Malta Hansen Carolina, Zinckernagel Line, Ersbøll Annette Kjær, Tjørnhøj-Thomsen Tine, Wissenberg Mads, Lippert Freddy Knudsen, Weeke Peter, Gislason Gunnar Hilmar, Køber Lars, Torp-Pedersen Christian, Folke Fredrik
Department of Cardiology, Copenhagen University Hospital Herlev and Gentofte, Hellerup, Denmark
Duke Clinical Research Institute, Duke University, Durham, NC.
J Am Heart Assoc. 2017 Mar 14;6(3):e004128. doi: 10.1161/JAHA.116.004128.
School cardiopulmonary resuscitation (CPR) training has become mandatory in many countries, but whether legislation has translated into implementation of CPR training is largely unknown. We assessed CPR training of students following 8 years of legislative mandates in Denmark.
A nationwide cross-sectional survey of Danish school leadership (n=1240) and ninth-grade homeroom teachers (n=1381) was carried out for school year 2013-2014. Qualitative interviews and the Theory of Planned Behavior were used to construct the survey. Logistic regression models were employed to identify factors associated with completed CPR training. Information from 63.1% of eligible schools was collected: 49.3% (n=611) of leadership and 48.2% (n=665) of teachers responded. According to teachers, 28.4% (95% CI 25.0% to 32.0%) and 10.3% (95% CI 8.1% to 12.8%) of eligible classes had completed CPR and automated external defibrillator training, respectively. Among leadership, 60.2% (95% CI 56.2% to 64.1%) reported CPR training had occurred during the 3 years prior to the survey. Factors associated with completed CPR training included believing other schools were conducting training (odds ratio [OR] 9.68 [95% CI 4.65-20.1]), awareness of mandating legislation (OR 4.19 [95% CI 2.65-6.62]), presence of a school CPR training coordinator (OR 3.01 [95% CI 1.84-4.92]), teacher feeling competent to conduct training (OR 2.78 [95% CI 1.74-4.45]), and having easy access to training material (OR 2.08 [95% CI 1.57-2.76]).
Despite mandating legislation, school CPR training has not been successfully implemented. Completed CPR training was associated with believing other schools were conducting training, awareness of mandating legislation, presence of a school CPR training coordinator, teachers teacher feeling competent to conduct training, and having easy access to training material. Facilitating these factors may increase rates of school CPR training.
在许多国家，学校心肺复苏术（CPR）培训已成为强制性要求，但立法是否已转化为CPR培训的实施在很大程度上尚不清楚。我们评估了丹麦实施立法要求8年后学生的CPR培训情况。
在2013 - 2014学年对丹麦学校领导（n = 1240）和九年级班主任教师（n = 1381）进行了全国性横断面调查。采用定性访谈和计划行为理论构建调查问卷。使用逻辑回归模型确定与完成CPR培训相关的因素。收集了63.1%符合条件学校的信息：49.3%（n = 611）的学校领导和48.2%（n = 665）的教师做出了回应。据教师报告，分别有28.4%（95%置信区间25.0%至32.0%）和10.3%（95%置信区间8.1%至12.8%）的符合条件班级完成了CPR和自动体外除颤器培训。在学校领导中，60.2%（95%置信区间56.2%至64.1%）报告在调查前3年内进行了CPR培训。与完成CPR培训相关的因素包括认为其他学校正在开展培训（比值比[OR] 9.68 [95%置信区间4.65 - 20.1]）、知晓强制立法（OR 4.19 [95%置信区间2.65 - 6.62]）、有学校CPR培训协调员（OR 3.01 [95%置信区间1.84 - 4.92]）、教师认为自己有能力开展培训（OR 2.78 [95%置信区间1.74 - 4.45]）以及容易获取培训材料（OR 2.08 [95%置信区间1.57 - 2.76]）。
尽管有强制立法，但学校CPR培训尚未成功实施。完成CPR培训与认为其他学校正在开展培训、知晓强制立法、有学校CPR培训协调员、教师认为自己有能力开展培训以及容易获取培训材料有关。促进这些因素可能会提高学校CPR培训的比例。
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