ORIGINAL RESEARCH article
Front. Public Health
Sec. Public Health Education and Promotion
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1541177
Construction and Evaluation of an Integrated 'Hospital-Community-Family' Public Cardiopulmonary Resuscitation Training System
Provisionally accepted
- Beijing Tongren Hospital, Capital Medical University, Beijing, China
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Background: Epidemiological investigations have found that 80% of cardiac arrest (CA) events occur in public places or homes. Bystander 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 effectiveness. Methods: (1) Training 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: (a) GPs receiving public CPR training by emergency physicians, passing the examination, and obtaining AHA certificate; (b) family members of patients with chronic diseases receiving CPR training from GPs in community health service centers. Public CPR Training 2 (2) Training effectiveness 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. Results: (1) Construction 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. (2) Training effectiveness assessment: Evaluations of the health literacy of the family members of patients with chronic diseases were conducted before training, immediately after training, and six 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 six 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.The proposed integrated 'Hospital-Community-Family' public CPR training system demonstrated significant training effectiveness, practical feasibility, and the necessity for its dissemination and implementation.
Keywords: General Practitioners, family caregivers, Cardiopulmonary resuscitation (CPR), Traing, effectiveness
Received: 07 Dec 2024; Accepted: 22 May 2025.
Copyright: © 2025 An, Wei, Wang, Ma, Wang and Cao. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Qiu-mei Cao, Beijing Tongren Hospital, Capital Medical University, Beijing, China
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