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J Korean Soc Emerg Med > Volume 19(1); 2008 > Article
Journal of The Korean Society of Emergency Medicine 2008;19(1): 31-36.
Analysis of Factors Contributing to Reluctance and Attitude toward Cardiopulmonary Resuscitation in the Community
Mi Jin Lee, Kyu Nam Park, Hyun Kim, Jung Ho Shin, Hyuk Jun Yang, Tai Ho Rho
1The ACLS committee of the Korean Association of Cardiopulmonary Resuscitation, Korea.
2Department of Emergency Medicine, College of Medicine, Konyang University, Daejeon, Korea.
3Department of Emergency Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
4Department of Emergency Medicine, Wonju College of Medicine, Yonsei University, Korea.
5Department of Emergency Medicine, College of Medicine, Korea University, Seoul, Korea.
6Department of Emergency Medicine, Gil Hospital, Gachon University of Medicine and Science, Incheon, Korea.
7Department of Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. tairho@catholic.ac.kr
Out-of-hospital cardiac arrest is an extensive public health problem, so cardiopulmonary resuscitation (CPR) has been widely taught to lay communities. However, little research has been done to assess attitude and reluctance to performing CPR in Korea. The present study clarified the basic factors affecting attitude and reluctance towards resuscitation in Seoul, Korea.
Using a telephone survey of a randomly selected sample of Seoul citizens, we questioned 1,007 subjects over a 2 week period in November 2006 on their prior training, knowledge, and awareness of resuscitation. The survey questions sought to clarify basic aspects of knowledge and attitude towards CPR, as well as to gather demographic information.
Forty-five percent of subjects had previously been taught CPR. Of these, 70% had been taught more than two years previously. While sixty-nine percent indicated a general willingness to performed CPR on a stranger, only 6.8% responded that they definitely would perform CPR. In addition, only 3.3% were able to remember the correct compression- to-ventilations ratio for adult CPR. Of the 314 respondents who were unwilling to performed CPR, 44.3% gave as their reason the risk involved in a deteriorating situation, while 33.1% cited a lack of CPR knowledge. The factors most related to CPR performance and reluctance were male (odds ratio=1.997, p=0.048), prior CPR education (odds ratio=1.798, p=0.001), and accuracy of CPR knowledge (odds ratio=1.983, p=0.001).
Although general awareness of CPR among the Korean community is high, practical knowledge relating to the performance of basic CPR is poor. This suggests that present community CPR educational strategies had limited efficacy.
Key words: Attitude, Cardiopulmonary Resuscitation, Education
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