Effect of cardiopulmonary resuscitation training towards cardiac arrest emergency knowledge upon students at Student Health Association of Universitas Gadjah Mada, Indonesia

Background: The cardiovascular disease, especially the sudden cardiac arrest, was the main cause of death and disability throughout the world. The cardiopulmonary resuscitation (CPR) that should be taken by the first responder or witness was an important part in the chain of survival out of the hospital that could improve the prognosis and avoid the rest of the symptoms. Hence, it is important for students to know and possess the skill, especially the cardiopulmonary resuscitation, to handle the emergency situation. University became the appropriate place to organize the CPR training because the students were more conditioned in emotional, social and cultural terms.Methods: This research utilized the quasi-experiment method. The total number of research subject was 56 Universitas Gadjah Mada students at Student Health Association. The implementation of intervention of this research was conducted on 07 July, 2018. The topic in this research intervention were formed based on American Heart Association (AHA) Guideline 2015. Pretest and posttest instrument were 10 multiple choices with five choices of answer.Results: This research proved that the CPR training gave effect on the improvement of the knowledge about emergency situation, particularly the cardiac arrest through cardiopulmonary resuscitation. The pre-test and post-test results showed that there was a knowledge improvement after the training (p=0,000).Conclusions: CPR training could be recommended to have an impact on increasing student knowledge in emergency management, especially cardiac arrest.

Effect of swallowing therapy to avoid aspiration in patients with post-stroke dysphagia at the stroke unit of Harjono hospital, Indonesia

Background: Aspiration is common complication of dysphagia stroke due to cranial nerve damage, especially cranial nerves V, VII, IX, X and XII. Existing therapies to prevent aspiration is the compensation strategy therapy and semisolid nutritional therapy, but each of these therapies is still have a weakness, so it needs a new therapeutic method namely swallowing therapy which combine the advantages and reduce the weaknesses of each of the therapy. Aim of the study is to determine the effect of swallowing therapy on aspiration prevention in patients with dysphagia stroke.Methods: This research was a quasi-experimental research involving 16 respondents in the intervention group and 16 respondents in the control group who obtained through consecutive sampling techniques. Data was collected from February-March 2016 at the Stroke Unit RSUD Dr. Harjono Ponorogo through observations using Gugging Swallowing Screen (GUSS) instruments. Data analysis used in this research was wilcoxon test to determine the difference of swallowing therapy effect before and after intervention. Mann-Whitney test was also used to determine the difference of swallowing therapy effect between intervention group and control group after intervention.Results: There was a differences of swallowing therapy effect between pre-test and post-test in the intervention group (p = 0.002). In addition, there was no differences between pre-test and post-test in the control group (p = 0.157).Conclusions: Swallowing therapy have a positive effect against aspiration prevention in patients with dysphagia stroke, so it can be recommended as an acute care intervention in stroke patients at stroke unit.