Mohd Hashim Nur Izzati, Daud Amsyar, Mohammed Nawi Azmawati
Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, 56000, Wilayah Persekutuan Kuala Lumpur, Cheras, Malaysia.
Tampin Health District Office, Tampin, Negeri Sembilan, 73009, Malaysia.
BMC Public Health. 2025 Aug 27;25(1):2944. doi: 10.1186/s12889-025-24412-6.
BACKGROUND: Out-of-hospital cardiac arrest (OHCA) remains a leading cause of sudden cardiac death globally. Early bystander intervention using CPR and an AED significantly improves survival outcomes. This study aimed to assess willingness to perform CPR and use an AED among non-healthcare community participants in a CPR fun run, and to identify influencing factors. METHODS: A cross-sectional study was conducted in Melaka, Malaysia, between November 2021 and October 2022, involving 217 randomly selected participants who had previously taken part in the Melaka CPR Fun Run from 2018 to 2020. Data were collected using the validated FIXED questionnaire, covering sociodemographic, knowledge of CPR and AED, training status, perceptions regarding CPR and the use of an AED, attitudes, self-efficacy, subjective norms, and barriers. RESULTS: The mean willingness score to perform CPR and use an AED was 33.14 ± 7.87 out of 40. Only three factors remained significantly associated with willingness: self-efficacy (β = 0.950, p < 0.001), perception (β = 0.569, p < 0.001), and barriers (β = -0.403, p < 0.001). Notably, for the subgroup analysis showed that participants who attended more CPR training sessions had better perception (r = 0.155, p = 0.022) and self-efficacy (r = 0.246, p < 0.001. CONCLUSIONS: Participants demonstrated a high willingness to perform CPR and use an AED. Willingness was significantly influenced by self-efficacy, perception, and perceived barriers. Although CPR training did not directly affect willingness, it showed a weak but significant correlation with improved perception and self-efficacy. These findings highlight the need for interventions that enhance psychological readiness, beyond just increasing training frequency, to strengthen community response in out-of-hospital cardiac arrest situations.
背景:院外心脏骤停(OHCA)仍是全球心脏性猝死的主要原因。旁观者早期进行心肺复苏(CPR)和使用自动体外除颤器(AED)可显著提高生存几率。本研究旨在评估参与CPR趣味跑的非医疗社区参与者进行CPR和使用AED的意愿,并确定影响因素。 方法:2021年11月至2022年10月在马来西亚马六甲进行了一项横断面研究,纳入217名从2018年至2020年曾参加过马六甲CPR趣味跑的随机选择参与者。使用经过验证的FIXED问卷收集数据,涵盖社会人口统计学、CPR和AED知识、培训状况、对CPR和使用AED的认知、态度、自我效能感、主观规范及障碍。 结果:进行CPR和使用AED的平均意愿得分为40分中的33.14 ± 7.87分。仅有三个因素与意愿仍显著相关:自我效能感(β = 0.950,p < 0.001)、认知(β = 0.569,p < 0.001)和障碍(β = -0.403,p < 0.001)。值得注意的是,亚组分析显示参加更多CPR培训课程的参与者有更好的认知(r = 0.155,p = 0.022)和自我效能感(r = 0.246,p < 0.001)。 结论:参与者表现出较高的进行CPR和使用AED的意愿。意愿受到自我效能感、认知和感知障碍的显著影响。虽然CPR培训并未直接影响意愿,但它与认知和自我效能感的改善呈现出微弱但显著的相关性。这些发现凸显了除增加培训频率外,还需要采取增强心理准备的干预措施,以加强社区在院外心脏骤停情况下的应对能力。
Cochrane Database Syst Rev. 2017-3-27
Prehosp Emerg Care. 2025