Taniguchi Takumi, Omi Wataru, Inaba Hideo
Department of Emergency and Critical Care Medicine, Graduate School of Medical Science, Kanazawa University, 13-1 Takara-machi, Kanazawa 920-8641, Japan.
Resuscitation. 2007 Oct;75(1):82-7. doi: 10.1016/j.resuscitation.2007.02.019. Epub 2007 Apr 8.
Early initiation of bystander cardiopulmonary resuscitation (CPR) improves the chances of successful resuscitation and survival. The importance of bystander CPR is attracting more interest, and there has been an increase in attendance at CPR training courses in Japan. However, there have been few reports regarding Japanese attitudes toward the performance of bystander CPR. The present study was performed to identify current Japanese attitudes toward bystander CPR compared to our previous study performed in 1998.
Between February and March 2006, participants were asked about their willingness to perform CPR in five varying scenarios, i.e., performing CPR on a stranger, a trauma patient, a child, an elderly person, and a relative, and CPR techniques consisting of chest compression plus mouth-to-mouth ventilation (CC plus MMV) versus chest compression only (CC only). A total of 4223 individuals (male 50%) completed the questionnaire, including high school students, teachers, emergency medical technicians (EMTs), medical nurses, and medical students. About 70% of the subjects had experienced CPR training more than once. Only 10-30% of high school students, teachers, and health care providers reported willingness to perform CC plus MMV, especially on a stranger or trauma victim. In contrast, 70-100% of these subjects reported willingness to perform CC only, which was the same as in our previous study. The reasons for the unwillingness among laypeople to perform CC plus MMV were inadequate knowledge and/or doubt regarding whether they could perform the techniques effectively, while health care providers reported a fear contracting of a disease.
Most laypeople and health care providers are unlikely to perform CC plus MMV, especially on a stranger or trauma victim, but are more likely to perform CC only, as also found in our previous study in 1998. These findings suggest that MMV training should be de-emphasised and the awareness of CC alone should be emphasised because, for whatever reason, people do not want to perform MMV.
旁观者尽早实施心肺复苏（CPR）可提高复苏成功和存活的几率。旁观者心肺复苏的重要性正引起更多关注，日本参加心肺复苏培训课程的人数有所增加。然而，关于日本人对实施旁观者心肺复苏的态度的报道较少。本研究旨在确定与我们1998年进行的先前研究相比，日本人目前对旁观者心肺复苏的态度。
2006年2月至3月期间，研究人员询问了参与者在五种不同场景下实施心肺复苏的意愿，即对陌生人、创伤患者、儿童、老年人和亲属实施心肺复苏，以及采用胸外按压加口对口通气（CC加MMV）与仅胸外按压（仅CC）两种心肺复苏技术。共有4223人（男性占50%）完成了问卷调查，包括高中生、教师、急救医疗技术人员（EMT）、医护人员和医学生。约70%的受试者接受过不止一次心肺复苏培训。只有10% - 30%的高中生、教师和医护人员表示愿意实施CC加MMV，尤其是对陌生人或创伤受害者。相比之下，70% - 100%的这些受试者表示愿意仅实施CC，这与我们先前的研究结果相同。非专业人员不愿意实施CC加MMV的原因是知识不足和/或怀疑自己能否有效实施该技术，而医护人员表示担心感染疾病。
大多数非专业人员和医护人员不太可能实施CC加MMV，尤其是对陌生人或创伤受害者，但更有可能仅实施CC，这与我们1998年的先前研究结果一致。这些发现表明，应减少对口对口通气的培训，而应强调仅胸外按压的意识，因为无论出于何种原因，人们都不想实施口对口通气。
