Hanassi Emily, Frei Ester, Wacht Oren, Bashkin Osnat
Department of Public Health, School of Health Sciences, Ashkelon Academic College, Ashkelon, Israel.
Department of Emergency Medicine, Ben-Gurion University, Beer-Sheva, Israel.
Harefuah. 2020 Jul;159(7):498-502.
Cardiac arrest is the most common cause of death in the Western world. Its pre-hospital survival rates depend on cardiopulmonary resuscitation (CPR) performed by those near the person. Despite epidemiological data showing a significant increase in the survival rate of people who had a cardiac arrest and were resuscitated by bystanders, the levels of public willingness to resuscitate are still low.
To examine knowledge, attitudes, and barriers among the Israeli public toward responding in CPR cases.
A total of 218 men and women aged 18-72 participated in a survey that included socio-demographic items, questions probing knowledge of CPR, statements describing attitudes, and statements describing barriers against resuscitation.
Findings showed that respondents expressed positive attitudes toward performing CPR. However, they displayed a low level of knowledge on 60% of the items. In addition, respondents who showed low levels of knowledge regarding CPR also expressed intense barriers against CPR and had more negative attitudes toward CPR. Barriers against performing CPR were found as a mediating variable in the association between knowledge and attitude toward CPR (F= 83.28, p<0.01). The barriers which were expressed at the highest rates were fear of injuring the person while performing CPR (57%), fear of contagion during CPR (45%), and no defibrillator nearby (56%).
The respondents' attitudes toward CPR were associated with various barriers that mediated between them and knowledge about CPR and pre-hospital cardiac arrest. It is recommended to develop intervention programs that emphasize support strategies and tools that reinforce bystander knowledge of and access to proper CPR concerning the barriers exposed. Such programs should focus on broader deployment of defibrillators, use of assistance from emergency hotlines, training programs and media campaigns.
心脏骤停是西方世界最常见的死亡原因。其院外生存率取决于在患者身边的人实施的心肺复苏（CPR）。尽管流行病学数据显示，心脏骤停且被旁观者复苏的患者生存率显著提高，但公众实施复苏的意愿水平仍然较低。
研究以色列公众对心肺复苏案例响应的知识、态度和障碍。
共有218名年龄在18 - 72岁之间的男性和女性参与了一项调查，该调查包括社会人口统计学项目、关于心肺复苏知识的问题、描述态度的陈述以及描述复苏障碍的陈述。
研究结果表明，受访者对实施心肺复苏表达了积极态度。然而，他们在60%的项目上表现出知识水平较低。此外，心肺复苏知识水平较低的受访者也表达了对心肺复苏的强烈障碍，并且对心肺复苏的态度更消极。实施心肺复苏的障碍被发现是知识与心肺复苏态度之间关联的中介变量（F = 83.28，p < 0.01）。表达率最高的障碍是担心在实施心肺复苏时伤害患者（57%）、担心在心肺复苏过程中被传染（45%）以及附近没有除颤器（56%）。
受访者对心肺复苏的态度与各种障碍相关，这些障碍在他们与心肺复苏知识及院外心脏骤停之间起中介作用。建议制定干预计划，强调支持策略和工具，以加强旁观者对所暴露障碍的适当心肺复苏知识及获取途径。此类计划应侧重于更广泛地部署除颤器、利用紧急热线的协助、培训计划和媒体宣传活动。
