The Impact of Downbeat Fit-CPR Music on Compression Rate During Cardiopulmonary Resuscitation by Undergraduate Students: A Randomised Controlled Trial
Maternal Health-seeking Behaviour
Abstract
A musical metronome is one method to assist the public in performing optimal chest compressions. This study evaluated the influence of innovative downbeat Fit-cardiopulmonary resuscitation (CPR) music versus no music on guiding laypersons to perform high-quality CPR. A randomised controlled trial was conducted among non-medical undergraduate students in Klang Valley, comparing a Fit-CPR music group (intervention) to standard CPR training (control). The intervention group received 90 minutes of hands-only CPR training, including a lecture, video presentation and three rounds of CPR practice with facilitators while listening to music. The control group underwent the same training without music. Primary outcomes included chest compression-associated components (rate, depth, recoil) and non-compression components (safety, response, help, breathing check, hand placement). A total of 53 students participated, with 27 (50.9%) in the intervention and 26 (49.1%) in the control group. Both groups showed significant improvement post-training (p < 0.001). The intervention group outperformed the control in compression and non-compression components (p = 0.008, p = 0.031). A significant association was found between the intervention and compression rate (p < 0.001), with 96.3% achieving the target rate compared to 53.8% in the control. However, no significant association was found for compression depth or recoil (p = 1.000, p = 0.498). This study demonstrates that Fit-CPR music helps laypersons to sustain the American Heart Association-recommended chest compression rate, highlighting its potential as an effective CPR training aid.
Keywords :
Cardiopulmonary resuscitation; education; musical metronome; public; training; undergraduate,
Abstrak
Metronom muzik merupakan salah satu kaedah untuk membantu orang awam melakukan penekanan dada pada kadar yang optimum. Kajian ini menilai pengaruh muzik Fit-resusitasi kardiopulmonari (CPR) dengan rentak turun yang inovatif berbanding tanpa muzik dalam membimbing orang awam melakukan CPR berkualiti tinggi. Satu kajian percubaan terkawal secara rawak telah dijalankan dalam kalangan pelajar sarjana muda bukan perubatan di Lembah Klang, dengan membandingkan kumpulan muzik Fit-CPR (intervensi) dengan latihan CPR piawai (kawalan). Kumpulan intervensi menerima latihan CPR tanpa bantuan pernafasan selama 90 minit, yang merangkumi kuliah, tayangan video dan tiga pusingan latihan CPR bersama fasilitator sambil mendengar muzik. Kumpulan kawalan menjalani latihan yang sama tanpa muzik. Hasil utama kajian merangkumi komponen berkaitan penekanan dada (kadar, kedalaman serta pulangan dada) dan komponen bukan berkaitan penekanan dada (keselamatan, tindak balas, bantuan, pemeriksaan pernafasan dan penempatan tangan). Seramai 53 pelajar terlibat dengan 27 orang (50.9%) dalam kumpulan intervensi dan 26 orang (49.1%) dalam kumpulan kawalan. Kedua-dua kumpulan menunjukkan peningkatan prestasi CPR yang signifikan selepas latihan (p < 0.001). Kumpulan intervensi menunjukkan prestasi lebih baik berbanding kumpulan kawalan dalam komponen penekanan dan bukan penekanan dada (p = 0.008, p = 0.031). Terdapat hubungan signifikan antara intervensi dan kadar penekanan dada (p < 0.001), di mana 96.3% peserta dalam kumpulan intervensi mencapai kadar yang disarankan berbanding 53.8% dalam kumpulan kawalan. Walau bagaimanapun, tiada hubungan signifikan ditemui bagi kedalaman penekanan dada atau pulangan dada (p = 1.000, p = 0.498). Kajian ini menunjukkan bahawa muzik Fit-CPR membantu orang awam mengekalkan kadar penekanan dada yang disarankan oleh Persatuan Jantung Amerika, sekaligus berpotensi menjadi alat bantuan latihan CPR yang berkesan.
Kata Kunci :
Latihan; metronom muzik; orang awam; pendidikan; resusitasi kardiopulmonari; sarjana muda,
Correspondance Address
Mohd Hisham Isa. Department of Emergency Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latiff, Bandar Tun Razak Cheras, 56000 Kuala Lumpur, Malaysia. Tel: +6012 3052005 Email: mohimois@ukm.edu.my
