Browse > Article

Evaluation of a Self-efficacy-based Basic Life Support Program for High-risk Patients' Family Caregivers  

Kang, Kyunghee (Department of Emergency Medical Technology, Gachongil College and Graduate School of Nursing, Gachon Medical School)
Lee, Insook (Department of Nursing, Seoul National University)
Publication Information
Journal of Korean Academy of Nursing / v.35, no.6, 2005 , pp. 1081-1090 More about this Journal
Abstract
Purpose: The purpose of this study was to evaluate a Self-efficacy-based Basic Life Support (SEBLS) program for high-risk patients' family caregivers on cardiac arrest. The SEBLS program was constructed on the basis of Bandura's self-efficacy resources as well as the International Liaison Committee on Resuscitation's '2000 Guidelines for CPR and ECC'. Method: The effect of the SEBLS program on emergency response self-efficacy and emergency response behavior such as BLS(Basic Life Support) knowledge and BLS skill performance was measured by a simulated control group pretest-posttest design. Study subjects were38 high-risk patients' family caregivers(20 experimental subjects and 18 control subjects) whose family patients were admitted to a general hospital in Incheon, Korea. Result: 1. Emergency response self-efficacy was significantly higher in the experimental subjects who participated in the SEBLS program than in the control subjects. (t=8.3102, p=0.0001). 2. For emergency response behavior, BLS knowledge (t=5.6941, p=0.0001) and BLS skill performance (t=27.8281, p=0.0001) was significantly higher in experimental subjects than in control subjects. Conclusion: A SEBLS program can increase emergency response self-efficacy and emergency response behavior, and could be an effective intervention for high-risk patient's family caregivers. Long-term additional studies are needed to determine the lasting effects of the program.
Keywords
Self-efficacy; Cardiopulmonary Resuscitation; Emergency; Patients; Family caregivers;
Citations & Related Records
연도 인용수 순위
  • Reference
1 American Red Cross. (1997). American Red Cross Instructor Candidate Training Participant's Manual, Washington, DC: American National Red Cross
2 Korea National Statistics Office. (2004). Annual Report on the Cause of Death Statistics
3 Kouwenhoven, W. B., Jude, J. R., & Knickerbocker, G. G. (1960). Closed chest cardiac massage. JAMA, 173, 1084-1087
4 Ramirez, A. G, & Weaver, F. J. (1977). The Efficacy of lay CPR instruction: An evaluation. AJPH, 67, 1073-1095
5 Dracup, K., Guzy, P. M., Taylor, S. E., & Barry, J. (1986). Cardiopulmonary resuscitation (CPR) training. Consequences for family members of high-risk cardiac patients. Arch Intern Med, 146(9), 1757-1761   DOI   ScienceOn
6 Nelson, K. (1979). CPR training for families of cardiac patients. Cardiovasc Nurse, 15, 28-32
7 Rubens, A. J. (1991). Practical CPR May Ease New-Student Anxieties. Occupational Health & Safety, 28-32
8 Bandura, A. (1977). Self-Efficacy: Toward a unifying theory of behavioral change. Psycho Rev, 84, 191-215   DOI   PUBMED   ScienceOn
9 Lee, M. K., Kim. S. J., Choi, D. R, Jeon, D. H., Yoo, B. D., Lee, & D. P. (2002). Outcome of Nontraumatic Prehospital Cardiac Arrest. JKSEM, 13(4). 428-433
10 Brennan, R. T., & Bralow, A. (1995). A Skill Mastery in Cardiopulmonary Resuscitation Training Classes, Am. J. Emerg Med, 13, 505-508   DOI   ScienceOn
11 Zeiss, A. M., Gallagher-Thompson, D., Lovett, S., Rose, J., & McKibbin, C. (1999). Self-efficacy as a Mediator of Caregiver Coping: Development and Testing of an Assessment Model. Journal of Clinical Geropsychology, 5(3), 221-230   DOI   ScienceOn
12 Schlessel J. S., Rappa, H. A., Lesser, M., Pogge, D., Ennis, R, & Mandel, L. (1995). CPR knowledge, self-efficacy, and anticipated anxiety as functions of infant/child CPR training. Ann Emerg Med, 25(5), 618-623   DOI   ScienceOn
13 American Heart Association. (2000). Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiac Care, Circulation, 102, Supplement 1   PUBMED
14 Flint, L. S., Billi, J. E., Kelly, K., Mandel, L., Newell, L., & Stapleton, Jr. (1993). Education in adult basic life support training programs. Ann Emerg Med, 22, 466-208
15 Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum
16 Moser, D. K., Dracup, K., & Doering, L. V. (1999) Effect of cardiopulmonary resuscitation training for parents of high-risk neonates on perceived anxiety, control, and burden. Heart Lung, 28(5), 326-333   DOI   ScienceOn
17 Kang, K. H., & Lee, I. S. (2001). An Evaluation Study of 1339 and 119 Emergency Medical Dispatch Protocols, J Korean Acad Nurs, 31(4), 538-547
18 Sigsbee M., & Geden E. A. (1990). Effect of anxiety on family members of patients with cardiac disease learning cardiopulmonary resuscitation. Heart Lung, 19(6), 662-665   PUBMED
19 Starr, L. M. (1995). What is successful CPR. Occup Health Saf, 7, 36-37
20 Korea Red Cross. (1995). First aid Manual, Seoul: Dongmyung publishing company
21 Wright, S., Norton, C, & Kestn, K. (1989). Retention of Infant CPR instruction by Parents. Paediatr Nurs, 15(1), 37-44
22 Brennan, R. T. (1989). A question of life and death : an investigation of CPR instruction using hierarchial linear modeling (Doctoral dissertation). Cambridge, MA: Harvard University
23 Lee, E. O., Lim, N. Y., Park, H. A. (1998). Nursing, Medical Research and Statistics, Seoul: Soomoon publishing company
24 Dracup, K., Moser, D. K., Doering, L. V., Guzy, P. M., & Juarbe, T. (2000). A controlled trial of cardiopulmonary resuscitation training for ethnically diverse parents of infants at high risk for cardiopulmonary arrest. Crit Care Med, 28(9), 3289-3295   DOI   ScienceOn
25 Yoon, H. D., Park. J. K, & Min, Y. I. (1997). Clinical Analysis of Nontraumatic Prehospital Cardiac Arrest for Two years, JKSEM, 8(3), 341-346
26 Koo, M. O., Yang, Y. H., Lee, E. N., Park, S. J., Park, Y. I., Seo, S. R., Kim, S. J., Kim, I. J., Choi, E. O., Lee, D. S., Lee, I. S., & Lee, E. O. (1997). A conceptual analysis of self-efficacy, J Korean Acad Nurs, 77(10), 106-117
27 Kliegel. A., Scheinecker, W., Sterz, F., Eisenburger, P., Holzer, M., & Laggner A. N. (2000). The attitudes of cardiac arrest survivors and their family members towards CPR courses. Resuscitation, 47(2), 147-154   DOI   ScienceOn