Andréll Cecilia, Christensson Camilla, Rehn Liselott, Friberg Hans, Dankiewicz Josef
Center for Cardiac Arrest, Department of Clinical Sciences Lund, Faculty of Medicine, Lund University, Remissgatan 4, S-221 85 Lund, Sweden.
Practicum Clinical Skills Centre, Region Skåne. Barngatan 4, S-221 85 Lund, Sweden.
Resusc Plus. 2021 Jan 29;5:100071. doi: 10.1016/j.resplu.2020.100071. eCollection 2021 Mar.
Rates of bystander CPR are increasing, yet mortality after out-of-hospital cardiac arrest (OHCA) remains high. The aim of this survey was to explore public knowledge and attitudes to CPR. Our hypotheses were that recent CPR training (< 5 years) would be associated with a high-quality response in a case vignette of OHCA with agonal breathing, and associated with an interest to become a smartphone app responder in suspected OHCA.
Data were collected through a web survey. Respondents (≥18 years) in Skåne County, Sweden were members of a panel created by a market research company. Data were weighted with respect to gender, age, municipalities and level of education to increase generalisability to the general population.
A total of 1060 eligible answers were analysed. Seventy-six percent of non-healthcare professionals (n = 912) had participated in a CPR course at some time in life, 58 percent during the previous five years. The recommended CPR algorithm was known by 57 percent, whereas knowledge of the location of the nearest automated external defibrillator (AED) in a home environment was poor. Recent CPR training (< 5 years) did not favour high-quality response in a case vignette of OHCA with agonal breathing, but was one predictor of wanting to become a smartphone app responder.
This study highlights possible areas of improvement in CPR training, which might improve OHCA identification and facilitate knowledge retention. The potential to recruit smartphone app responders seems promising in certain groups.
旁观者实施心肺复苏（CPR）的比例正在上升，但院外心脏骤停（OHCA）后的死亡率仍然很高。本次调查的目的是探索公众对CPR的了解和态度。我们的假设是，近期（<5年）接受过CPR培训与在伴有濒死呼吸的OHCA病例 vignette中做出高质量反应相关，并且与有兴趣成为疑似OHCA的智能手机应用程序响应者相关。
通过网络调查收集数据。瑞典斯科讷郡的受访者（≥18岁）是一家市场研究公司创建的小组的成员。数据根据性别、年龄、市政当局和教育水平进行加权，以提高对一般人群的普遍性。
共分析了1060份合格答案。76%的非医疗专业人员（n = 912）在生活中的某个时候参加过CPR课程，58%在过去五年内参加过。57%的人知道推荐的CPR算法，而对家庭环境中最近的自动体外除颤器（AED）位置的了解较差。近期（<5年）接受CPR培训在伴有濒死呼吸的OHCA病例 vignette中对高质量反应没有帮助，但却是想成为智能手机应用程序响应者的一个预测因素。
本研究突出了CPR培训中可能需要改进的领域，这可能会改善OHCA的识别并促进知识保留。在某些群体中招募智能手机应用程序响应者的潜力似乎很有前景。
