Construction and evaluation of an integrated “Hospital-Community-Family” public cardiopulmonary resuscitation training system

BackgroundEpidemiological investigations have found that 80% of cardiac arrest (CA) events occur in public places or homes. Bystander cardiopulmonary resuscitation (CPR) is the most significant factor for out-of-hospital CA (OHCA) survival. Limited opportunities exist for community residents and fam...

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Main Authors: Yanhua An, Yun Wei, Dawei Wang, Bingchen Ma, Hua Wang, Qiumei Cao
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1541177/full
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author Yanhua An
Yun Wei
Dawei Wang
Bingchen Ma
Hua Wang
Qiumei Cao
author_facet Yanhua An
Yun Wei
Dawei Wang
Bingchen Ma
Hua Wang
Qiumei Cao
author_sort Yanhua An
collection DOAJ
description BackgroundEpidemiological investigations have found that 80% of cardiac arrest (CA) events occur in public places or homes. Bystander cardiopulmonary resuscitation (CPR) is the most significant factor for out-of-hospital CA (OHCA) survival. Limited opportunities exist for community residents and family members of patients with chronic diseases to participate in CPR training programs. This study establishes an integrated “Hospital-Community-Family” public CPR training system and assesses its training feasibility.MethodsTraining system construction: the integrated “Hospital-Community-Family” public CPR training system included three levels members and two steps. The three levels members were emergency physicians at level A tertiary hospital, general practitioners (GPs) from community health service centers, and family members of patients with chronic diseases. Two steps included: (1) GPs receiving public CPR training by emergency physicians, passing the examination, and obtaining American Heart Association (AHA) certificate; (2) family members of patients with chronic diseases receiving CPR training from GPs in community health service centers. Training feasibility assessment: a questionnaire survey was used to investigate the CPR knowledge and cognition of family members of chronic disease patients before, after and 6 months after training.ResultsConstruction of the integrated “Hospital-Community-Family” public CPR training system involved eight trainers certified in American Heart Association (AHA) CPR training from the level A tertiary hospital, 23 general practitioners from the community who completed the AHA training and obtained certificates, and 149 family members of patients with chronic diseases under community care who received training. Training feasibility assessment was conducted of family members before, immediately after and 6 months post training, yielding mean scores of 9.83 ± 4.11, 13.97 ± 2.87, and 13.02 ± 3.12 (out of a total score of 17), respectively. The differences were statistically significant (p < 0.001). After 6 months, nearly half of the family members of patients with chronic diseases believed they possessed adequate CPR knowledge and skills and were confident in their CPR abilities.ConclusionsThe proposed integrated “Hospital-Community-Family” public CPR training system demonstrated significant acceptability, practical feasibility, and the necessity for its implementation.
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spelling doaj-art-9c992ab957b649daa3f2c14e51f69bd52025-08-20T02:34:06ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-06-011310.3389/fpubh.2025.15411771541177Construction and evaluation of an integrated “Hospital-Community-Family” public cardiopulmonary resuscitation training systemYanhua An0Yun Wei1Dawei Wang2Bingchen Ma3Hua Wang4Qiumei Cao5Department of General Practice, Beijing Tongren Hospital, Capital Medical University, Beijing, ChinaDepartment of General Practice, Beijing Tongren Hospital, Capital Medical University, Beijing, ChinaDepartment of General Practice, Beijing Tongren Hospital, Capital Medical University, Beijing, ChinaEmergency Department, Beijing Tongren Hospital, Capital Medical University, Beijing, ChinaEmergency Department, Beijing Tongren Hospital, Capital Medical University, Beijing, ChinaDepartment of General Practice, Beijing Tongren Hospital, Capital Medical University, Beijing, ChinaBackgroundEpidemiological investigations have found that 80% of cardiac arrest (CA) events occur in public places or homes. Bystander cardiopulmonary resuscitation (CPR) is the most significant factor for out-of-hospital CA (OHCA) survival. Limited opportunities exist for community residents and family members of patients with chronic diseases to participate in CPR training programs. This study establishes an integrated “Hospital-Community-Family” public CPR training system and assesses its training feasibility.MethodsTraining system construction: the integrated “Hospital-Community-Family” public CPR training system included three levels members and two steps. The three levels members were emergency physicians at level A tertiary hospital, general practitioners (GPs) from community health service centers, and family members of patients with chronic diseases. Two steps included: (1) GPs receiving public CPR training by emergency physicians, passing the examination, and obtaining American Heart Association (AHA) certificate; (2) family members of patients with chronic diseases receiving CPR training from GPs in community health service centers. Training feasibility assessment: a questionnaire survey was used to investigate the CPR knowledge and cognition of family members of chronic disease patients before, after and 6 months after training.ResultsConstruction of the integrated “Hospital-Community-Family” public CPR training system involved eight trainers certified in American Heart Association (AHA) CPR training from the level A tertiary hospital, 23 general practitioners from the community who completed the AHA training and obtained certificates, and 149 family members of patients with chronic diseases under community care who received training. Training feasibility assessment was conducted of family members before, immediately after and 6 months post training, yielding mean scores of 9.83 ± 4.11, 13.97 ± 2.87, and 13.02 ± 3.12 (out of a total score of 17), respectively. The differences were statistically significant (p < 0.001). After 6 months, nearly half of the family members of patients with chronic diseases believed they possessed adequate CPR knowledge and skills and were confident in their CPR abilities.ConclusionsThe proposed integrated “Hospital-Community-Family” public CPR training system demonstrated significant acceptability, practical feasibility, and the necessity for its implementation.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1541177/fullgeneral practitionersfamily caregiverscardiopulmonary resuscitation (CPR)trainingfeasibility
spellingShingle Yanhua An
Yun Wei
Dawei Wang
Bingchen Ma
Hua Wang
Qiumei Cao
Construction and evaluation of an integrated “Hospital-Community-Family” public cardiopulmonary resuscitation training system
Frontiers in Public Health
general practitioners
family caregivers
cardiopulmonary resuscitation (CPR)
training
feasibility
title Construction and evaluation of an integrated “Hospital-Community-Family” public cardiopulmonary resuscitation training system
title_full Construction and evaluation of an integrated “Hospital-Community-Family” public cardiopulmonary resuscitation training system
title_fullStr Construction and evaluation of an integrated “Hospital-Community-Family” public cardiopulmonary resuscitation training system
title_full_unstemmed Construction and evaluation of an integrated “Hospital-Community-Family” public cardiopulmonary resuscitation training system
title_short Construction and evaluation of an integrated “Hospital-Community-Family” public cardiopulmonary resuscitation training system
title_sort construction and evaluation of an integrated hospital community family public cardiopulmonary resuscitation training system
topic general practitioners
family caregivers
cardiopulmonary resuscitation (CPR)
training
feasibility
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1541177/full
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