Zhou Guozhong, Lu Guangbing, Shi Oumin, Li Xuemei, Wang Zhenzhou, Wang Yan, Luo Qingyi
Kunming Medical University, Kunming, Yunnan Province 650500, China.
Department of Respiration, Meishan Hospital of Traditional Chinese Medicine in Sichuan Province, 620010, China.
Int Emerg Nurs. 2019 Nov;47:100788. doi: 10.1016/j.ienj.2019.100788. Epub 2019 Sep 4.
Bystander CPR (B-CPR) is crucial to increase survival of out-of-hospital cardiac arrest (OHCA), and this study is performed to assess the willingness and obstacles of Chinese healthcare professionals (HCPs) to perform B-CPR on strangers, as well as the factors associated with the willingness.
An internet-based questionnaire surveying demographic information, CPR training, CPR knowledge, willingness, and obstacles to perform B-CPR among 10,393 HCPs. A multivariate logistic regression analysis was used to evaluate the factors associated with the willingness.
Here, 73.9% of HCPs were willing to perform B-CPR on strangers in China. The factors associated with the willingness were as follows: female, senior, working in Third-class hospitals, working in Pre-hospital emergency and Cardiology or Cardiac surgery, receiving current training, having adequate CPR knowledge. The main obstacles were fear of infection via mouth-to-mouth ventilations (MMV), fear of being blackmailed and fear of legal liability.
About three quarters of HCPs are willing to perform B-CPR. Female HCPs, those who have more CPR experience, adequate knowledge, and recent training are more likely to perform B-CPR. Reform of the legal and credit system are needed, and recommendation of hands-only CPR is a possibility to encourage HCPs to perform B-CPR on strangers.
旁观者心肺复苏术（B-CPR）对于提高院外心脏骤停（OHCA）患者的生存率至关重要。本研究旨在评估中国医护人员对陌生人实施B-CPR的意愿和障碍，以及与意愿相关的因素。
通过互联网对10393名医护人员进行问卷调查，内容包括人口统计学信息、心肺复苏培训、心肺复苏知识、实施B-CPR的意愿和障碍。采用多因素逻辑回归分析评估与意愿相关的因素。
在中国，73.9%的医护人员愿意对陌生人实施B-CPR。与意愿相关的因素如下：女性、年长者、在三级医院工作、从事院前急救及心内科或心外科工作、接受过当前培训、具备足够的心肺复苏知识。主要障碍包括担心口对口通气（MMV）导致感染、担心被讹诈和担心法律责任。
约四分之三的医护人员愿意实施B-CPR。女性医护人员、有更多心肺复苏经验、具备足够知识且近期接受过培训的人员更有可能实施B-CPR。需要改革法律和信用体系，推荐仅实施胸外按压的心肺复苏术可能会鼓励医护人员对陌生人实施B-CPR。
