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郊区社区老年人群体中实施心肺复苏的自我效能感及学习意愿

Perceived self-efficacy in performing and willingness to learn cardiopulmonary resuscitation in an elderly population in a suburban community.

作者信息

Swor Robert, Compton Scott, Farr Lynn, Kokko Sue, Vining Fern, Pascual Rebecca, Jackson Raymond E

机构信息

Department of Emergency Medicine, William Beaumont Hospital, Royal Oak, Mich., USA.

出版信息

Am J Crit Care. 2003 Jan;12(1):65-70.

Abstract

BACKGROUND

Older persons are the group most likely to respond to cardiac arrests in private residences.

OBJECTIVE

To characterize the knowledge about, attitudes toward, and perceived self-efficacy of older persons in learning and providing cardiopulmonary resuscitation.

METHODS

A total of 2743 surveys were mailed to adults 55 years and older who resided in a single Michigan suburb. Data were collected on demographics, medical history, training in and willingness to provide cardiopulmonary resuscitation, and concerns about providing this intervention.

RESULTS

The 631 persons (24.6%) who responded were elderly (mean age, 73.5 years) and had a mean of 1.7 occupants per household. More than one third lived alone. Of all respondents, 275 (43.6%) had received training in cardiopulmonary resuscitation, 370 (58.6%) indicated a willingness to learn cardiopulmonary resuscitation, and 412 (65.3%) thought that they had the ability to perform this intervention. Respondents 80 years or younger were significantly more likely than respondents more than 80 years old to be willing to learn cardiopulmonary resuscitation (65.7% vs 19.0%, P < .001) and perceived themselves as able to perform it (73.0% vs 34.0%, P < .001). The absence of mouth-to-mouth ventilation as part of training had minimal impact on the willingness of either age group to receive training (61.2% vs 58.6%, P = .19). Perceived ability to learn and perform cardiopulmonary resuscitation did not vary with the medical history of the respondent or the respondent's spouse.

CONCLUSION

Adults 56 to 80 years old perceive themselves as able to perform cardiopulmonary resuscitation and are interested in receiving training.

摘要

背景

老年人是在私人住宅中最有可能对心脏骤停做出反应的群体。

目的

描述老年人在学习和实施心肺复苏方面的知识、态度以及自我效能感。

方法

共向居住在密歇根州一个郊区的55岁及以上成年人邮寄了2743份调查问卷。收集了有关人口统计学、病史、心肺复苏培训情况及实施意愿,以及对实施该干预措施的顾虑等数据。

结果

631名(24.6%)回复者为老年人(平均年龄73.5岁),平均每户有1.7人居住。超过三分之一的人独自生活。在所有回复者中,275人(43.6%)接受过心肺复苏培训,370人(58.6%)表示愿意学习心肺复苏,412人(65.3%)认为自己有能力实施该干预措施。80岁及以下的回复者比80岁以上的回复者更有可能愿意学习心肺复苏(65.7%对19.0%,P<.001),且认为自己能够实施(73.0%对34.0%,P<.001)。培训中未包含口对口通气对两个年龄组接受培训的意愿影响极小(61.2%对58.6%,P=.19)。对学习和实施心肺复苏的自我效能感不会因回复者或其配偶的病史而有所不同。

结论

56至80岁的成年人认为自己能够实施心肺复苏并对接受培训感兴趣。

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