Oh Gyung-Jae, Lee Kyungsuk, Kim Kyungsu, Lee Young-Hoon
Department of Preventive Medicine and Institute of Wonkwang Medical Science, Wonkwang University School of Medicine, Iksan, Korea.
Regional Cardiocerebrovascular Center, Wonkwang University Hospital, Iksan, Korea.
Chonnam Med J. 2020 Sep;56(3):196-202. doi: 10.4068/cmj.2020.56.3.196. Epub 2020 Sep 24.
This study aimed to evaluate differences in cardiopulmonary resuscitation (CPR)-related indicators among families of community-dwelling coronary heart disease (CHD) patients according to their occupation. A total of 6,867 family members living with CHD patients were selected for analysis from the 2016 Korea Community Health Survey. Respondents' occupations were classified into managers and professionals (MP), clerks (CL), service and sales workers (SSW), agricultural/forestry/fishery workers (AFFW), mechanical and manual laborers (MML), and homemakers and unemployed (HU). The adjusted odds ratio (aOR) for awareness of CPR in the MP (3.82), SSW (1.73), and MML (1.29) groups were higher than that in HU (reference), while the CL (1.42) and AFFW (1.04) groups showed no significant difference compared to HU. The aORs for experience with CPR education and manikin-assisted CPR training were higher among the MP (4.00 and 3.94), CL (2.61 and 2.26), SSW (2.02 and 1.91), and MML (1.99 and 1.69) groups than in HU, and only AFFW (1.22 and 1.18) showed no difference from HU. Finally, the aOR for self-efficacy in CPR performance was significantly higher among the MP (3.17), CL (1.64), SSW (1.87), and MML (1.44) groups than in HU. However, there was no significant difference between AFFW (1.22) and HU in self-efficacy in CPR performance. To improve the survival rate of CHD patients through successful CPR at the pre-hospital stage during cardiac arrest, it is important to increase the ability of family members of CHD patients to perform CPR, especially among those in AFFW and HU occupations.
本研究旨在根据职业评估社区居住的冠心病(CHD)患者家庭心肺复苏(CPR)相关指标的差异。从2016年韩国社区健康调查中选取了6867名与冠心病患者共同生活的家庭成员进行分析。受访者的职业分为管理人员和专业人员(MP)、职员(CL)、服务和销售人员(SSW)、农业/林业/渔业工人(AFFW)、机械和体力劳动者(MML)以及家庭主妇和无业人员(HU)。MP组(3.82)、SSW组(1.73)和MML组(1.29)对CPR的知晓率调整优势比(aOR)高于HU组(参照组),而CL组(1.42)和AFFW组(1.04)与HU组相比无显著差异。MP组(4.00和3.94)、CL组(2.61和2.26)、SSW组(2.02和1.91)和MML组(1.99和1.69)接受CPR教育和模拟人辅助CPR培训的经历的aOR高于HU组,只有AFFW组(1.22和1.18)与HU组无差异。最后,MP组(3.17)、CL组(1.64)、SSW组(1.87)和MML组(1.44)CPR操作自我效能感的aOR显著高于HU组。然而,AFFW组(1.22)和HU组在CPR操作自我效能感方面无显著差异。为了通过心脏骤停时院前阶段成功的CPR提高冠心病患者的生存率,提高冠心病患者家庭成员进行CPR的能力很重要,尤其是AFFW和HU职业的家庭成员。