The Effects of Video Self-Intervention Cardiopulmonary Resuscitation Programme Among Household with Person Known for Cardiovascular Disease

Abstract

ABSTRACT

In the context of this study, we postulated that individuals exposed to hands-only CPR video would exhibit a higher inclination to perform CPR in a stimulated out-of-hospital cardiac arrest scenario. Furthermore, it was anticipated that they would demonstrate improved CPR skills, potentially attributed to heighted knowledge, attitude and comprehension of the challenges associated with administering CPR in such situations. This study was conducted to assess the knowledge, attitude, and practice of CPR initiated by households in cases of out-of-hospital cardiac arrest. The study aimed to evaluate the impact of a tailored video-self-instruction CPR programme specifically designed for households with individuals at risk of cardiovascular disease. This study used a mixed methodology describing bystanders' experiences of being CPR layman rescuer. In the quantitative study, the researcher uses the survey method of research questions to respondents. This study uses descriptive analysis, chi-square correlation analysis and inferential analysis using paired sample T-test and Bivariate test. A qualitative research design using purposive sampling with multiple methods was conducted involving 13 in-depth interviews among household participants coming from high risk of cardiovascular disease. In the quantitative part, respondents were provided with video-self-instruction CPR and instructed to answer the pre and post intervention questionnaires consisting of 53 questions.This study identifies four major conceptual ideas derived from participants. The findings of the data of analysis from qualitative are presented in four key themes: (1) Knowledge, (2) Attitude, (3) Practice, and (4) Barriers. The findings suggest that several factors, including a heightened desire to help community household members, an imminent threat to the patient’s life, the perception of bystander CPR as altruistic pro-social behaviour, and an underlying desire to help others in need, may facilitate CPR delivery. Furthermore, the interviews indicated a few beliefs that may limit the ability to notice when a cardiac arrest has happened and influence the inclination of a communal household to intervene. The findings of the data of analysis from quantitative for the knowledge, attitude and practice score considerably changed from the pre-intervention to the post-intervention (p<0.001). The post- intervention knowledge, attitude and practice score was found to be considerably higher than the pre-intervention value. Knowledge, attitude and practice toward CPR showed a statistically significant difference and improvement after post-intervention (p<0.001). The result analysis from paired sample T-test analysis, found that there was a significant average association score of CPR Knowledge (p=0.02) and practice before and after the intervention (p-value below 0.05). The bivariate analysis between post knowledge and post attitude is significant (r=0.140, p=0.203). It was found that relationships on post knowledge and post attitude are positive and weak. The study found that theoretical knowledge improved following a post-test with the video-self-intervention CPR. The intervention programme utilising video-self-instruction CPR has the potential to enhance the knowledge, attitude, and practice of community members in performing CPR. However, several barriers exist that hinder their willingness to act during out- of-hospital cardiac arrests. Qualitative analysis revealed varying factors such as concerns about infection, uncertainty about the sequence of CPR steps, and lack of confidence that contribute to the reluctance. The relationship between community knowledge, attitude, and practice in CPR was found to be moderate and weak. The utilisation of video-self-instruction CPR has been associated with improvements in the retention of community knowledge, attitude, and practice concerning CPR.