A THESIS REPORT SUBMITTED TO DEPARTMNET OF ANESTHESIA, COLLEGE OF MEDICINE AND HEALTH SCIENCES, UNIVERSITY OF GONDAR IN PARTIAL FULFLIMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF SCIENCE IN ADVANCED CLINICAL ANESTHESIA

Abstract

Abstract Introduction: Early and effective cardiopulmonary resuscitation (CPR) is a lifesaving technique in cardiorespiratory arrest victim. CPR is effective when health professionals have sufficient knowledge and attitude. However inadequate knowledge and attitude levels of health professionals towards CPR are the major concerns which affects victims outcome. Objective: To assess the knowledge and attitude level of health professionals and associated factors towards adult CPR among health professionals at the Gondar University Comprehensive Specialized Hospital, northwest Ethiopia. Methods: An institutional based cross sectional study was conducted from February 15 to March 15, 2018. A total of 406 health professionals were included in the study. Simple random sampling was used to select the study participants. Both bivariable and multivariable logistic regression was used to identify factors associated knowledge and attitude level of health professionals. Variables with a p-value less than <0.2 in the bivariable analysis was fitted into the multivariable analysis. Both Crude Odds Ratio (COR) and Adjusted Odds Ratio (AOR) with 95% Confidence Interval were calculated to show the strength of association. In multivariable analysis, variables with a p-value of <0.05 was considered as statistically significant. Hosmer and Lemeshow test was used to assess the goodness of fit. Results: In this study, about 25.1% (95% CI: 21.2, 29.3) of health professionals had good knowledge and 60.8% (95% CI: 55.9, 65.5) of health professionals had good attitude about adult cardiopulmonary resuscitation. Work experiences (AOR: 5.02, 95% CI: 1.25, 20.20), work exposure (AOR: 6.52, 95% CI: 2.76, 15.41), taking CPR training (AOR: 2.76, 95% CI: 1.40, 5.42), exposure to cardiac arrest case (AOR: 2.16, 95% CI: 1.14, 4.07) and reading CPR guidelines (AOR: 5.57, 95% CI: 2.76, 11.20) were positively associated with good knowledge. Similarly, CPR training (AOR: 1.74, 95% CI: 1.42, 1.53) and reading CPR guideline (AOR: 2.74, 95% CI: 1.55, 4.85) were positively associated with good attitude. Conclusions and Recommendations: In this study, the knowledge and attitude level of health professionals towards adult cardiopulmonary resuscitation was suboptimal. CPR training and reading CPR guidelines were significantly associated with both good knowledge and attitude of health professionals’ towards CPR. While, health professionals work experience, work exposure and exposure to cardiac arrest case were significantly associated with good knowledge. Thus, regular CPR training and reading CPR guidelines are recommended to increase the knowledge and attitude level of health professionals towards adult CPR. Keywords: cardiopulmonary resuscitation, knowledge, attitude, health professional