ASSESSMENT OF KNOWLEDGE, ATTITUDE AND ASSOCIATED FACTOR OF CARDIOPULMONARY RESUSCITATION AMONG RESIDENTS AT SAINT PAUL’S HOSPITAL MILLENNIUM MEDICAL COLLEGE, ADDIS ABABA, ETHIOPIA
Abstract
Background: Sudden cardiac arrest is one of the most frequent causes of death in the world, and it is an important acute emergency situation that occurs in hospital settings with high levels of mortality risk. Timely provision of Cardiopulmonary resuscitation by knowledgeable and skillful health professionals will make an important contribution to reduce avoidable death and disability. Residents are expected to handle patients with life threatening conditions, hence are expected to be knowledgeable in performing cardiopulmonary resuscitations. Therefore the study aimed at assessing knowledge attitude and associated factor of cardiopulmonary resuscitation among residents.
Method: A Hospital based cross sectional study was carried out in February 2021 among residents working in St. Paul’s Hospital Millennium Medical College to assess their knowledge, attitude and associated factor of Cardiopulmonary resuscitation. Bivariate and multivariate analysis using logistic regression model was used to analyze association between knowledge, attitude towards Cardiopulmonary resuscitation with potential predictor variables using SPSS version 20.Adjusted odds ratio and 95 % Confidence interval were computed to identify predictor variable at P value less than 0.05.
Results: A total of 196 residents were participated in the study giving a response rate of 94.23%. Almost all of them (98.5%) had insufficient knowledge according to American Heart Association CPR certification. 63.2 % of the residents had positive attitude towards cardiopulmonary resuscitation. Department of residency and CPR training and its timing were factors associated with the knowledge of residents toward CPR at P-value less than 0.05. Residents in the department of Gynecology obstetrics (AOR=0.008, 95%CI (0.001, 0.96)], Surgery (AOR=0.055, 95%CI (0.011, 0.273), Pediatrics (AOR=0.167, 95%CI (0.037, 0.748), and Internal medicine (AOR=0.223, 95%CI (0.063, 0.783) were less likely to have knowledge of cardiopulmonary resuscitation than Residents in the department of Emergency Medicine. Residents who took training on CPR were 3.251 times more likely to be knowledgeable about cardiopulmonary resuscitation than residents who did not take training [AOR=3.251, 95%CI (1.162, 9.100)]. Residents whose timing of training were before 6 months were 5.948 times more likely to have knowledge of cardiopulmonary resuscitation compared to those whose timing of training was more than a year (AOR=5.948, 95%CI (1.855, 19.065)]. Being male resident (AOR= 6.537, 95%CI (1.572, 27.189) and residents who took training between 6 and 12 month (AOR= 53.781, 95%CI (1.695, 1706.586) were factors associated with positive attitude of residents toward CPR at P-value less than 0.05.
Conclusion: In general resident’s knowledge of Cardiopulmonary resuscitation displayed by all department were extremely low despite most performed in the past. Thus subsequent regular training as apart of academic fulfillment is mandatory for all residents to achieve the desired outcome. The majority’s positive attitude towards CPR is encouraging.