影响日本民众对院外心脏骤停患者实施心肺复苏信心的因素。
Factors affecting layperson confidence in performing resuscitation of out-of-hospital cardiac arrest patients in Japan.
作者信息
Sasaki Mie, Ishikawa Hirono, Kiuchi Takahiro, Sakamoto Tetsuya, Marukawa Seishiro
机构信息
Department of Health Economics and Epidemiology Research Graduate School of Medicine, The University of Tokyo Tokyo Japan.
Department of Health Communication Graduate School of Medicine, The University of Tokyo Tokyo Japan.
出版信息
Acute Med Surg. 2015 Jan 6;2(3):183-189. doi: 10.1002/ams2.106. eCollection 2015 Jul.
AIM
Bystander cardiopulmonary resuscitation including automated external defibrillator use increases the chance of survival after out-of-hospital cardiac arrest. However, bystanders may be distressed by witnessing out-of-hospital cardiac arrest and may hesitate to initiate cardiopulmonary resuscitation. The present study examined factors associated with layperson confidence in carrying out resuscitation of out-of-hospital cardiac arrest patients.
METHODS
We carried out a cross-sectional survey in February 2012. Laypeople were asked about background characteristics, whether they had performed cardiopulmonary resuscitation, had received cardiopulmonary resuscitation training, were aware of the location of the neighborhood automated external defibrillator, and felt confident in performing resuscitation, and their potential emotional distress if a resuscitation attempt were to prove unsuccessful.
RESULTS
Participants comprised 4,853 respondents. Of these, 2,372 (49%) had received cardiopulmonary resuscitation training, and 3,607 (74%) knew where the neighborhood automated external defibrillator was located. Confidence in performing chest compressions was reported by 2,667 (55%), confidence in performing rescue breathing by 2,498 (52%), and confidence in using an automated external defibrillator by 2,822 (58%). Potential emotional distress if a resuscitation attempt proved unsuccessful was reported by 4,247 (88%). Multivariate regression analysis showed that having carried out cardiopulmonary resuscitation, having received cardiopulmonary resuscitation training, and awareness of the neighborhood automated external defibrillator location were significantly associated with confidence in performing cardiopulmonary resuscitation.
CONCLUSIONS
Our results suggest that more extensive cardiopulmonary resuscitation training and information regarding neighborhood automated external defibrillator locations may increase layperson confidence in initiating resuscitation.
目的
旁观者实施的心肺复苏术，包括使用自动体外除颤器，可增加院外心脏骤停后的存活几率。然而，旁观者目睹院外心脏骤停时可能会感到困扰，并可能对启动心肺复苏术有所犹豫。本研究调查了与非专业人员对实施院外心脏骤停患者复苏术的信心相关的因素。
方法
我们于2012年2月进行了一项横断面调查。询问非专业人员的背景特征、是否实施过心肺复苏术、是否接受过心肺复苏术培训、是否知晓附近自动体外除颤器的位置、对实施复苏术是否有信心，以及如果复苏尝试未成功可能产生的情绪困扰。
结果
参与者包括4853名受访者。其中，2372人（49%）接受过心肺复苏术培训，3607人（74%）知道附近自动体外除颤器的位置。2667人（55%）表示对进行胸外按压有信心，2498人（52%）对进行人工呼吸有信心，2822人（58%）对使用自动体外除颤器有信心。4247人（88%）表示如果复苏尝试未成功可能会产生情绪困扰。多因素回归分析显示，实施过心肺复苏术、接受过心肺复苏术培训以及知晓附近自动体外除颤器的位置与对实施心肺复苏术的信心显著相关。
结论
我们的结果表明，更广泛的心肺复苏术培训以及关于附近自动体外除颤器位置的信息可能会增加非专业人员启动复苏术的信心。
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