Abstract
BackgroundNationwide and regional interventions can help improve bystander cardiopulmonary resuscitation (CPR) awareness, knowledge, and the willingness. Periodic community investigation will help monitor the effect. This study aimed to compare the experience of CPR education, CPR knowledge, and CPR willingness, during a 5-year interval.MethodsThis is a pre and post study. Two surveys were done in February 2012 and December 2016. National and regional intervention including legislation promoting public involvement, standardizing CPR education programs, training CPR instructors, and installing supporting organizations were done at the period. In both surveys, respondents were selected via quota sampling in Daegu Metropolitan City and answered the survey through face-to-face interview. Respondents’ general demographic characteristics, CPR educational experience, CPR knowledge and CPR willingness were questioned.ResultsTotal of 2141 respondents (1000 in 2012, 1141 in 2016) were selected. The percentage of respondents who received CPR education itself and recent education were higher after intervention compared to before intervention (36.2% vs. 55.1%, 16.9% vs. 30.1%, respectively). Correct knowledge of performing CPR seems to be improved overall (1.6% vs. 11.7%, odd ratio 14.28, 95% confidence interval 5.68–35.94). However, less respondents were willing to perform CPR on strangers (54.5% vs 35.0%).ConclusionNationwide and regional interventions to promote bystander CPR and CPR education were associated with increased CPR education experience and improved correct CPR knowledge in performing bystander CPR. Willingness to perform bystander CPR on family did not increase significantly and CPR willingness to strangers was decreased. Additional legal and technological measures should be implemented to promote bystander CPR.
Highlights
Sudden cardiac death remains one of the leading causes of death in developed countries[1] and is considered as a major burden to the population[2,3]
National and regional intervention including legislation promoting public involvement, standardizing cardiopulmonary resuscitation (CPR) education programs, training CPR instructors, and installing supporting organizations were done at the period
The percentage of respondents who received CPR education itself and recent education were higher after intervention compared to before intervention (36.2% vs. 55.1%, 16.9% vs. 30.1%, respectively)
Summary
Sudden cardiac death remains one of the leading causes of death in developed countries[1] and is considered as a major burden to the population[2,3]. Bystander cardiopulmonary resuscitation (CPR) plays an important role in improving the survival rate and neurological outcomes of sudden cardiac arrest patients[5]. Various measures, including public education, can be implemented to achieve better outcome in performing bystander CPR[6,7]. Along with educational strategies, investigating public CPR awareness and CPR willingness to determine the associated factors is needed. It will serve as a method of monitor and quality control of public CPR education[8]. Nationwide and regional interventions can help improve bystander cardiopulmonary resuscitation (CPR) awareness, knowledge, and the willingness. This study aimed to compare the experience of CPR education, CPR knowledge, and CPR willingness, during a 5-year interval
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