Public Opinion on Community Basic Cardiopulmonary Resuscitation Training: a Survey of Inhabitants of the Crimean Peninsula

Abstract

Background.The chances of fatal outcome in out-of-hospital cardiac arrest are exceeding 90%. However, the early initiation of bystander cardiopulmonary resuscitation (CPR) substantially improves the probability of survival. The study was aimed to determine the extent of community CPR training, level of CPR knowledge, willingness and motivation to learn CPR among the population of the Crimea.Materials and methods.The representative sample of adult residents of the Crimean Peninsula (n=384) has been surveyed by means of individual structured interview from November 2017 to January 2018. The results were analyzed with social statistics.Results.According to the survey, 53% of respondents were previously trained in CPR. The training was performed mainly (82%) at work, school, college/technical school or university, or when acquiring a driver's license. The majority of females, people over 60, unemployed and retired, widowed and those with monthly income lower than 20,000 roubles are not trained. Of previously trained, 44% respondents attended a single CPR course, 72% were trained more than one year ago, 47% of participants had no previous training in CPR, mostly never thinking about the need to go for training. Being dependent from previous CPR training, the knowledge of CPR is generally poor: the proportions of correct answering as of the proper location and rate of chest compressions were 46% and 4%, respectively. Among the respondents, 56% expressed their willingness to attend CPR training. The main motivating factors to attend CPR training were awareness of importance of CPR training, potential health problems in relatives/friends and free-of-charge training.Conclusion.The Crimean population is insufficiently and non-uniformly trained in CPR, has limited knowledge of CPR and low motivation to learn. In order to increase the commitment of the community to provide first aid in out-of-hospital cardiac arrest, mass CPR training programs should be implemented with active involvement of the least trained and motivated social strata.

Global prevalence of cardiopulmonary resuscitation training among the general public: a scoping review

“…28,29 Based on the surveys, the overall prevalence of CPR training was 12% and 21%, respectively. Another telephone survey from Hong Russia [56][57][58] Saudi Arabia 59 Kong (n = 524) showed the CPR training rate of 23% but the year of the survey is unknown. 32 Additionally, two nation-wide surveys were carried out in China in 2014 (n = 1,841; an online survey) 6 and 2018 to 2019 (n = 99,186; a self-administered questionnaire), 30 reporting the percentages of people ever trained in CPR as 26 and 38, respectively.…”

“…South Korea 45 44 48 8,45 38 8,45 27 46 51 45 55 9,47 4 48 4-55 36 9,47,49 Malta 35 50 35 New Zealand 74 51 74 Oman 39 52 21 53 21-39 Poland 73 54 73 Portugal 18 55 18 Russia 53 [56][57][58] 53 Saudi Arabia 29 59 29 Singapore 31 5,60 31 Slovenia 69 61 69 Spain 37 62 34 63 34-37 Sweden 45 64 45 Taiwan 41 65 41 Turkey 40 66 40 UK 30 67 61 68 52 69, ‡ 59 70,71 30-61 USA 42 72 55 73, § 65 74,75 70 76 68 77 72 78 42-79 63 The nation-wide study for the population of Scotland. §…”

Modern Technologies and Approaches to Organization of Theoretical and Practical Basic Resuscitation Training for the Lay Public

“…Как показал опрос населения Крыма, реанимации когда-либо обучались приблизительно 53% совершеннолетних жителей полуострова [12]. Из них для 18% давность обучения составила от 1 года до 5 лет, для 54% -более 5 лет.…”

“…Люди, никогда не проходившие обучение реанимации, обычно либо не знали, где можно обучиться, либо не задумывались о необходимости обучения сердечно-легочной реанимации. Более 50% респондентов сообщили, что хотели бы пройти такое обучение [12].…”

“…Действующая в России система обучения населения ПП, в том числе СЛР, несовершенна: возможности для массового обучения ПП людей, не имеющих медицинского образования, ограничены, подходы к контролю и обеспечению качества обучения не выработаны, а качество подготовки низкое [8][9][10]. Вследствие ограниченного охвата популяции обучением ПП и малой эффективности подготовки свидетели критических состояний в большинстве случаев не предпринимают попыток оказания помощи [11,12], что значительно снижает вероятность благоприятного исхода.…”