Resuscitation of in-hospital cardiopulmonary arrest in North Kivu evaluation of the level of knowledge and perception of caregivers and their determinants
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Abstract
Introduction : Intrahospital Cardiorespiratory Arrest (IHCA) is an insufficiently documented public health problem in French-speaking African countries. This study evaluates the level of knowledge of caregivers in the province of North Kivu in resuscitation of IHCA.
Material and methods : This study is cross-sectional, quantitative and analytical carried out from August to October 2023 among 203 Congolese caregivers from HEAL Africa hospital and the Kyondo General Reference Hospital. A questionnaire was administered to them. The correlation between variables was analyzed by the Chi square test and logistic regression at the 5% significance level.
Results : The average age of caregivers was 35.1 years (±10.6 years), 52.2% of whom were male. The majority were married (57.6%) and worked at HEAL Africa Hospital (60.1%). Nurses were the majority (42.3%). The level of knowledge in Cardiopulmonary Resuscitation (CPR) is generally poor; 57.1% of caregivers obtained a rating between 0-30%, an average of 30% (±17.6) and only 5.9% obtained a rating ≥ 50%. 65% of caregivers believe that CPR is frequent, 87.7% consider it useful and 53.7% do not follow up after cardiopulmonary arrest. 82.2% of caregivers do not use the Emergency Warning Score. After logistic regression, the only determinant of success in the CPR knowledge assessment test was knowledge of at least 6 reversible causes of Cardiorespiratory Arrest (CA).
Conclusion : Most caregivers in the North Kivu province have poor knowledge of quality CPR of IHCA. They recognize the usefulness of CPR and performs it frequently. The only determinant of the level of CPR knowledge is knowledge of at least six reversible causes of CA. Structured CPR training for IHCA is essential to improve their level of knowledge.
Material and methods: This was a cross-sectional, quantitative and analytical study conducted from August to October 2023 among 203 Congolese caregivers at the HEAL Africa hospital and the Kyondo General Reference Hospital. A questionnaire was administered. Correlation between variables was analyzed using the Chi-square test and logistic regression at the 5% significance level.
Results: The mean age of the caregivers was 35.1 years (±10.6 years), 52.2% of whom were male. The majority were married (57.6%) and worked at HEAL Africa Hospital (60.1%). Nurses were in the majority (42.3%). The overall level of knowledge in cardiopulmonary resuscitation (CPR) was poor; 57.1% of caregivers scored between 0-30%, an average of 30% (±17.6), and only 5.9% scored ≥ 50%. 65% of caregivers felt that CPR was frequent, 87.7% felt it was useful, and 53.7% did not perform any post-cardiopulmonary arrest follow-up. 82.2% of caregivers do not use the emergency alert score. After logistic regression, the only determinant of success in the CPR knowledge assessment test was knowledge of at least 6 reversible causes of cardiopulmonary arrest (CPR).
Conclusion : Most caregivers in North Kivu province have poor knowledge of quality CPR for HIPCA. They recognize the usefulness of CPR and practice it frequently. The only determinant of the level of CPR knowledge is knowledge of at least six reversible causes of ACR. Structured CPR training for ACRIHs is essential to improve their level of knowledge.
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