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J Korean Soc Emerg Med > Volume 28(4); 2017 > Article
Journal of The Korean Society of Emergency Medicine 2017;28(4): 287-293.
심정지 환자 특성에 따른 목격자 심폐소생술 의지 변화와 요인 분석
서현일1, 박용석2, 이미진1, 안재윤1, 김종근1, 문성배1, 이동언1, 손유동3, 이숙희4, 최재영5
1경북대학교 의과대학 응급의학교실
2차의과대학교 구미차병원 응급의학과
3한림대학교 의과대학 응급의학교실
4대구가톨릭대학교 의과대학 응급의학교실
5경북대학교 의과대학 소아과학교실
Willingness Variability of Bystander Cardiopulmonary Resuscitation in Special Situations
Hyun Il Seo1, Yong Seok Park2, Mi Jin Lee1, Jae Yun Ahn1, Jong Kun Kim1, Sungbae Moon1, Dong Eun Lee1, You Dong Sohn3, Suk Hee Lee4, Jae Young Choe5
1Department of Emergency Medicine, Kyungpook National University School of Medicine, Daegu, Korea
2Department of Emergency Medicine, Gumi CHA Medical Center, CHA University, Gumi, Korea
3Department of Emergency Medicine, Hallym University School of Medicine, Anyang, Korea
4Department of Emergency Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea
5Department of Pediatrics, Kyungpook National University School of Medicine, Daegu, Korea
Correspondence  Yong Seok Park ,Tel: 054-450-9999, Fax: 054-452-5098, Email: jisilpark@naver.com,
Received: January 26, 2017; Revised: January 31, 2017   Accepted: April 6, 2017.  Published online: August 31, 2017.
This study aims to investigate how variability of bystander cardiopulmonary resuscitation (CPR) willingness may change depending on special situations and to find out factors that enhance CPR willingness in each situation and ways to increase the ratio of bystander CPR.
A population-based, nationwide study using a structured questionnaire via telephone survey regarding CPR was done in 2015 (n=1,000). A stratified cluster sampling was conducted to assess the impact of age and gender on CPR willingness. The contents of the questionnaire consisted of basic characteristics, CPR training experience, and status. Additionally, respondents were presented with five hypothetical scenarios of cardiopulmonary arrest; family member, stranger, elderly person, preschool child, and pregnant woman.
Willingness to perform CPR was low for pregnant women (52.1%) or elders (59.3%), moderate for strangers (73.3%) or children (71.3%), but high for a family members (90.4%). Age, awareness of CPR, training experience of CPR, CPR training by manikin practice, recent CPR training (≤2 years), experience of bystander CPR, family history of severe illness, and awareness of Good Samaritan law all influenced the willingness to perform CPR on bystander in each scenario.
The willingness of bystander CPR decreased in special situations, especially for elderly and pregnant woman. However, recent CPR training group were more willing in the elderly, and CPR experienced group also showed increased tendency in pregnant woman. It is expected that the rate of bystander CPR can be increased by emphasizing that performing bystander CPR for children, pregnant women, and elders is not different from the general population.
Key words: Cardiopulmonary resuscitation, Heart arrest, Attitude to health, Pregnant women, Aged
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