Lam Kin-Kwan, Lau Fei-Lung, Chan Wai-Kwong, Wong Wing-Nam
Accident and Emergency Department, United Christian Hospital, Hong Kong.
Prehosp Disaster Med. 2007 Jul-Aug;22(4):325-9. doi: 10.1017/s1049023x00004957.
The effect of the severe acute respiratory syndrome (SARS) outbreak on the willingness of laypersons to provide bystander cardiopulmonary resuscitation (CPR) using standard CPR (SCPR) or compression-only CPR (CCPR) was evaluated. The preferred type of SCPR in the post-SARS era was assessed.
A descriptive study was conducted through telephone interviews. Persons who attended a CPR course from January 2000 through February 2003 answered a structured questionnaire. The respondents' willingness to perform SCPR or CCPR during a witnessed cardiac arrest of an average adult stranger or that of a family member in the pre-SARS and the post-SARS era was surveyed.
Data for 305 respondents were processed. For the scenario of cardiac arrest of an average stranger, more respondents would perform CCPR than SCPR in the pre-SARS era (83.6% vs. 61.3%, p <0.001) and in the post-SARS era (77.4% vs. 28.9%, p <0.001). In the scenario of the cardiac arrest of a family member, more would perform CCPR than SCPR in the pre-SARS era (92.8% vs. 87.2%, p <0.001) and in the post-SARS era (92.8% vs. 84.9%, p <0.001). After SARS, more respondents were unwilling to perform SCPR (p <0.001) and CCPR (p <0.001) on strangers. After SARS, more respondents were unwilling to perform SCPR on a family member (p = 0.039), but there was no difference in the preference to perform CCPR (p = 1.000).
Concerns about SARS adversely affected the willingness of respondents to perform SCPR or CCPR on strangers and to perform SCPR on family members. Compression-only CPR was preferred to SCPR to resuscitate strangers experiencing cardiac arrest after the emergence of SARS.
评估严重急性呼吸综合征（SARS）疫情对非专业人员使用标准心肺复苏（SCPR）或仅胸外按压心肺复苏（CCPR）进行旁观者心肺复苏（CPR）意愿的影响。评估SARS后时代首选的SCPR类型。
通过电话访谈进行描述性研究。2000年1月至2003年2月参加CPR课程的人员回答了一份结构化问卷。调查了受访者在SARS前和SARS后时代目睹一名普通成年陌生人或家庭成员心脏骤停时进行SCPR或CCPR的意愿。
对305名受访者的数据进行了处理。在普通陌生人心脏骤停的场景中，在SARS前时代（83.6%对61.3%，p<0.001）和SARS后时代（77.4%对28.9%，p<0.001），更多受访者会进行CCPR而非SCPR。在家庭成员心脏骤停的场景中，在SARS前时代（92.8%对87.2%，p<0.001）和SARS后时代（92.8%对84.9%，p<0.001），更多人会进行CCPR而非SCPR。SARS后，更多受访者不愿意对陌生人进行SCPR（p<0.001）和CCPR（p<0.001）。SARS后，更多受访者不愿意对家庭成员进行SCPR（p=0.039），但在进行CCPR的偏好上没有差异（p=1.000）。
对SARS的担忧对受访者对陌生人进行SCPR或CCPR以及对家庭成员进行SCPR的意愿产生了不利影响。SARS出现后，在复苏心脏骤停的陌生人时，仅胸外按压心肺复苏比标准心肺复苏更受青睐。
