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Volume 12, Issue 2 (Spring 2026)
JCCNC 2026, 12(2): 147-154 |
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Jawad Kadhim A, Khachian A, Abolfazli M, Khosravi Zad A, Hezbiyan Z, Norouzadeh R et al . Effect of Chest Compression Feedback in Cardiopulmonary Resuscitation Procedures using a Cardiopulmonary Resuscitation Meter on Return of Spontaneous Circulation. JCCNC 2026; 12 (2) :147-154
URL: http://jccnc.iums.ac.ir/article-1-834-en.html
URL: http://jccnc.iums.ac.ir/article-1-834-en.html
Alaa Jawad Kadhim1 
, Alice Khachian2 , Mina Abolfazli3 , Ali Khosravi Zad4 , Zahra Hezbiyan5 , Reza Norouzadeh6 , Bahman Aghaie *7
, Alice Khachian2 , Mina Abolfazli3 , Ali Khosravi Zad4 , Zahra Hezbiyan5 , Reza Norouzadeh6 , Bahman Aghaie *7
1- University of Baghdad, College of Nursing, Department of Adult Nursing, Baghdad, Iraq.
2- Nursing and midwifery Care Research Center, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
3- Alborz Center for the Study and Development of Medical Education, Vice Chancellor for Education, Alborz University of Medical Sciences, Karaj, Iran.
4- Department of Nursing, Nursing School of Zahedan, Zahedan University of Medical Sciences, Zahedan, Iran & Department of Medical Emergencies and Health in Disasters and Emergencies, Ilam University of Medical Sciences, Ilam, Iran.
5- Deputy of treatment, Qom University of Medical Sciences, Qom, Iran.
6- Nursing and midwifery faculty, Shahed University, Iran.
7- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran ,bahman.aghai@gmail.com
2- Nursing and midwifery Care Research Center, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
3- Alborz Center for the Study and Development of Medical Education, Vice Chancellor for Education, Alborz University of Medical Sciences, Karaj, Iran.
4- Department of Nursing, Nursing School of Zahedan, Zahedan University of Medical Sciences, Zahedan, Iran & Department of Medical Emergencies and Health in Disasters and Emergencies, Ilam University of Medical Sciences, Ilam, Iran.
5- Deputy of treatment, Qom University of Medical Sciences, Qom, Iran.
6- Nursing and midwifery faculty, Shahed University, Iran.
7- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran ,
Abstract: (645 Views)
Background: Management of patients who require cardiopulmonary resuscitation (CPR) is one of the most critical tasks that nurses perform in the intensive care units (ICUs). Improving the quality of CPR can be very important in improving cardiopulmonary outcomes and survival. However, often the depth, release, and rate of chest compressions are controlled subjectively by the nurse. This study aimed to investigate the effect of chest compression feedback (CCF) by nurses using a CPR meter on the return of spontaneous circulation (ROSC) in patients undergoing CPR admitted to the intensive care units.
Methods: This single-blinded, two-arm parallel randomized clinical trial was conducted on 70 patients undergoing cardiopulmonary CPR who were admitted to the intensive care unit of the Iraqi-Korean Specialized Intensive Care Hospital in Baghdad, Iraq. The patients were randomly allocated to the experimental and control groups (35 subjects per group). Feedback was given to the nurses in the experimental group by a CPR meter as soon as CPR began. Patients in the control group received routine CPR. To assess the key indicators of ROSC, including blood pressure, pulse, and end-tidal carbon dioxide (ETCO2), we recorded ROSC rates at 5, 10, 15, 20, and 30 minutes following CPR. The measurements and data collection were conducted according to the Utstein style guidelines. Subsequently, data on sustained ROSC, blood pressure, pulse, and ETCO2 were analyzed to ensure accuracy and comparability based on these guidelines. Statistical analysis was performed using SPSS 24. Independent t-tests, chi-square tests, and repeated measures ANOVA were employed to analyze the data. The significance level was set at P<0.05.
Results: The percentages of spontaneous blood flow return after 30 minutes of resuscitation were 17.55% and 14.35% in the experimental and control groups, respectively. Within-group comparisons showed significant differences in blood pressure, pulse, and ETCO2 in both groups during the time interval from five to 30 minutes after the start of CPR. Between-group comparison showed significant differences in patients’ blood pressure and pulse at all time intervals, except for the first five minutes. The difference in ETCO2 was only significant after 10 and 30 minutes of CPR.
Conclusion: Providing feedback to nurses by CPR meters provides an effective method to increase the quality of CPR and return of spontaneous circulation of patients.
Methods: This single-blinded, two-arm parallel randomized clinical trial was conducted on 70 patients undergoing cardiopulmonary CPR who were admitted to the intensive care unit of the Iraqi-Korean Specialized Intensive Care Hospital in Baghdad, Iraq. The patients were randomly allocated to the experimental and control groups (35 subjects per group). Feedback was given to the nurses in the experimental group by a CPR meter as soon as CPR began. Patients in the control group received routine CPR. To assess the key indicators of ROSC, including blood pressure, pulse, and end-tidal carbon dioxide (ETCO2), we recorded ROSC rates at 5, 10, 15, 20, and 30 minutes following CPR. The measurements and data collection were conducted according to the Utstein style guidelines. Subsequently, data on sustained ROSC, blood pressure, pulse, and ETCO2 were analyzed to ensure accuracy and comparability based on these guidelines. Statistical analysis was performed using SPSS 24. Independent t-tests, chi-square tests, and repeated measures ANOVA were employed to analyze the data. The significance level was set at P<0.05.
Results: The percentages of spontaneous blood flow return after 30 minutes of resuscitation were 17.55% and 14.35% in the experimental and control groups, respectively. Within-group comparisons showed significant differences in blood pressure, pulse, and ETCO2 in both groups during the time interval from five to 30 minutes after the start of CPR. Between-group comparison showed significant differences in patients’ blood pressure and pulse at all time intervals, except for the first five minutes. The difference in ETCO2 was only significant after 10 and 30 minutes of CPR.
Conclusion: Providing feedback to nurses by CPR meters provides an effective method to increase the quality of CPR and return of spontaneous circulation of patients.
Keywords: Cardiopulmonary resuscitation feedback, Return of spontaneous circulation (ROSC), CPR meter, Intensive care unit (ICU), Randomized clinical trial
Type of Study: Research |
Subject:
Special
Received: 2025/03/7 | Accepted: 2025/10/15 | Published: 2026/05/1
Received: 2025/03/7 | Accepted: 2025/10/15 | Published: 2026/05/1
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