Title Utjecaj razine tjelesne aktivnosti na masažu srca u kardiopulmonalnoj reanimaciji Title (english) Impact of physical activity level on chest compression in cardiopulmonary resuscitation Author Domagoj Tomičić Mentor Kata Ivanišević (mentor)Committee member Morana Magaš (predsjednik povjerenstva) Committee member Vesna Grubješić (član povjerenstva) Committee member Kata Ivanišević (član povjerenstva)Granter University of Rijeka Defense date and country 2024-09-26, Croatia Scientific / art field, BIOMEDICINE AND HEALTHCARE Scientific / art field, BIOMEDICINE AND HEALTHCARE Abstract Uvod i cilj istraživanja: Kardiopulmonalna reanimacija (KPR) je postupak oživljavanja koji se primjenjuje kod srčanog aresta. Na ishod KPR-a mogu utjecati brojni čimbenici, a jedan od njih je razina tjelesne aktivnosti osobe koja izvodi masažu srca. Cilj ovog istraživanja bio je utvrditi utjecaj razine tjelesne aktivnosti ispitanika te analizirati njezinu korelaciju s kvalitetom izvođenja masaže srca tijekom KPR-a. Osim toga, istražen je i utjecaj spola ispitanika kao dodatnog čimbenika na kvalitetu masaže srca.
Materijali i metode: U istraživanju je sudjelovalo 34 djelatnika izvanbolničke hitne medicine koji su ispunili sociodemografski upitnik te IPAQ upitnik o razini tjelesne aktivnosti. Nakon toga, svi sudionici izvodili su masažu srca na simulacijskoj lutki u neprekidnom trajanju od 8 minuta. Ispitanici su bili podijeljeni prema razini tjelesne aktivnosti i spolu, a parametri masaže srca mjereni su svakih dvije minute. Evaluirani parametri uključivali su dubinu kompresija, otpuštanje prsnog koša, frekvenciju kompresija te ukupnu kvalitetu masaže srca.
Rezultati: Rezultati istraživanja pokazali su pozitivnu korelaciju između razine tjelesne aktivnosti i kvalitete izvođenja masaže srca tijekom kardiopulmonalne reanimacije. Utvrđena je statistički značajna razlika u kvaliteti izvođenja masaže srca među sudionicima različitih razina tjelesne aktivnosti kroz sve promatrane intervale (p < 0,001). Sudionici s visokom razinom tjelesne aktivnosti postigli su značajno bolje rezultate u usporedbi s onima umjerene i niske aktivnosti. Također, utvrđene su statistički značajne razlike u dubini kompresija (p = 0,009) i frekvenciji kompresija (p = 0,003), dok u otpuštanju prsnog koša nije pronađena statistički značajna razlika (p = 0,470). Spol se nije pokazao kao statistički značajan faktor u izvođenju masaže srca (p = 0,556), kao ni u parametrima dubine kompresija (p = 0,229) i frekvencije kompresija (p = 0,851). Međutim, postoji statistički značajna razlika u otpuštanju prsnog koša između spolova (p = 0,034), pri čemu su žene ostvarile bolje rezultate od muškaraca.
Zaključak: Razina tjelesne aktivnosti značajno utječe na kvalitetu izvođenja masaže srca i održavanje njezine kvalitete tijekom kardiopulmonalne reanimacije. Spol, s druge strane, ne utječe na ukupnu kvalitetu masaže srca, osim u segmentu otpuštanja prsnog koša, gdje su žene pokazale bolje rezultate.
Abstract (english) Introduction and Research Objective: Cardiopulmonary resuscitation (CPR) is a procedure applied in cases of cardiac arrest (1). The outcome of CPR can be influenced by numerous factors, one of which is the level of physical activity of the person performing chest compressions. The aim of this study was to determine the impact of participants' physical activity levels and analyze its correlation with the quality of chest compressions during CPR. Additionally, the influence of the participants' gender as a contributing factor to chest compression quality was examined.
Materials and Methods: The study included 34 out-of-hospital emergency medical workers who completed a sociodemographic questionnaire and the IPAQ physical activity questionnaire. Afterwards, all participants performed chest compressions continuously on a simulation manikin for a duration of 8 minutes. Participants were divided based on their physical activity levels and gender, and chest compression parameters were measured every two minutes. Evaluated parameters included compression depth, chest recoil, compression rate, and overall chest compression quality.
Results: The study results showed a positive correlation between physical activity level and the quality of chest compressions during cardiopulmonary resuscitation. A statistically significant difference in chest compression quality was observed among participants of different physical activity levels across all measured intervals (p < 0.001). Participants with a high level of physical activity achieved significantly better results compared to those with moderate and low activity levels. Additionally, statistically significant differences were found in compression depth (p = 0.009) and compression rate (p = 0.003), while no statistically significant difference was found in chest recoil (p = 0.470). Gender was not found to be a statistically significant factor in chest compression performance (p = 0.556), nor in compression depth (p = 0.229) and compression rate (p = 0.851). However, a statistically significant difference in chest recoil was observed between genders (p = 0.034), with women achieving better results than men.
Conclusion: The level of physical activity significantly affects the quality of chest compressions and the maintenance of their quality during cardiopulmonary resuscitation. Gender, on the other hand, does not influence the overall quality of chest compressions, except in the aspect of chest recoil, where women performed better than men.
Keywords
Hitna medicinska služba
kardiopulmonalna reanimacija
razina tjelesne aktivnosti
spol.
Keywords (english)
Emergency medical service
cardiopulmonary resuscitation
physical activity level
gender.
Language croatian URN:NBN urn:nbn:hr:184:451341 Study programme Title: Professional study of nursing (Biomedicine and Healthcare; clinical medical sciences) Type of resource Text File origin Born digital Access conditions Open access Terms of use Created on 2024-09-10 13:09:13
