马来西亚大学生对仅实施徒手心肺复苏的了解情况及实施意愿
Knowledge of and willingness to perform Hands-Only cardiopulmonary resuscitation among college students in Malaysia.
作者信息
Karuthan Sumitra Ropini, Firdaus Putri Jasmine Filza Binti, Angampun Aloha Dee-Afryna George, Chai Xuan Jia, Sagan Chris Dom, Ramachandran Monishak, Perumal Sharmmathevan, Karuthan Mahendra, Manikam Rishya, Chinna Karuthan
机构信息
Ministry of Health.
Faculty of Medicine, University of Malaya, Kuala Lumpur.
出版信息
Medicine (Baltimore). 2019 Dec;98(51):e18466. doi: 10.1097/MD.0000000000018466.
Worldwide, millions of people die of sudden cardiac arrest every year. This is partly due to limited and sometimes ineffective bystander cardiopulmonary resuscitation (CPR). The need for mouth-to-mouth contact, fear of causing harm, litigation, and the complexity of delivering CPR are the main deterrents. In view of this, the basic life support algorithm has been simplified and lay rescuers are encouraged to perform Hands-Only CPR.The objective of this study is to assess knowledge on and willingness to perform Hands-Only CPR among Malaysian college students and to determine the relationship between the two.In an online self-administered survey, college students responded to a questionnaire on demographics, exposure to CPR, knowledge on Hands-Only CPR, and their willingness to perform Hands-Only CPR in 5 different scenarios (family members or relatives, strangers, trauma victims, children, and elderly people).Data for 393 participants were analyzed. For knowledge, the mean score was 8.6 ± 3.2 and the median score was 9. In the sample, 27% of the respondents did not attend any CPR training before, citing that they were unsure where to attend the course. The knowledge score among those who attended CPR training (M = 3.6, S = 2.9) was significantly higher compared to those who did not (M = 6.7, S = 3.0). Out of the 393 participants, 67.7%, 55%, 37.4%, 45%, and 49.1% were willing to perform Hands-Only CPR on family members or relatives, strangers, trauma victims, children, and elderly people, respectively. There were significant associations (P < .001) between knowledge and willing to perform Hands-Only CPR on family members or relatives (OR = 1.32, 95% CI 1.43, 1.43), strangers (OR = 1.31, 95% CI 1.21, 1.42), trauma victims (OR = 1.21, 95% CI 1.12, 1.31), children (OR = 1.28, 95% CI 1.19, 1.39), and elderly people (OR = 1.36 95% CI 1.25, 1.48).Based on this study, knowledge on Hands-Only CPR among local college students is not encouraging. Not many know where to attend such courses. There was significant association between knowledge and willingness to perform Hands-Only CPR.
在全球范围内，每年有数百万人死于心脏骤停。部分原因是旁观者心肺复苏术（CPR）有限，有时甚至无效。需要进行口对口接触、害怕造成伤害、担心诉讼以及实施心肺复苏术的复杂性是主要阻碍因素。鉴于此，基本生命支持算法已得到简化，并鼓励非专业救援人员进行仅胸外按压的心肺复苏术。本研究的目的是评估马来西亚大学生对仅胸外按压心肺复苏术的知识掌握情况和实施意愿，并确定两者之间的关系。
在一项在线自填式调查中，大学生回答了一份关于人口统计学、接触心肺复苏术的经历、对仅胸外按压心肺复苏术的知识掌握情况，以及他们在5种不同场景（家庭成员或亲属、陌生人、创伤受害者、儿童和老年人）下实施仅胸外按压心肺复苏术的意愿的问卷。
对393名参与者的数据进行了分析。在知识掌握方面，平均得分为8.6 ± 3.2，中位数得分为9。在样本中，27%的受访者此前未参加过任何心肺复苏术培训，理由是他们不确定在哪里参加课程。参加过心肺复苏术培训的人的知识得分（M = 3.6，S = 2.9）明显高于未参加过培训的人（M = 6.7，S = 3.0）。在393名参与者中，分别有67.7%、55%、37.4%、45%和49.1%的人愿意对家庭成员或亲属、陌生人、创伤受害者、儿童和老年人实施仅胸外按压心肺复苏术。在知识掌握情况与对家庭成员或亲属（OR = 1.32，95% CI 1.43，1.43）、陌生人（OR = 1.31，95% CI 1.21，1.42）、创伤受害者（OR = 1.21，95% CI 1.12，1.31）、儿童（OR = 1.28，95% CI 1.19，1.39）和老年人（OR = 1.36，95% CI 1.25，1.48）实施仅胸外按压心肺复苏术的意愿之间存在显著关联（P <.001）。
基于这项研究，当地大学生对仅胸外按压心肺复苏术的知识掌握情况并不乐观。没有多少人知道在哪里参加此类课程。知识掌握情况与实施仅胸外按压心肺复苏术的意愿之间存在显著关联。
Zotero 插件