Korean Journal of Health Education and Promotion (보건교육건강증진학회지)

Korean Society for Health Education and Promotion (한국보건교육건강증진학회)
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A Population Health Characteristic Analysis of Willingness to Perform Cardiopulmonary Resuscitation

심폐소생술 수행 의지에 영향을 미치는 요인

  • Kang, Kyung-Hee (Gachon University of Medicine and Science, Department of Emergency Medical Technology) ;
  • Yim, Jun (Gachon University of Medicine and Science, Department of Preventive Medicine)
  • 강경희 (가천의과학대학교 응급구조학과) ;
  • 임준 (가천의과학대학교 예방의학과)
  • Published : 2008.12.30
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Abstract

Objectives: To identify the willingness of laypersons to perform the cardiopulmonary resuscitation(CPR), we analyzed their characteristics of socio-economic status and health-medical conditions associated with their willingness. Methods: Based on a health survey of Incheon Metropolitan City adults(N=5,114), tests of the differences between a group with willingness to perform CPR(=1,531) and a group with non-willingness to perform CPR(=3,583), and a logistic regression analysis of two groups were executed on socio-economic status-gender, age, marital stats, education level, jobs, and monthly household income-and health-medical conditions-CPR-related self-confidence, CPR education, chronic diseases, accident experience, EMS(emergency medical service) experience, and health status. Results: The rate of the willingness group was 29.9%, which was relatively lower than other developed countries. There were statistically significant differences between the willingness group with the non-willingness group on gender, age, jobs, CPR-related self-confidence, CPR education, and so on. Furthermore, Gender, age, students or armed forces among jobs, CPR-related self-confidence, and CPR education were statistically significant influential factors on the willingness to perform CPR. Conclusion: This study indicated that there was considerable variation in socio-economic status and health-medical conditions associated with willingness to perform CPR in Incheon. The CPR education aimed at increasing CPR-related self-confidence and correcting inaccurate perceptions of CPR attitudes would promote its use in response to out-of-hospital cardiac arrest.

Keywords

References

  1. 강경희 외 6명. 일반인 심폐소생술 교육 참가자와 비참가자의 특성 비교 및 교육 참가 예측인자 고찰. 대한응급의학회지 2006;17(6): 539-44
  2. 강경희, 이인숙. 자기효능 증진 기본생명소생술 프로그램의 효과 평가-심정지 고위험 환자 가족을 대상으로. 대한간호학회지 2005;35 (6):1081-90
  3. 서문자, 박영임, 유재순, 김인자. 건강증진과 건강교육. 수문사, 2000
  4. 인천광역시.가천의과학대학교. 인천광역시 구(군)별 건강수준 및 보건의식행태조사. 인천: 인천광역시.가천의과학대학교, 2005
  5. 통계청. 2007년 사망 및 사망원인통계결과. 보도자료. 2008. 9
  6. American Heart Association. American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2005;112(24):Supplement
  7. Caffrey, SL, Willoughby, PJ, Pepe, PE, Becker, LB. Public use of automated external defibrillators. N Engl J Med 2002;347(16):1242-47 https://doi.org/10.1056/NEJMoa020932
  8. Dwyer, T. Psychological factors inhibit family member's confidence to initiate CPR. Prehosp Emerg Care 2008;12:157-161 https://doi.org/10.1080/10903120801907216
  9. Jonston, TC, Clark, MJ, Dingle, GA, FitzGerald, G. Factors influencing Queenslanders' willingness to perform bystander cardiopulmonary resuscitation, Resuscitation 2003;56:67-75 https://doi.org/10.1016/S0300-9572(02)00277-0
  10. Locke, CJ, Berg, RA, Sanders, AB, Davis, MF, Milander, MM, Kern, KB, Ewy, GA. Bystander cardiopulmonary resuscitation. Concerns about mouth-to-mouth contact. Arch Intern Med 1995;155(9):938-943 https://doi.org/10.1001/archinte.155.9.938
  11. Schlessel, JS, Rappa, HA, Lesser, M, Pogge, D, Ennis, R, Mandel, L. CPR knowledge, self-efficacy, and anticipated anxiety as functions of infant/child CPR training. Ann Emerg Med 1995;25(5):618-23 https://doi.org/10.1016/S0196-0644(95)70174-5
  12. Shibata, K, Taniguchi, T, Yoshida, M, Yamamoto, K. Obstracles to bystander cardiopulmonary resuscitation in Japan. Resuscitation 2000;44:187-93 https://doi.org/10.1016/S0300-9572(00)00143-X
  13. Swor, R, Compton, S, Farr, L, Kokko, S, Vining, F, Pascual, R, Jackson, RE. Perceived self-efficacy in performing and willingness to learn cardiopulmonary resuscitation in an elderly population in a suburban community. Am J Crit Care 2003;12(1):65-70
  14. Taniguchi, T, Omi, W, Inaba, H. Attitudes towards the performance of bystander cardiopulmonary resuscitation in Japan. Resuscitation 2007;75:82-87 https://doi.org/10.1016/j.resuscitation.2007.02.019
  15. White, RD, Bunch, TJ, Hankins, DG. Evolution of a community-wide early defibrillation programme experience over 13 years using police/fire personnel and paramedics as responders. Resuscitation 2005:65:279-83 https://doi.org/10.1016/j.resuscitation.2004.10.018
  16. Zeiss, AM, Gallagher-Thompson, D, Lovett, S, Rose, J, McKibbin, C. Self-efficacy as a Mediator of Caregiver Coping: Development and Testing of an Assessment Model. Journal of Clinical Geropsychology 1999;5(3):221-30 https://doi.org/10.1023/A:1022955817074