The psychological consequences of cardiopulmonary resuscitation training for family members of patients at risk for sudden death.
K Dracup,
D K Moser,
S E Taylor and
P M Guzy
School of Nursing, University of California, Los Angeles 90095, USA.
OBJECTIVES: The purpose of this study was to determine psychologicalconsequences of teaching cardiopulmonary resuscitation (CPR)to family members of patients at risk for sudden death. METHODS:Patient-family pairs (n = 337) were randomized into one of fourgroups: control, CPR only, CPR with cardiac risk factor education,and CPR with a social support intervention. Only family membersreceived CPR training. Data on emotional state and psychosocialadjustment to illness were collected at baseline, 2 weeks, and3 and 6 months following CPR training. RESULTS: There were nosignificant differences in the emotional states of family membersacross the four groups. However, significant differences inpsychosocial adjustment and emotional states occurred in patientsacross treatment groups following CPR training. Patients whosefamily members learned CPR with the social support interventionreported better psychosocial adjustment and less anxiety andhostility than patients in the other groups. Control patientsreported better psychosocial adjustment and less emotional distressthan patients in the CPR-only and CPR-education groups. CONCLUSIONS:These findings support tailoring family CPR training so thatinstruction does not result in negative psychological statesin patients. The findings also illustrate the efficacy of asimple intervention that combines CPR training with social support.
This article has been cited by other articles:
L. A. Pyles, J. Knapp, and and the Committee on Pediatric Emergency Medicine Role of Pediatricians in Advocating Life Support Training Courses for Parents and the Public
Pediatrics,
December 1, 2004;
114(6):
e761 - e765.
[Abstract][Full Text][PDF]
E. JANE-LLOPIS, C. HOSMAN, R. JENKINS, and P. ANDERSON Predictors of efficacy in depression prevention programmes: Meta-analysis
The British Journal of Psychiatry,
November 1, 2003;
183(5):
384 - 397.
[Abstract][Full Text][PDF]
R. Swor, S. Compton, L. Farr, S. Kokko, F. Vining, R. Pascual, and R. E. Jackson Perceived Self-Efficacy in Performing and Willingness to Learn Cardiopulmonary Resuscitation in an Elderly Population in a Suburban Community
Am. J. Crit. Care.,
January 1, 2003;
12(1):
65 - 70.
[Abstract][Full Text][PDF]
K. L. Grady, K. Dracup, G. Kennedy, D. K. Moser, M. Piano, L. W. Stevenson, and J. B. Young Team Management of Patients With Heart Failure : A Statement for Healthcare Professionals From the Cardiovascular Nursing Council of the American Heart Association
Circulation,
November 7, 2000;
102(19):
2443 - 2456.
[Full Text][PDF]
R. P. Nolan, E. Wilson, M. Shuster, B. H. Rowe, D. Stewart, and S. Zambon Readiness to Perform Cardiopulmonary Resuscitation: An Emerging Strategy Against Sudden Cardiac Death
Psychosom Med,
July 1, 1999;
61(4):
546 - 551.
[Abstract][Full Text][PDF]