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中国湖北省公众对实施心肺复苏的认知与意愿:一项研究

Knowledge and willingness to implement cardiopulmonary resuscitation among the general public: A study in Hubei Province, China.

作者信息

Liu Mengwan, Chen Kaiqi, Yuan Quan, Zeng Qianwen, Hu Cuihuan

机构信息

School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, 13 Aviation Road, Wuhan City, Hubei Province, China.

出版信息

Heart Lung. 2025 Mar-Apr;70:157-162. doi: 10.1016/j.hrtlng.2024.11.017. Epub 2024 Dec 12.

Abstract

BACKGROUND

The incidence of out-of-hospital cardiac arrest (OHCA) in China is high, yet the treatment rate remains low. Research on the current state of the public's awareness of and willingness to provide cardiopulmonary resuscitation (CPR) in Hubei Province is scarcer.

OBJECTIVES

The objective of this research was to explore the general public's knowledge, confidence, and willingness to perform CPR in Hubei Province, China.

METHODS

In this descriptive study we used convenience sampling to select 1, 849 permanent residents of Hubei Province as survey respondents. A self-designed questionnaire included four sections: demographic information, knowledge about CPR, confidence in skill implementation, willingness to implement it, factors that may influence CPR use.

RESULTS

Four hundred ten individuals (22 %) had a knowledge score of moderate or higher. The following factors were statistically significant in CPR knowledge scores: gender, age, education, place of residence (last three years), presence of a cohabitant over age sixty years, occupation related to medicine, and participation in CPR training (p < 0.05). Only 81 (9.8 %) were confident in performing CPR. There were 708 (77.2 %) members of the public who were willing to perform CPR on strangers. Gender, age, education, place of residence (last three years), and having a medically-related occupation were associated with willingness to perform CPR (p < 0.05).

CONCLUSIONS

Public knowledge of CPR in Hubei needs improvement, with a strong willingness but inadequate background knowledge for rescue. Government should broaden CPR training paths to enhance survival rates of OHCA patients.

摘要

背景

中国院外心脏骤停(OHCA)的发病率很高,但治疗率仍然很低。关于湖北省公众对心肺复苏(CPR)的认知现状和实施意愿的研究较少。

目的

本研究的目的是探讨中国湖北省公众对心肺复苏的知识、信心和实施意愿。

方法

在这项描述性研究中,我们采用便利抽样的方法,选择了1849名湖北省常住居民作为调查对象。一份自行设计的问卷包括四个部分:人口统计学信息、心肺复苏知识、技能实施信心、实施意愿、可能影响心肺复苏使用的因素。

结果

410人(22%)的知识得分中等或更高。以下因素在心搏骤停复苏知识得分方面具有统计学意义:性别、年龄、教育程度、居住地点(过去三年)、有60岁以上的同居者、与医学相关的职业以及参加心肺复苏培训(p<0.05)。只有81人(9.8%)对实施心肺复苏有信心。有708名(77.2%)公众愿意对陌生人实施心肺复苏。性别、年龄、教育程度、居住地点(过去三年)以及从事与医学相关的职业与实施心肺复苏的意愿相关(p<0.05)。

结论

湖北省公众对心肺复苏的知识需要提高,虽然有强烈的意愿,但救援的背景知识不足。政府应拓宽心肺复苏培训途径,以提高院外心脏骤停患者的生存率。

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