Can mass education and a television campaign change the attitudes towards cardiopulmonary resuscitation in a rural community?

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Lars Simon Rasmussen¹  Freddy Knudsen Lippert²  Dan Lou Isbye¹  Anne Møller Nielsen¹ 

[1] Department of Anaesthesia, Centre of Head and Orthopaedics, Copenhagen University Hospital, Rigshospitalet, Blegdamsvej 9, Copenhagen, 2100, Denmark;Emergency Medicine and Emergency Medical Services, Head Office, The Capital Region of Denmark, Telegrafvej 5, Ballerup, DK-2750, Denmark

关键词: Bystander basic life support;    Mass media;    Attitudes;    Cardiopulmonary resuscitation;    Out of hospital cardiac arrest;   

Others  :  811130
DOI  :  10.1186/1757-7241-21-39

 received in 2012-12-30, accepted in 2013-05-09,  发布年份 2013

【 摘 要 】

Background

Survival after out-of-hospital cardiac arrest (OHCA) is improved when bystanders provide Basic Life Support (BLS). However, bystander BLS does not occur frequently. The aim of this study was to assess the effects on attitudes regarding different aspects of resuscitation of a one-year targeted media campaign and widespread education in a rural Danish community. Specifically, we investigated if the proportion willing to provide BLS and deploy an automated external defibrillator (AED) increased.

Methods

BLS and AED courses were offered and the local television station had broadcasts about resuscitation in this study community. A telephone enquiry assessed the attitudes towards different aspects of resuscitation among randomly selected citizens before (2008) and after the project (2009).

Results

For responses from 2008 (n = 824) to 2009 (n = 815), there was a significant increase in the proportions who had participated in a BLS course within the past 5 years, from 34% to 49% (p = 0.0001), the number willing to use an AED on a stranger (p < 0.0001), confident at providing chest compressions (p = 0.03), and confident at providing mouth-to-mouth ventilations (MMV) (p = 0.048). There was no significant change in the proportions willing to provide chest compressions (p = 0.15), MMV (p = 0.23) or confident at recognizing a cardiac arrest (p = 0.09). The most frequently reported reason for not being willing to provide chest compressions, MMV and use an AED was insecurity about how to perform the task.

Conclusion

A targeted media campaign and widespread education can significantly increase the willingness to use an AED, and the confidence in providing chest compressions and MMV. The willingness to provide chest compressions and MMV may be less influenced by a targeted campaign.

【 授权许可】

   
2013 Nielsen et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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