TÜRKİYE’DEKİ FİZYOTERAPİSTLERİN KARDİYOPULMONER RESÜSİTASYON BİLGİ DÜZEYLERİNİN DEĞERLENDİRİLMESİ

Öz

Amaç: Bu çalışmanın amacı, Türkiye’de çalışmakta olan fizyoterapistlerin Kardiyopulmoner Resüsitasyon (KPR) hakkındaki bilgi düzeylerini değerlendirmekti. Yöntem: Ağustos-Ekim 2021 tarihleri arasında yürütülen kesitsel bir araştırmadır. Çalışmaya katılmayı kabul eden 164’ü (%59,63) erkek, 111’i (%40,37) kadın olmak üzere toplam 275 fizyoterapiste online anket formu gönderilerek veriler toplandı. KPR bilgi düzeyini değerlendirmek amacıyla 2010 Amerikan Kalp Cemiyeti (AHA)-ERC KPR kılavuzu rehber alınarak hazırlanan anket toplam 26 sorudan oluşmakta ve kendi kendine uygulanmaktadır. Anketin ilk bölümünde kişisel bilgileri içeren 5 soru (yaş, cinsiyet, çalıştıkları kurum, çalışma süresi vb.); ikinci bölümde KPR eğitimi ve değerinin algılanmasına yönelik 12 soru , üçüncü bölümde ise KPR ile ilgili bilgi düzeylerini ölçmeyi hedefleyen 10 soru yer almaktadır. KPR bilgi puanında 0-5 puan aralığı düşük, 6-10 puan aralığı ise yüksek olarak değerlendirildi. Sonuçlar: En çok çalışılan kurum hastane (%41,50) ve çalışma alanı ise kas-iskelet sistemi (%37,80) idi. Herhangi bir yerde kardiyak arrest (KA) vakası ile karşılaşanların oranı %28,40 iken çalışma ortamında bu oran %20,70 idi. Katılımcıların çoğu (%67,30) KPR eğitimi almıştı ancak eğitim alanlar KPR uygulama konusunda %59,50’si eğitimi, %71,90’u da kendisini yetersiz buldu. Çalışma alanı, yaş, cinsiyet ve deneyim yılına göre KPR sertifikasına sahip olma durumu ilişkili değildi(p>0,05).Hastanede çalışanların KPR sertifikası sahip olma oranı üniversitede çalışanlara göre daha yüksekti(p=0,014).Teorik KPR bilgi puanı ortalaması 5±0,12 idi, bu sonuç KPR bilgi düzeylerinin düşük olduğunu gösterdi. KPR bilgi puanı; KPR eğitimi alanlarda almayanlara göre, KPR uygulamasında kendini yeterli görenlerde de yeterli görmeyenlere göre daha yüksekti(p=0,001). Tartışma: Sonuçlarımız fizyoterapistlerin çoğunluğunun, KPR sertifikasının olduğunu fakat KPR sertifikası olanların çoğunluğunun da KPR bilgi düzeylerinin yetersiz olduğunu ve kendilerini bu konuda yetersiz hissettiklerini göstermiştir. KPR uygulamasını daha iyi değerlendirmek isteyen gelecekteki araştırmalar fizyoterapistlerin gerçek KPR yeterliliğini teorik bir değerlendirmeden ziyade uygulamalı yöntemlerle değerlendirmelidir.

Anahtar Kelimeler

• Bilgi
• Fizyoterapist
• Kardiyopulmoner Resüsitasyon

EVALUATION OF CARDIOPULMONARY RESUSCITATION KNOWLEDGE LEVELS OF PHYSIOTHERAPISTS IN TURKEY

Abstract

Purpose: The aim of this study was to evaluate the knowledge level of physiotherapists working in Turkey about Cardiopulmonary Resuscitation (CPR). Methods: It is a cross-sectional study conducted between August and October 2021. Data were collected by sending an online questionnaire form to a total of 275 physiotherapists, 164 (59.63%) male and 111 (40.37%) female, who agreed to participate in the study. In order to evaluate the level of CPR knowledge, the questionnaire prepared by taking the 2010 American Heart Association (AHA)-ERC CPR guideline as a guide, consists of 26 questions and is self-administered.In the first part of the questionnaire, 5 questions containing personal information (age, gender, institution of employment, duration of employment, etc.); in the second part, there are 12 questions on the perception of CPR training and its value, and in the third part, 10 questions aiming to measure the current knowledge level about CPR. In the CPR knowledge score, 0-5 points range was evaluated as low, 6-10 point range was evaluated as high. Results:The most work setting was the hospital (41.50%) and the main scope of work was the musculoskeletal system (37.80%). While the rate of those who encountered a CA case anywhere was 28.40%, this rate was 20.70% in the work setting. Most of the participants (67.30%) had received CPR training.While 59.50% of those who received training found the training incompetent in CPR practice, 71.90% found themselves. CPR certificate was not related to field of study, age, gender and years of experience (p>0.005). The rate of CPR certification among those working at the hospital was higher than those working at the university(p=0.014). The mean theoretical CPR knowledge score was 5±0.12, which showed that CPR knowledge levels were low.CPR knowledge score; It was higher in those who received CPR training than those who did not, and those who considered themselves competent in CPR practice compared to those who did not see it as sufficient (p=0.001). Conclusion:Our results showed that the majority of physiotherapists have CPR certification, but the majority of those with CPR certification have insufficient knowledge of CPR and feel incompotent in this regard.Future research that wishes to better evaluate the practice of CPR should evaluate physical therapists' actual CPR competence with hands-on methods rather than a theoretical assessment.

Keywords

• Knowledge
• Physiotherapist
• Cardiopulmonary Resuscitation

Kaynakça

1. Olasveengen TM, Semeraro F, Ristagno G, Castren M, Handley A, Kuzovlev A, ve diğ. European Resuscitation Council Guidelines 2021: Resuscitation. 2021 Apr;161:98-114. doi: 10.1016/j.resuscitation.2021.02.009. Epub 2021 Mar 24. PMID: 33773835.
2. Nolan JP, Soar J, Perkins GD. Cardiopulmonary resuscitation. BMJ. 2012 Oct 3;345(7877).
3. Monsieurs KG, Nolan JP, Bossaert LL, Greif R, Maconochie IK, Nikolaou NI, ve diğ. European Resuscitation Council Guidelines for Resuscitation 2015: Section 1. Executive summary. Resuscitation . 2015 Oct 1;95:1–80.
4. Gebremedhn EG, Gebregergs GB, Anderson BB, Nagaratnam V. Attitude and skill levels of graduate health professionals in performing cardiopulmonary resuscitation. Advances in Medical Education and Practice. 2017;8:43–50.
5. Lim ZJ, Reddy MP, Afroz A, Billah B, Shekar K, Subramaniam A. Incidence and outcome of out-of-hospital cardiac arrests in the COVID-19 era: A systematic review and meta-analysis. Resuscitation . 2020 Dec 1;157:248.
6. Hayek SS, Brenner SK, Azam TU, Shadid HR, Anderson E, Berlin H, et al. In-hospital cardiac arrest in critically ill patients with covid-19: multicenter cohort study. The BMJ. 2020 Sep 30;371:m3513.
7. Perkins GD, Graesner JT, Semeraro F, Olasveengen T, Soar J, Lott C, ve diğ. European Resuscitation Council Guideline Collaborators. European Resuscitation Council Guidelines 2021: Executive summary. Resuscitation. 2021 Apr;161:1-60. doi: 10.1016/j.resuscitation.2021.02.003. Epub 2021 Mar 24. Erratum in: Resuscitation. 2021 May 4;163:97-98. PMID: 33773824.
8. Cheng A, Magid DJ, Auerbach M, Bhanji F, Bigham BL, Blewer AL, et al. Part 6: Resuscitation education science: 2020 American Heart Association Guidelines For Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020;142:S551–79.

9. Majid A, Jamali M, Ashrafi MM, Haq ZU, Irfan R, Rehan A, et al. Knowledge and Attitude Towards Cardiopulmonary Resuscitation Among Doctors of a Tertiary Care Hospital in Karachi. Cureus. 2019 Mar 6;11(3).
10. Casey WF. Cardiopulmonary resuscitation: a survey of standards among junior hospital doctors. J R Soc Med. 1984;77(11):921.
11. Roshana S, K Batajoo, R Piryani, M Sharma. Basic life support: knowledge and attitude of medical/paramedical professionals. World J Emerg Med. 2012;3(2):141-5. doi: 10.5847/wjem.j.issn.1920-8642.2012.02.011. PMID: 25215053; PMCID: PMC4129799.
12. Chandrasekaran S, Kumar S, Bhat SA, Saravanakumar, Shabbir PM, Chandrasekaran V. Awareness of basic life support among medical, dental, nursing students and doctors. Indian J Anaesth. 2010 Jan ;54(2):121.
13. Pepera G, Xanthos E, Lilios A, Xanthos T. Knowledge of cardiopulmonary resuscitation among Greek physiotherapists. Monaldi Arch Chest Dis. 2019 Nov 12;89(3). doi: 10.4081/monaldi.2019.1124. PMID: 31711281.
14. Harvey D, O’brien D, Moran K, Webber J. Knowledge and perceptions of cardiopulmonary resuscitation amongst New Zealand physiotherapists. NZ j. physiother. 2019;47(2):94–104.
15. Masley PM, Havrilko CL, Mahnensmith MR, Aubert M, Jette DU. Physical therapist practice in the acute care setting: A qualitative study. Phys Ther. 2011 Jun;91(6):906–19.
16. Kuçukguclu O,Esen A,Yener G .The reliability and validity of the caregiver burden ınventory in Turkey. J. Neurol. Sci. 2009; 60 - 73.
17. Alkandari SA, Alyahya L, Abdulwahab M. Cardiopulmonary resuscitation knowledge and attitude among general dentists in Kuwait. World J Emerg Med. 2017;8(1):19.
18. Mbada CE, Hakeem BO, Adedoyin RA, Awotidebe TO, Okonji AM. Knowledge, attitude and practive of cardiopulmonary resuscitation among nigerian physiotherapists. J Resp Cardiov Phys Ther. 2013;2(2):52–62.
19. Greif R, Lockey A, Breckwoldt J, Carmona F, Conaghan P, Kuzovlev A, ve diğ. European Resuscitation Council Guidelines 2021: Education for resuscitation. Resuscitation. 2021 Apr 1;161:388–407.