PDF(Pubmed)
Abstract：
Bystander cardiopulmonary resuscitation (CPR) and using an automated external defibrillator (AED) can improve out-of-hospital cardiac arrest survival. However, bystander CPR and AED rates remained consistently low. The goal of this systematic review was to assess factors influencing community willingness to perform CPR and use an AED for out-of-hospital cardiac arrest survival (OHCA) victims, as well as its barriers.
The review processes (PROSPERO: CRD42021257851) were conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) review protocol; formulation of review questions; systematic search strategy based on identification, screening, and eligibility using established databases including Scopus, Web of Science, and Medline Complete via EBSCOhost; quality appraisal; and data extraction and analysis. There is identification of full-text journal articles that were published between 2016 and 2021 and written in English.
Of the final 13 articles, there are six identified factors associated with willingness to perform CPR and use an AED, including socio-demographics, training, attitudes, perceived norms, self-efficacy, and legal obligation. Younger age, men, higher level of education, employed, married, having trained in CPR and AED in the previous 5 years, having received CPR education on four or more occasions, having a positive attitude and perception toward CPR and AED, having confidence to perform CPR and to apply an AED, and legal liability protection under emergency medical service law were reasons why one would be more likely to indicate a willingness to perform CPR and use an AED. The most reported barriers were fear of litigation and injuring a victim.
There is a need to empower all the contributing factors and reduce the barrier by emphasizing the importance of CPR and AEDs. The role played by all stakeholders should be strengthened to ensure the success of intervention programs, and indirectly, that can reduce morbidity and mortality among the community from OHCA.
The review processes (PROSPERO: CRD42021257851) were conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) review protocol; formulation of review questions; systematic search strategy based on identification, screening, and eligibility using established databases including Scopus, Web of Science, and Medline Complete via EBSCOhost; quality appraisal; and data extraction and analysis. There is identification of full-text journal articles that were published between 2016 and 2021 and written in English.
Of the final 13 articles, there are six identified factors associated with willingness to perform CPR and use an AED, including socio-demographics, training, attitudes, perceived norms, self-efficacy, and legal obligation. Younger age, men, higher level of education, employed, married, having trained in CPR and AED in the previous 5 years, having received CPR education on four or more occasions, having a positive attitude and perception toward CPR and AED, having confidence to perform CPR and to apply an AED, and legal liability protection under emergency medical service law were reasons why one would be more likely to indicate a willingness to perform CPR and use an AED. The most reported barriers were fear of litigation and injuring a victim.
There is a need to empower all the contributing factors and reduce the barrier by emphasizing the importance of CPR and AEDs. The role played by all stakeholders should be strengthened to ensure the success of intervention programs, and indirectly, that can reduce morbidity and mortality among the community from OHCA.
摘要：
■旁观者心肺复苏（CPR）和使用自动体外除颤器（AED）可以提高院外心脏骤停的生存率。然而,旁观者CPR和AED率一直很低。这项系统评价的目的是评估影响社区进行CPR和使用AED进行院外心脏骤停生存（OHCA）受害者的意愿的因素。以及它的障碍。
■审查过程（PROSPERO：CRD42021257851）遵循系统审查和荟萃分析（PRISMA）审查方案的首选报告项目进行；制定审查问题；基于识别，筛选,以及使用包括Scopus在内的已建立数据库的资格，WebofScience,和Medline通过EBSCOhost完成；质量评估；以及数据提取和分析。在2016年至2021年之间发表并以英文撰写的全文期刊文章。
■在最后13篇文章中，有六个确定的因素与执行CPR和使用AED的意愿相关，包括社会人口统计学，培训,态度，感知规范，自我效能感,和法律义务。年龄更小,男人,更高的教育水平，employed,已婚,在过去的5年中接受过CPR和AED的培训，接受过四次或更多次心肺复苏教育，对CPR和AED有积极的态度和看法，有信心执行心肺复苏术和应用AED，和紧急医疗服务法下的法律责任保护是人们更有可能表示愿意执行CPR和使用AED的原因。报道最多的障碍是害怕诉讼和伤害受害者。
■有必要通过强调CPR和AED的重要性来增强所有促成因素并减少障碍。应加强所有利益攸关方发挥的作用，以确保干预方案取得成功，间接地,这可以降低OHCA社区的发病率和死亡率。
■审查过程（PROSPERO：CRD42021257851）遵循系统审查和荟萃分析（PRISMA）审查方案的首选报告项目进行；制定审查问题；基于识别，筛选,以及使用包括Scopus在内的已建立数据库的资格，WebofScience,和Medline通过EBSCOhost完成；质量评估；以及数据提取和分析。在2016年至2021年之间发表并以英文撰写的全文期刊文章。
■在最后13篇文章中，有六个确定的因素与执行CPR和使用AED的意愿相关，包括社会人口统计学，培训,态度，感知规范，自我效能感,和法律义务。年龄更小,男人,更高的教育水平，employed,已婚,在过去的5年中接受过CPR和AED的培训，接受过四次或更多次心肺复苏教育，对CPR和AED有积极的态度和看法，有信心执行心肺复苏术和应用AED，和紧急医疗服务法下的法律责任保护是人们更有可能表示愿意执行CPR和使用AED的原因。报道最多的障碍是害怕诉讼和伤害受害者。
■有必要通过强调CPR和AED的重要性来增强所有促成因素并减少障碍。应加强所有利益攸关方发挥的作用，以确保干预方案取得成功，间接地,这可以降低OHCA社区的发病率和死亡率。
