The Effect of Footrest Use on the Quality of Chest Compression during Cardiopulmonary Resuscitation (CPR) Simulation

Setiyawan Setiyawan; Desak Made Yuni Antari; Happy Indri Hapsari

Penulis

Setiyawan Setiyawan Universitas Kusuma Husada Surakarta
Desak Made Yuni Antari Universitas Kusuma Husada Surakarta
Happy Indri Hapsari Universitas Kusuma Husada Surakarta

Kata Kunci:

Footrest, CPR Quality

Abstrak

Cardiopulmonary Resuscitation (CPR) is a critical life-saving procedure in the management of cardiac arrest. High-quality chest compressions significantly determine the effectiveness of CPR, including adequate depth, rate, and consistency. Rescuer stability plays a crucial role in maintaining compression quality, and the use of a footrest may help maintain ergonomic posture, reduce fatigue, and enhance the effectiveness of chest compressions. This study aims to analyse the effect of footrest use on the quality of chest compressions during CPR simulation among professional nursing students at Kusuma Husada University Surakarta. This research employed a quasi- experimental design with a post-test only control group approach. A total of 44 participants were selected using purposive sampling, with inclusion criteria of having received CPR training and possessing a normal body mass index (BMI). Observational instruments were used based on the five indicators of CPR quality according to the 2020 AHA guidelines: depth, rate, hand placement, interruptions, and chest recoil. The sample was divided into experimental and control groups. The results showed that CPR quality with the use of a footrest was predominantly in the high category (90%) compared to those without a footrest (81.8%). The Mann- Whitney test (p= .000) indicated a significant effect of footrest use on the quality of chest compressions. Further research is recommended under actual clinical conditions.

Referensi

American Heart Association Cpr And First Aid (2020). About Cardiopulmonary Resuscitation (CPR). Ann Intern Med. 157. P: 19-28.

Ardiansyah, (2019). Characteristics of Body Mass Index by Gender and Age in Medical Students at the Faculty of Medicine, Muslim University of Indonesia.

Al Afik et (2015). FACTORS OF BODY MASS INDEX, PHYSICAL FATIGUE, AND GENDER RELATED TO THE QUALITY OF CHEST COMPRESSIONS IN CARDIOPULMONARY RESUSCITATION (CPR) SIMULATIONS. In the Journal of Nursing & Biomolecular Care (Vol. 6, Issue 2, pp. 146–147)

Alomedika. (2024, October 3). 2024 ACLS Guidelines Update – Latest Guideline Review. Alomedika. https://www.alomedika.com/pembaruan-pedoman-acls-2024-ulasan-guideline-terkin

Body Mass Index (BMI). (2020). World Heart Organization

Cheng A, Et Al. (2018). Impact Of Chest Recoil On CPR Quality And Resuscitation Outcomes. Resuscitation.

Chalkias (2025). Comparison of the quality of external cardiac compression with supported and unsupported compression techniques (Mannequin Study). In Jurnal Kesehatan Indra Husada (Vols. 2–2, Pp. 68–70).

Fikriana (2016). Factors related to high quality of CPR amongst participants in the Basic Life Support Training. Unknown Journal, 118-119. Retrieved from http://ejournal.umm.ac.id/index.php/keperawatan/issue/view

Hightower, B., Davis, L., & Martinez, J. (2019). Ergonomic interventions in CPR: Enhancing chest compression quality through stability aids. Journal of Emergency Medicine, 42(5), 89-95.

Hwang (2021), J., Yi, C., Kwon, O., Cynn, H., Lim, O., Baek, Y., & Jung, Y. (2017). Effects Of Footrest Heights On Muscle Fatigue, Kinematics, And Kinetics During Prolonged Standing Work. Journal Of Back And Musculoskeletal Rehabilitation, 31(2), 389–396.

Hasegawa, T., Okane, R., Ichikawa, Y., Inukai, S., & Saito, S. (2020). Effect of chest compression with kneeling on the bed in clinical situations. Japan Journal of Nursing Science, 17(2). https://doi.org/10.1111/jjns.12314

Hong, C. K., Park, S. O., Jeong, H. H., Kim, J. H., Lee, N. K., Lee, K. Y., Lee, Y., Lee, J. H., & Hwang, S. Y.

(2013). The most effective rescuer's position for cardiopulmonary resuscitation provided to patients on beds: A randomised, controlled, crossover mannequin study. Journal of Emergency Medicine. https://doi.org/10.1016/j.jemermed.2013.08.08

Jones (2020). The Most Effective Rescuer’s Position for Cardiopulmonary Resuscitation Provided to Patients on Beds: A Randomized, Controlled, Crossover Mannequin Study. Journal of Emergency

Kim, Y. Et Al. (2017). "Influence Of Body Mass Index On The Quality Of Chest Compressions During Cardiopulmonary Resuscitation." Journal Of Korean Medical Science

Lee (2018). Effect Of Footrest Use On Posture And CPR Quality In Medical Personnel. Journal Of Emergency Medicine

Meaney, P. A., Bobrow, B. J., Mancini, M. E., Christenson, J., De Caen, A. R., Bhanji, F., Abella, B. S., Kleinman, M. E., Edelson, D. P., Berg, R. A., Aufderheide, T. P., Menon, V., & Marion Leary. (2013). Quality of Cardiopulmonary Resuscitation: Improving Cardiopulmonary Resuscitation Outcomes Both In and Out of the Hospital. Circulation, 417–435. Http://Circ.Ahajournals.Org (Original Work Published 2019)

Montano, T. (2023, October 26). The Ergonomic Value of Footrests: Why Do You Need One? - Pain Free Working. Pain Free Working.

Mirwanti, R. (2020). The impact of CPR position (kneeling, footstool and standing beside bed) on cardiopulmonary resuscitation quality: A literature review. Padjadjaran Acute Care Nursing Journal, 1(2). https://doi.org/10.24198/Pacnj.V1i2.28846

Nicolau, A., Bispo, I., Lazarovici, M., Ericsson, C., Sa-Couto, P., Jorge, I., Vieira-Marques, P., & Sa-Couto, C. (2024). Influence of rescuer position and arm angle on chest compression quality: An international multicentric randomised crossover simulation trial. Resuscitation Plus, 20, 100815.

Ortega, R., Et Al. (2021). Effect Of Footrest Use On Posture And CPR Quality In Medical Personnel. Journal Of Emergency Medicine

Ock, S. M., Kim, Y. M., Kim, S. H., Et Al. (2020). The Effect Of Rescuer Fatigue On The Quality Of Chest Compressions During Prolonged Cardiopulmonary Resuscitation. The Journal Of Emergency Medicine, 59(3)

Smith, M. D., Kwan, C. S. J., Zhang, S., Wheeler, J., Sewell, T., & Johnston, V. (2019). The Influence Of Using A Footstool During A Prolonged Standing Task On Low Back Pain In Office Workers. International Journal Of Environmental Research And Public Health, 16(8), 1405.

Santosa, W. R. B., Gayatri, P. R., Bachelor of Nursing Program, & Bhakti Wiyata Kediri Institute of Health Sciences. (n.d.). The Influence of Gender and Work Experience on Ventilation Levels. In the Bhakti Wiyata Kediri Institute of Health Sciences [Journal article].

Sugiyono. (2014). Educational Research Methods: Quantitative, Qualitative, and R&D Approaches. Bandung: Alfabeta.

Williams, R., Smith, T., & Lee, M. (2020). "Effects Of Footrest On Postural Stability And Compression Depth In Cardiopulmonary Resuscitation." Nursing Ergonomics Journal, 15(2), 145-153.

Wahadi, Rr. Hariyati, T. S., Nova, P. A., Master of Nursing Student, Medical-Surgical Nursing Specialization, Faculty of Nursing, University of Indonesia, Basic Nursing, Faculty of Nursing, University of Indonesia, & Department of Medical-Surgical Nursing, Faculty of Nursing, University of Indonesia. (2023). LITERATURE REVIEW: MECHANICAL CHEST COMPRESSION AND MANUAL CHEST COMPRESSION IN PATIENTS WITH CARDIAC ARREST. In CENDEKIA UTAMA Journal of Nursing and Public Health (p. 170).

Wik, L. (2015). Quality of cardiopulmonary resuscitation during Out-of-Hospital cardiac arrest. JAMA, 293(3), 299. https://doi.org/10.1001/jama.293.3.29