Influencing factors of telephone-cardiopulmonary resuscitation in China: a qualitative exploration based on managerial perspectives

Abstract

Background: Telephone-cardiopulmonary resuscitation (T-CPR) has been proven to systematically improve bystander CPR implementation and thus improve the survival rate of outof-hospital cardiac arrest (OHCA) patients on a large scale. However, China has a lower proportion of cities that provide T-CPR than other countries. To promote the implementation of T-CPR in China, our study is based on managerial perspectives (Health Bureau, Fist-aid Center and other management personnel) who will play a key role in carrying out TCPR, and through a qualitative study to explore the factors affecting the providing of TCPR, especially finding out the possible obstacles, so as to promote the implementation of TCPR and play a role in promoting human health. Methods:The semi-structured interview was conducted with managers by phenomenological research method in the qualitative study, and the data was sorted out by Nvivo 10.0 qualitative analysis software, and the data was analyzed by Colaizzi analysis to extract the theme. Results: The influencing factors of T-CPR in China were mainly divided into six dimensions: bystander factors, dispatcher factors, dispatching system factors, legal factors, guiding factors and financial factors.Conclusion: It is urgent to promote the implementation of T-CPR in China. We can promote it by strengthening the training of bystanders in CPR knowledge and skills, enhancing the awareness of first aid in the whole society, developing T-CPR guidance process suitable for Chines national conditions, building an intelligent pre-hospital emergency system, promoting the legislation of first aid exemption, and providing financial support from various channels.

Gambaran Pelaksanaan CPR Dengan Lagu Sorry - Justin Bieber Terhadap Kecepatan Kompresi Dada Pada Penolong Awam

“…Bystander pada penelitian ini adalah masyarakat awam yang belum pernah mendapatkan pelatihan tentang CPR. Hal ini membuat penerimaan informasi yang didapatkan berbeda pada setiap orang dan hal ini akan mempengaruhi kualitas CPR (Zhu et al, 2019). AHA merekomendasikan peran semua orang yang menjadi bystander CPR.…”

“…Dijelaskan bahwa kualitas CPR utama yang dikumpulkan adalah bagian kompresi jantung, kecepatan kompresi ratarata, dan kedalamannya (Park et al, 2019). Kompresi dada yang berhasil harus memenuhi kriteria seperti tekanan dan ritme yang tepat pada kecepatan 100 -120 kali / menit, dan harus memenuhi kriteria kedalaman minimal 2 inci (5 cm) dan tidak boleh lebih dari 6 cm (Zhu et al, 2019).…”