沙特阿拉伯父母对儿科院外心肺复苏对生存率重要性的认知：一项横断面调查。
Parental perceptions of the importance of pediatric out-of-hospital cardiopulmonary resuscitation for the survival rate in Saudi Arabia: a cross-sectional survey.
作者信息
Almutairi Nouf S, Alharthy Nesrin A, Almaziad AlAnoud M, Alsalloum AlJazi T, AlHarbi Rozanna A, Almulhem Shamayel A, Yousif Amal, Othman Fatmah
机构信息
College of Medicine Department, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
College of Applied Medical Sciences-Riyadh, King Saud Bin Abdulaziz University for Health Sciences, PO Box 22490, 11426, Riyadh, Saudi Arabia.
出版信息
Int J Emerg Med. 2023 Nov 3;16(1):76. doi: 10.1186/s12245-023-00564-3.
BACKGROUND
Pediatric out-of-hospital cardiac arrest is associated with high morbidity and mortality rates. Cardiopulmonary resuscitation (CPR), the practice of chest compressions combined with rescue breathing, is crucial for the success of out-of-hospital resuscitation after sudden cardiac arrest. Thus, imparting the requisite knowledge and skills to parents/caregivers can significantly enhance survival rates. This study investigated parental awareness of the impact of out-of-hospital pediatric CPR on survival rates in Saudi Arabia.
METHODS
This cross-sectional study was conducted using an online questionnaire administered to Saudi parents from all regions of the Kingdom of Saudi Arabia. Data were collected using the convenience sampling method, as the questionnaire was distributed via social media platforms. The questionnaire consisted of five parts: (1) demographic data, (2) questions about parents' perception of basic life support (BLS), (3) evaluation of parents' knowledge of the impact of prehospital CPR on survival rates, (4) measurement of parents' competency in performing pediatric CPR, and (5) assessment of whether parents' confidence was affected by prior training. Statistical analyses were conducted using the chi-squared test or Fisher's exact test, and the t-test was used to compare the mean scores of the groups of parents with medical and non-medical professional backgrounds.
RESULTS
A total of 1,065 individuals responded to the survey. The respondents' mean age was 41 ± 0.2 years and 46.5% were men. We found that 73.9% of respondents had no prior experience with BLS, 87% had never taken a BLS course, and 61% did not know where to find one. The majority of participants agreed that bystander CPR contributes to overall survival rates, and 77% agreed to the importance of BLS training. Medical professionals showed a higher percentage of agreement on the importance of BLS than those from non-medical backgrounds (90% vs. 76%, p = 0.036), especially parents of high-risk children.
CONCLUSION
This study showed evidence of interest in CPR and BLS training in Saudi parents, despite the low levels of knowledge regarding BLS training.
背景
儿童院外心脏骤停与高发病率和死亡率相关。心肺复苏（CPR），即胸外按压与人工呼吸相结合的操作，对于心脏骤停后院外复苏的成功至关重要。因此，向父母/照顾者传授必要的知识和技能可显著提高生存率。本研究调查了沙特阿拉伯父母对院外儿童心肺复苏对生存率影响的认知情况。
方法
本横断面研究使用在线问卷对沙特阿拉伯王国所有地区的沙特父母进行调查。数据采用便利抽样方法收集，因为问卷是通过社交媒体平台分发的。问卷包括五个部分：（1）人口统计学数据，（2）关于父母对基础生命支持（BLS）认知的问题，（3）对父母关于院前心肺复苏对生存率影响的知识评估，（4）对父母进行儿童心肺复苏能力的测量，以及（5）评估父母的信心是否受到先前培训的影响。使用卡方检验或费舍尔精确检验进行统计分析，t检验用于比较具有医学和非医学专业背景的父母组的平均得分。
结果
共有1065人回复了调查。受访者的平均年龄为41±0.2岁，男性占46.5%。我们发现，73.9%的受访者此前没有基础生命支持经验，87%的人从未参加过基础生命支持课程，61%的人不知道在哪里可以参加。大多数参与者同意旁观者心肺复苏有助于提高总体生存率，77%的人认同基础生命支持培训的重要性。与非医学背景的人相比，医学专业人员对基础生命支持重要性的认同比例更高（90%对76%，p = 0.036），尤其是高危儿童的父母。
结论
本研究表明，尽管沙特父母对基础生命支持培训的知识水平较低，但他们对心肺复苏和基础生命支持培训表现出兴趣。
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