Locke C J, Berg R A, Sanders A B, Davis M F, Milander M M, Kern K B, Ewy G A
Department of Pediatrics, University of Arizona College of Medicine, Tucson, USA.
Arch Intern Med. 1995 May 8;155(9):938-43. doi: 10.1001/archinte.155.9.938.
Bystander cardiopulmonary resuscitation (CPR) is performed on only a small percentage of patients who suffer cardiac arrest. We conducted a study to elucidate attitudes toward and potential obstacles to performance of bystander CPR.
Attitude survey of 975 people on the University Heart Center, University of Arizona, Tucson, mailing list. Participants were asked about their willingness to perform CPR under four conditions, with varying relationships (stranger vs relative or friend) and CPR techniques (chest compressions plus mouth-to-mouth ventilation [CC+V] vs chest compressions alone [CC]).
Participants rated willingness to perform CPR and concern about disease transmission. Both relationship and CPR technique affected willingness to respond. Only 15% would "definitely" provide CC+V with strangers compared with 68% who would "definitely" perform CC. Even with relatives or friends, only 74% would "definitely" provide CC+V compared with 88% who would "definitely" provide CC. Eighty-two percent of participants were at least "moderately" concerned about disease transmission.
Concerns regarding mouth-to-mouth ventilation appear to create substantial barriers to performance of bystander CPR. Intensified educational efforts and investigations of new approaches to bystander CPR are warranted.
只有一小部分心脏骤停患者能得到旁观者心肺复苏术（CPR）。我们开展了一项研究，以阐明对旁观者心肺复苏术的态度及实施该操作的潜在障碍。
对亚利桑那大学图森分校大学心脏中心邮件列表中的975人进行态度调查。参与者被问及在四种情况下实施心肺复苏术的意愿，这四种情况涉及不同的关系（陌生人与亲属或朋友）以及心肺复苏术技术（胸外按压加口对口通气[CC+V]与仅胸外按压[CC]）。
参与者对实施心肺复苏术的意愿及对疾病传播的担忧进行了评分。关系和心肺复苏术技术都会影响做出反应的意愿。只有15%的人会“肯定”对陌生人实施CC+V，相比之下，68%的人会“肯定”实施CC。即使是对亲属或朋友，只有74%的人会“肯定”实施CC+V，相比之下，88%的人会“肯定”实施CC。82%的参与者至少“中度”担心疾病传播。
对口对口通气的担忧似乎为旁观者心肺复苏术的实施造成了重大障碍。有必要加强教育工作并对旁观者心肺复苏术的新方法进行研究。
