Evaluation of the effect of metronome in the new nurse training of cardiopulmonary resuscitation based on Solomon four-group design / 中国实用护理杂志

Objective To evaluate the effect of using"metronome"to guide chest compression in the new nurse training of cardiopulmonary resuscitation(CPR). Methods From 2015 to 2016,385 new nurses were enrolled and randomly by random number table divided into four groups based on Solomon four-group design:control group 1(96 nurses),sudy group 1(89 nurses),control group 2(104 nurses) and study group 2(96 nurses),Control group 1 and control group 2 accepted normal training plus "chest compressions operation formula" training,study group 1 and study group 2 got "metronome" guiding based on the frequency training.Control group 1 and study group 1 took a baseline test before the training started,while control group 2 and study group 2 didn't.Four groups took part in an operational test after the seven days of training. Results There was no statistical difference between the baseline test scores of control group 1 and study group 1(P>0.05).After the training,the score of study group 1 was 93.4±3.5, which was significantly higher than 91.6 ± 4.7 of control group 1(t=-2.870, P<0.01).Through covariance analysis,after removing the impact of the baseline test score,the score of study group was statistically significant higher than that of control group 1 (F=7.33, P=0.007).Furthermore,there was no statistically significant interaction between the baseline test score and training method (P>0.05).Meanwhile,after training,study group 2 scores was 93.5±3.5,which was statistically higher than 92.1±4.0 of control group 2(t=2.670,P=0.008).Control group 1 were combined with control 2 to form control group,as well as study group 1 with study group 2 to form study group.A comparison between these two new groups indicates that the new study group surpasses the new control group with lower error frequencies in the position,depth and frequency of external cardiac compression (t=4.701 8, 12.488 9, 11.993 9, P<0.05).In addition,the study group also showed a better performance, when taking into consideration of the region and skills of compression and the observation of complexion,while there was no statistical difference between the error frequencies in these three aspects of these two new groups(P>0.05). Conclusions In the CPR training of new nurses,using a 100 times/min"metronome"can help new nurses grasp the accurate compression rates and depth, improve the overall quality of this procedure,making it a simple and effective training method,which is worthy of popularization.

Metronome Guided CPR to Improve the Quality of CPR

PURPOSE: Consensus guidelines clearly define how cardiopulmonary resuscitation (CPR) is to be performed, but the parameters of CPR in actual practice are not routinely measured, nor is the quality known. We sought to investigate the actual quality of CPR performed by trained hospital staffs and to determine whether metronome guidance improved the quality of CPR. METHODS: A prospective study was performed on 26 out of hospital cardiac arrest patients who received CPR at an emergency department (ED). In the ED, resuscitation efforts were recorded by using a camcorder. Using the recorded data, we analyzed the parameters of CPR quality such as ventilation and chest compression rates. RESULTS: In the 26 cardiac arrests, the first nine cases constituted group I. The subsequent nine cases, after the rescuers had been re-trained to provide CPR according to the guideline, constituted group II. The final eight cases after the rescuers had been trained to use metronome guidance constituted group III. The average ventilation rate in group I was 30.7 ventilations/min. Although the average ventilation rate in group II was lower than that of group I, it was still higher than the recommended rate. After metronome guidance, the ventilation rate was significantly reduced and approached to the rate of the present guideline. The average chest compression rate in group I was higher than the rate recommended in the present guideline and was significantly reduced after metronome guidance. CONCLUSION: We strongly believe that further study should be performed to consider the survival benefit of good-quality CPR. Devices providing feedback to alert rescuers may be useful for improving the quality of CPR.

A Case of Metronome Pisa Syndrome in Risperidone Therapy / 신경정신의학

The Pisa syndrome is a rare extrapyramidal side effect caused by neuroleptic treatment and its characteristics are twisting and bending to one side of the upper thorax, the neck and the head. When its chatacteristics show both sides, we call it 'Metronome Pisa syndrome'. We report the case of a 53-year-old woman who suffered Metronome Pisa syndrome following risperidone therapy. Risperidone therapy in old ages should be cautious even if its dosage is minimal.