ABSTRACT
STUDY OBJECTIVE: To determine the effect of infant/child CPR training on CPR knowledge, self-efficacy, and anticipated anxiety among parents of healthy infants/children. PARTICIPANTS: Parents (n = 36) undergoing a 4-hour training program in infant/child CPR at a tertiary-care hospital located in a suburb of a large metropolitan region and a control group of parents (n = 47) without CPR training were enrolled in the study. DESIGN: Two parallel forms developed specifically to assess the impact of infant/child CPR training on CPR knowledge, self-efficacy, and anticipated anxiety were independently evaluated for their psychometric characteristics before being administered to the parents with and without CPR training. The CPR-trained parents were requested to complete one form immediately before and the other 1 month after CPR training, and the control group completed the two forms over a 1-month interval. Estimates of the likelihood of infant/child CPR situations were also rated by the parents at the same times. Demographic data were obtained during administration of the second form. RESULTS: Self-efficacy had increased significantly and anticipated anxiety about CPR had decreased significantly 1 month after CPR training among CPR-trained parents, compared with controls. We found no significant changes in the CPR-trained parents' CPR knowledge or estimates of the likelihood of experiencing CPR situations over the 1-month interval on comparison with data from the controls. CONCLUSION: Community-based infant/child CPR training programs affect parents on a variety of levels but may not effect changes in CPR knowledge.
Subject(s)
Anxiety/psychology , Cardiopulmonary Resuscitation/education , Health Knowledge, Attitudes, Practice , Parents/psychology , Self Concept , Adult , Cardiopulmonary Resuscitation/psychology , Child , Humans , Infant , Middle Aged , Parents/educationABSTRACT
Sixteen stable intubated premature infants without a clinically significant patent ductus arteriosus were studied during recovery from respiratory distress syndrome in order to determine the effects of left and right lateral, as compared to supine, positioning. Pulmonary mechanics were measured for spontaneous breaths 5 and 15 minutes after positioning, and arterial blood gases 15 minutes after positioning. Infants were randomized to 1 of 2 position sequences: (1) supine, left, supine, right or (2) supine, right, supine, left. No significant differences were detected between positions for dynamic compliance, tidal volume/kg, and total, inspiratory and expiratory pulmonary resistance. Likewise, no significant differences in PaO2 or PaCO2 were detected between the positions. The sequence of positions did not affect the pulmonary mechanics of spontaneous breaths or arterial blood gases. This suggest that short-term lateral positioning as well as supine positioning can be utilized without deleterious effects on pulmonary mechanics and gas exchange in neonates recovering from respiratory distress syndrome.