psicologia , Primeiros Socorros , Estudantes/psicologia , Capacitação de Professores , Adulto , Avaliação Educacional , Cardioversão Elétrica/instrumentação , Cardioversão Elétrica/métodos , Feminino , Humanos , Masculino , Manequins , Memória , Pessoa de Meia-Idade , Inquéritos e Questionários , Universidades , Adulto Jovem
7.
Heart Rhythm ; 12(5): 899-908, 2015 May.
Artigo em Inglês | MEDLINE | ID: mdl-25602174

RESUMO

BACKGROUND: Treatment of electrophysiologic (EP) disease in pediatric patients has improved; however, the effects on quality of life (QOL) are unknown. OBJECTIVE: The purpose of this study was to compare QOL within EP disease groups and to other congenital heart diseases, to evaluate the effects of cardiac rhythm devices on QOL, and to identify drivers of QOL in EP disease. METHODS: Cross-sectional study of patient/parent proxy-reported Pediatric Cardiac Quality of Life Inventory scores (Total, Disease Impact, Psychosocial Impact) in subjects aged 8 to 18 years from 11 centers with congenital complete heart block (CCHB), ventricular tachycardia (VT), supraventricular tachycardia (SVT), and long QT syndrome (LQTS). QOL was compared between EP disease groups and congenital heart disease groups [bicuspid aortic valve (BAV), tetralogy of Fallot (TOF), and Fontan]. General linear modeling was used to perform group comparisons and to identify predictors of QOL variation. RESULTS: Among 288 patient-parent pairs, mean age was 12.8 ± 3.0 years. CCHB (µ = 83) showed higher patient Total QOL than other EP disease cohorts (P ≤ .02; LQTS µ = 73; SVT µ = 74). SVT (µ = 75) and LQTS (µ = 75) had lower patient Total scores than BAV (µ = 81; P ≤ .008). Patient/parent-proxy QOL scores for all EP disease groups were not different than TOF and higher than Fontan. The presence of a cardiac rhythm device was associated with lower QOL scores in LQTS (µ = 66 vs µ = 76; P < .01). Predictors of lower patient/parent-proxy QOL included EP disease type (P ≤ .03), increased medical care utilization (P ≤ .04), and no parental college degree (P ≤ .001). CONCLUSION: Given the significant variation in QOL in EP disease type, stratification by EP disease type and increased medical care utilization may allow for targeted interventions to improve QOL.


Assuntos
Arritmias Cardíacas , Desfibriladores , Cardiopatias Congênitas/psicologia , Marca-Passo Artificial , Qualidade de Vida , Adolescente , Arritmias Cardíacas/congênito , Arritmias Cardíacas/diagnóstico , Arritmias Cardíacas/psicologia , Arritmias Cardíacas/terapia , Criança , Estudos Transversais , Desfibriladores/psicologia , Desfibriladores/estatística & dados numéricos , Feminino , Frequência Cardíaca , Humanos , Modelos Lineares , Masculino , Marca-Passo Artificial/psicologia , Marca-Passo Artificial/estatística & dados numéricos , Pediatria/métodos , Reino Unido , Estados Unidos
8.
Scand J Trauma Resusc Emerg Med ; 21: 39, 2013 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-23675991

RESUMO

BACKGROUND: Survival after out-of-hospital cardiac arrest (OHCA) is improved when bystanders provide Basic Life Support (BLS). However, bystander BLS does not occur frequently. The aim of this study was to assess the effects on attitudes regarding different aspects of resuscitation of a one-year targeted media campaign and widespread education in a rural Danish community. Specifically, we investigated if the proportion willing to provide BLS and deploy an automated external defibrillator (AED) increased. METHODS: BLS and AED courses were offered and the local television station had broadcasts about resuscitation in this study community. A telephone enquiry assessed the attitudes towards different aspects of resuscitation among randomly selected citizens before (2008) and after the project (2009). RESULTS: For responses from 2008 (n = 824) to 2009 (n = 815), there was a significant increase in the proportions who had participated in a BLS course within the past 5 years, from 34% to 49% (p = 0.0001), the number willing to use an AED on a stranger (p < 0.0001), confident at providing chest compressions (p = 0.03), and confident at providing mouth-to-mouth ventilations (MMV) (p = 0.048). There was no significant change in the proportions willing to provide chest compressions (p = 0.15), MMV (p = 0.23) or confident at recognizing a cardiac arrest (p = 0.09). The most frequently reported reason for not being willing to provide chest compressions, MMV and use an AED was insecurity about how to perform the task. CONCLUSION: A targeted media campaign and widespread education can significantly increase the willingness to use an AED, and the confidence in providing chest compressions and MMV. The willingness to provide chest compressions and MMV may be less influenced by a targeted campaign.


Assuntos
Reanimação Cardiopulmonar , Desfibriladores/estatística & dados numéricos , Conhecimentos, Atitudes e Prática em Saúde , Parada Cardíaca Extra-Hospitalar/terapia , Opinião Pública , População Rural , Televisão , Adolescente , Adulto , Idoso , Desfibriladores/psicologia , Humanos , Pessoa de Meia-Idade , Suécia , Adulto Jovem
9.
Nurs Res ; 61(3): 195-203, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22551994

RESUMO

BACKGROUND: Longitudinal studies are used in nursing research to examine changes over time in health indicators. Traditional approaches to longitudinal analysis of means, such as analysis of variance with repeated measures, are limited to analyzing complete cases. This limitation can lead to biased results due to withdrawal or data omission bias or to imputation of missing data, which can lead to bias toward the null if data are not missing completely at random. Pattern mixture models are useful to evaluate the informativeness of missing data and to adjust linear mixed model (LMM) analyses if missing data are informative. OBJECTIVES: The aim of this study was to provide an example of statistical procedures for applying a pattern mixture model to evaluate the informativeness of missing data and conduct analyses of data with informative missingness in longitudinal studies using SPSS. METHODS: The data set from the Patients' and Families' Psychological Response to Home Automated External Defibrillator Trial was used as an example to examine informativeness of missing data with pattern mixture models and to use a missing data pattern in analysis of longitudinal data. RESULTS: Prevention of withdrawal bias, omitted data bias, and bias toward the null in longitudinal LMMs requires the assessment of the informativeness of the occurrence of missing data. DISCUSSION: Missing data patterns can be incorporated as fixed effects into LMMs to evaluate the contribution of the presence of informative missingness to and control for the effects of missingness on outcomes. Pattern mixture models are a useful method to address the presence and effect of informative missingness in longitudinal studies.


Assuntos
Estudos Longitudinais/estatística & dados numéricos , Modelos Estatísticos , Pesquisa em Enfermagem/estatística & dados numéricos , Adaptação Psicológica , Interpretação Estatística de Dados , Desfibriladores/psicologia , Humanos , Modelos Lineares
12.
Heart Lung ; 40(6): 502-10, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21411144

RESUMO

OBJECTIVE: The objective of this study was to test whether an automated external defibrillator (AED) training program would positively affect the mental health of family members of high-risk patients. METHODS: A total of 305 patients with ischemic heart disease and their family members were randomized to 1 of 4 AED training programs: 2 video-based training programs and 2 face-to-face training programs that emphasized self-efficacy and perceived control. Patients and family members were surveyed at baseline and 3 and 9 months postischemic event on demographic characteristics, measures of quality of life (Short Form-36), self-efficacy, and perceived control. For this study, family members were the focus rather than the patients. RESULTS: Regression analyses showed that family members in the face-to-face training programs did not score better on any of the mental health status variables than family members who participated in the other training programs except for an increase in self-efficacy beliefs at 3 months after training. CONCLUSION: The findings suggest that a specifically designed AED training program emphasizing self-efficacy and perceived control beliefs is not likely to enhance family member mental health.


Assuntos
Cuidadores/psicologia , Desfibriladores/psicologia , Saúde da Família , Relações Familiares , Primeiros Socorros/psicologia , Estresse Psicológico , Feminino , Nível de Saúde , Parada Cardíaca , Humanos , Masculino , Saúde Mental , Pessoa de Meia-Idade , Isquemia Miocárdica , Psicometria , Análise de Regressão , Medição de Risco , Autoeficácia
13.
Ann Emerg Med ; 58(3): 240-7, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-21295376

RESUMO

STUDY OBJECTIVE: Public accessible automated external defibrillators (AEDs) are increasingly made available in highly frequented places, allowing coincidental bystanders to defibrillate with minimal delay if necessary. Although the public, as the largest and most readily available group of potential rescuers, is assigned a key role in this concept of "public" access defibrillation, it is unknown whether bystanders are actually sufficiently prepared. We therefore investigate knowledge and attitudes toward AEDs among the public. METHODS: Standardized interviews were conducted at the Central Railway Station of Amsterdam, the Netherlands, a highly frequented and AED-equipped public place with a high number of travelers and visitors from all over the world. RESULTS: Surveys from 1,018 participants from a total of 38 nations were analyzed, revealing a considerable lack of knowledge among the public. Less than half of participants (47%) would be willing to use an AED, and more than half (53%) were unable to recognize an AED. Overall, only a minority of individuals have sufficient knowledge and would be willing to use an AED. Differences between subgroups were identified, which may aid to tailor public information campaigns to specific target audiences. CONCLUSION: Only a minority of individuals demonstrate sufficient knowledge and willingness to operate an AED, suggesting that the public is not yet sufficiently prepared for the role it is destined for. Wide-scale public information campaigns are an important next step to exploit the lifesaving potential of public access defibrillation.


Assuntos
Reanimação Cardiopulmonar , Desfibriladores , Conhecimentos, Atitudes e Prática em Saúde , Parada Cardíaca Extra-Hospitalar/terapia , Adulto , Fatores Etários , Reanimação Cardiopulmonar/psicologia , Reanimação Cardiopulmonar/estatística & dados numéricos , Estudos Transversais , Desfibriladores/psicologia , Desfibriladores/estatística & dados numéricos , Feminino , Educação em Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Países Baixos , Fatores Sexuais , Inquéritos e Questionários , Adulto Jovem
14.
Heart ; 97(5): 371-81, 2011 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-20930046

RESUMO

OBJECTIVE: To compare the long-term effects of cardiopulmonary resuscitation (CPR) training and CPR/automatic external defibrillator (AED) training on anxiety and depression of patients who were medically stable after myocardial infarction (MI) and of their spouses/companions. DESIGN: Longitudinal. PARTICIPANTS: Post-MI patients (N=460) and their spouses/companions from the Home Automatic External Defibrillator Trial. MAIN OUTCOME MEASURES: Depression (Beck Depression Inventory-II scores) and anxiety (State Trait Anxiety Inventory scores). RESULTS: At study entry, 25% of the patients and 15% of their spouses were depressed and 21% of the patients and 19% of the spouses were anxious. The prevalence of depression and anxiety did not change over time in the patients or their spouses. Average depression and anxiety decreased for patients but not for spouses. An intervention group did not contribute significantly to these changes. Psychological distress, indicated by depression or anxiety of the spouse or the patient, occurred in 191 couples. Among psychologically distressed patients (N=128), depression and anxiety decreased over time; the intervention group did not contribute to these changes. The reduction in anxiety among male patients was greater than in female patients (p=0.012, 95% CI 0.002 to 0.018). Among psychologically distressed spouses (N=118), depression decreased over time independently of the intervention. Changes in spouse anxiety depended on the intervention group (p=0.012, 95% CI 0.001 to 0.012); anxiety decreased significantly in the CPR and remained high in the CPR/AED group. CONCLUSION: There was no evidence that home AEDs caused psychological distress among patients. Even among those who were psychologically distressed when they were assigned to receive either CPR training or CPR/AEDs, home AEDs did not influence changes in patients' depression or anxiety or spouses' depression in comparison with CPR training. Among psychologically distressed spouses, AEDs may keep anxiety higher than it would be otherwise. Interventions to reduce anxiety of spouses who are psychologically distressed may be indicated when their partners receive an AED.


Assuntos
Transtornos de Ansiedade/etiologia , Desfibriladores/psicologia , Transtorno Depressivo/etiologia , Infarto do Miocárdio/psicologia , Cônjuges/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Reanimação Cardiopulmonar/educação , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade
15.
J Behav Ther Exp Psychiatry ; 41(4): 365-72, 2010 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-20430368

RESUMO

The present study tested several predictions of a context-sensitivity panic vulnerability model emphasizing the interaction between threat context and threat sensitivities. Participants without a history of panic (N=47) completed both global and domain-specific panic relevant sensitivity measures and were then randomized to undergo a 35% CO2 inhalation challenge in the presence or absence of a cardiac defibrillator (threat context). As predicted by the model, cardiac sensitivity (but not trait anxiety or anxiety sensitivity) potentiated the effects of the presence of the defibrillator on CO2 fear responding. Moreover, as predicted by the model, the observed potentiation effects of cardiac sensitivity on CO2 fear responding were mediated by participants' threat appraisals connected to the presence of the defibrillator. Theoretical and clinical implications are discussed.


Assuntos
Ansiedade/fisiopatologia , Ansiedade/psicologia , Dióxido de Carbono , Medo/fisiologia , Medo/psicologia , Adolescente , Adulto , Desfibriladores/psicologia , Feminino , Humanos , Masculino , Modelos Psicológicos , Pânico , Testes Psicológicos , Adulto Jovem
16.
J Cardiovasc Nurs ; 25(1): 69-74, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20134284

RESUMO

The purpose of this study was to test the effect of a motivational message on the intention of laypersons to learn cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED) use. A pretest-posttest, double-blind, randomized design was used with 220 community-dwelling adults. Participants were randomly assigned to the treatment group reading the CPR and AED pamphlet emphasizing learning CPR and AED use to save someone they love and the 3-minute window for response time; or to the comparison group reading the identical pamphlet without the 2 motivational statements. Intention to learn CPR and AED use and to look for AEDs in public areas was measured before and after reading the respective pamphlet. No significant difference emerged between the groups for the number of participants planning to learn CPR and AED use. A significant number of participants in both groups increased intention to learn CPR and AED use. Significantly more treatment participants than comparison participants planned to routinely look for AEDs in public areas after reading the pamphlet, however. Teaching critical facts such as the low survival rate for out-of-hospital cardiac arrest might encourage laypersons to learn CPR and AED use. Routinely teaching family members of people at risk for a cardiac arrest about the short window of time in which CPR and AED use must begin and encouraging them to learn about CPR and AEDs to save someone they love may encourage family members to identify the location of AEDs in public places.


Assuntos
Atitude Frente a Saúde , Reanimação Cardiopulmonar , Desfibriladores , Educação em Saúde/organização & administração , Motivação , Materiais de Ensino , Adulto , Reanimação Cardiopulmonar/educação , Reanimação Cardiopulmonar/instrumentação , Reanimação Cardiopulmonar/psicologia , Compreensão , Desfibriladores/psicologia , Desfibriladores/estatística & dados numéricos , Método Duplo-Cego , Feminino , Alfabetização em Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa em Avaliação de Enfermagem , Folhetos , Materiais de Ensino/normas , Fatores de Tempo
17.
Health Place ; 16(2): 365-70, 2010 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-19969500

RESUMO

This paper reports on a study where a technology, the Automated External Defibrillator (AED), enables a socially troubling death in public space to be moved to a more acceptable location. This was a qualitative study, using semi-structured interviews with lay (non-medical) people, in a variety of locations, who had been trained to use an AED. The AED, and its use by lay people, means that the time and place of death from heart attack can be changed from a location like a railway station or shopping centre to the ambulance or hospital. Thus the lay people involved can act as what Timmermans (1999) terms 'death brokers'.


Assuntos
Atitude Frente a Morte , Reanimação Cardiopulmonar/psicologia , Morte Súbita Cardíaca/prevenção & controle , Desfibriladores/psicologia , Voluntários/psicologia , Reanimação Cardiopulmonar/instrumentação , Reanimação Cardiopulmonar/métodos , Desfibriladores/provisão & distribução , Desfibriladores/tendências , Primeiros Socorros/instrumentação , Primeiros Socorros/métodos , Humanos , Logradouros Públicos , Reino Unido
18.
J Dent Educ ; 71(4): 480-6, 2007 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-17468308

RESUMO

The American Heart Association reports that approximately 220,000 people die each year of sudden cardiac arrest. In ventricular fibrillation (VF), the most common abnormal heart rhythm that causes cardiac arrest, the heart's electrical impulses suddenly become chaotic, often without warning. Death will follow within minutes if the victim is not treated appropriately, and the only known treatment is defibrillation. An automated external defibrillator (AED) can restore a victim's normal heart rhythm by providing defibrillation. The purpose of this study was to gather data from dentists and dental hygienists in Ohio on their use of and attitudes toward using AEDs in dental offices. Six percent of Ohio dentists and dental hygienists were randomly selected to receive a twenty-three question survey related to their use of and attitudes toward their use of AEDs in dental offices. Thirty-three percent (244) of the surveys were returned; 41 percent of the respondents were dentists, and 59 percent were dental hygienists. Six percent said they have had to administer nitroglycerin to a patient during a dental visit; 5 percent have performed CPR on a patient in the dental office; and 78 percent said their last CPR training course included training on an AED. Eleven percent said there was an AED at their dental office. With the increased likelihood of dealing with a cardiac emergency in the dental office setting and the willingness of dental professionals to use an AED, all dental offices should consider obtaining an AED. Dental educators should become familiar with current protocols for handling cardiac medical emergencies in the dental office and prepare dental and dental hygiene students with the skills necessary to manage patients with cardiac emergencies. Graduating dental students entering private practice may want to consider the AED as part of their medical emergency office protocol.


Assuntos
Atitude do Pessoal de Saúde , Desfibriladores/estatística & dados numéricos , Higienistas Dentários/psicologia , Odontólogos/psicologia , Arritmias Cardíacas/terapia , Reanimação Cardiopulmonar/educação , Desfibriladores/psicologia , Higienistas Dentários/educação , Educação em Odontologia , Emergências , Humanos , Nitroglicerina/uso terapêutico , Ohio , Vasodilatadores/uso terapêutico
20.
Resuscitation ; 74(3): 432-8, 2007 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-17395358

RESUMO

BACKGROUND: The majority of cardiac arrests occur in the home. The placement of AEDs in the homes of at-risk patients may save lives through early defibrillation. However, the impact of having an AED in the home on psychological outcomes and quality-of-life is unknown. OBJECTIVE: The purpose of this research was to determine whether training in the use of and possessing an automated external defibrillator (AED) has an effect on a patient at risk's quality of life. METHODS: We investigated the psychological consequences of AED training and possession of such a device for patients who recently experienced an acute ischemic event. One hundred fifty eight patients and their family members were assigned at random to receive cardiopulmonary resuscitation (CPR) training (N=66) or AED/CPR training and possession of the device after training (N=92). We measured quality of life using the Short-Form (SF-36) survey and a 9-item survey we developed specifically for this study to measure differences in social activities and worries about being left alone. Participants answered these questions at enrollment, 2 weeks, 3 months, and 3 months after enrollment. RESULTS: Patients in the AED group reported lower (worse) scores on most SF-36 subscales at all periods, particularly in those subscales relating to social functioning. The differences were most often small and probably not clinically meaningful. The social activities/worry scales also favored the CPR group at all periods, but with no significant differences. CONCLUSIONS: Physicians counselling patients about AEDs should be aware of the potential effects the device may have on a patient's social functioning.


Assuntos
Atividades Cotidianas/psicologia , Assistência Ambulatorial/métodos , Desfibriladores/psicologia , Cardioversão Elétrica/instrumentação , Parada Cardíaca/terapia , Qualidade da Assistência à Saúde , Estresse Psicológico/etiologia , Cardioversão Elétrica/psicologia , Feminino , Parada Cardíaca/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Infarto do Miocárdio/complicações , Pacientes Ambulatoriais , Inquéritos e Questionários
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