Emergency Department, The Children's Hospital at Westmead, Westmead, NSW 2154, Australia.
Emerg Med Australas. 2009 Oct;21(5):401-6. doi: 10.1111/j.1742-6723.2009.01217.x.
The present study aimed to describe the knowledge and attitudes of parents and carers in performing cardiopulmonary resuscitation on infants and children. A self-administered questionnaire distributed to a convenience sample of parents and carers attending the Emergency Department of The Children's Hospital at Westmead, Australia from February to March 2008. Main outcome measures were the prevalence of previous cardiopulmonary resuscitation training, willingness and confidence to perform cardiopulmonary resuscitation on infants and children compared with adults, and an objective assessment of knowledge of current resuscitation guidelines. A total of 348 parents and carers were surveyed; 53% had received previous cardiopulmonary resuscitation training, 75% prior to the previous year. There was no significant difference on their willingness to perform cardiopulmonary resuscitation on an adult versus a child (75.6% and 75.8% respectively, P= 0.870). However, 81% were willing to perform cardiopulmonary resuscitation on a relative whereas only 64% were willing to perform cardiopulmonary resuscitation on a stranger (P < 0.001). Respondents were moderately confident in delivering cardiopulmonary resuscitation to a collapsed child; mean score of 2.9 on 5-point Likert scale. Only 11% of respondents knew the correct rate for chest compressions and the ratio of compressions to ventilations; 8% had performed cardiopulmonary resuscitation in a real situation. Parents and carers are willing to perform cardiopulmonary resuscitation, especially on family members. However, their knowledge of the current guidelines was poor. More public education is required to update those with previous training and to encourage those who haven't to be trained.
本研究旨在描述父母和照顾者在对婴儿和儿童进行心肺复苏方面的知识和态度。采用自行设计的问卷,对 2008 年 2 月至 3 月期间在澳大利亚西悉尼儿童医院急诊科就诊的父母和照顾者进行了便利抽样调查。主要观察指标为既往心肺复苏培训的流行情况、与成人相比对婴儿和儿童进行心肺复苏的意愿和信心,以及对当前复苏指南知识的客观评估。共调查了 348 名父母和照顾者;53%的人接受过心肺复苏培训,其中 75%是在过去一年接受的。他们对在成人和儿童身上进行心肺复苏的意愿没有显著差异(分别为 75.6%和 75.8%,P=0.870)。然而,81%的人愿意对亲属进行心肺复苏,而只有 64%的人愿意对陌生人进行心肺复苏(P < 0.001)。受访者对为倒下的儿童实施心肺复苏术有一定的信心;5 分制的平均得分为 2.9 分。只有 11%的受访者知道正确的按压频率和按压与通气的比例;8%的人在真实情况下进行过心肺复苏。父母和照顾者愿意进行心肺复苏,尤其是对家庭成员。然而,他们对当前指南的了解很差。需要进行更多的公众教育,以更新那些有既往培训的人,并鼓励那些没有接受过培训的人进行培训。