Charlton Karl, Scott Jason, Blair Laura, Scott Stephanie, McClelland Graham, Davidson Tom, Burrow Emma, Mason Alex
North East Ambulance Service NHS Foundation Trust, Bernicia House, Newburn Riverside, Newcastle upon Tyne NE15 8NY, UK.
Northumbria University, Sutherland Building, Northumberland Road, Newcastle upon Tyne NE1 8ST, UK.
Resusc Plus. 2022 Nov 14;12:100330. doi: 10.1016/j.resplu.2022.100330. eCollection 2022 Dec.
Bystander cardiopulmonary resuscitation (BCPR) is undertaken in only 40% of out of hospital cardiac arrests (OHCAs) in the UK. Lower rates of BCPR and public access defibrillator (PAD) use have been correlated with lower socio-economic status (SES). The aim of this study was to examine knowledge and attitudes towards BCPR and PAD's using a study specific questionnaire, and to understand how these potentially interact with individual characteristics and SES.
Cross-sectional study between July-December 2021 across areas of varying SES in North England.
Six hundred and one individuals completed the survey instrument (mean age = 51.9 years, 52.2 % female). Increased age was associated with being less willing to call 999 (p < 0.001) and follow call handler advice (p < 0.001). Female respondents were less comfortable performing BCPR than male respondents (p = 0.006). Individuals from least deprived areas were less likely to report comfort performing CPR, (p = 0.016) and less likely to know what a PAD is for, (p = 0.025). Higher education level was associated with increased ability to recognise OHCA (p = 0.005) and understanding of what a PAD is for (p < 0.001). Individuals with higher income were more likely to state they would follow advice regarding BCPR (p = 0.017) and report comfort using a PAD (p = 0.029).
Individual characteristics such as age and ethnicity, rather than SES, are indicators of knowledge, willingness, and perceived competency to perform BCPR. Policy makers should avoid using SES alone to target interventions. Future research should examine how cultural identity and social cohesion intersect with these characteristics to influence willingness to perform BCPR.
在英国，只有40%的院外心脏骤停（OHCA）患者接受了旁观者心肺复苏（BCPR）。BCPR和公众可获取除颤器（PAD）的低使用率与较低的社会经济地位（SES）相关。本研究的目的是使用特定研究问卷来调查对BCPR和PAD的知识及态度，并了解这些因素如何与个体特征和SES相互作用。
2021年7月至12月在英格兰北部不同SES地区进行的横断面研究。
601人完成了调查问卷（平均年龄=51.9岁，52.2%为女性）。年龄增长与拨打999的意愿降低（p<0.001）以及听从呼叫处理人员建议的意愿降低（p<0.001）相关。女性受访者进行BCPR时比男性受访者更不自在（p=0.006）。来自最不贫困地区的个体报告进行心肺复苏时感到自在的可能性较小（p=0.016），且知道PAD用途的可能性较小（p=0.025）。高等教育水平与识别OHCA的能力增强（p=0.005）以及对PAD用途的理解增强（p<0.001）相关。收入较高的个体更有可能表示他们会听从关于BCPR的建议（p=0.017），并报告使用PAD时感到自在（p=0.029）。
年龄和种族等个体特征而非SES是进行BCPR的知识、意愿和感知能力的指标。政策制定者应避免仅使用SES来确定干预目标。未来的研究应探讨文化认同和社会凝聚力如何与这些特征相互作用，以影响进行BCPR的意愿。
