Barriers and facilitators to learning and performing cardiopulmonary resuscitation in neighborhoods with low bystander cardiopulmonary resuscitation prevalence and high rates of cardiac arrest in Columbus, OH.
Barriers and facilitators to learning and performing cardiopulmonary resuscitation in neighborhoods with low bystander cardiopulmonary resuscitation prevalence and high rates of cardiac arrest in Columbus, OH.
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DOI：
10.1161/circoutcomes.111.000097
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发表时间：
2013-09-01
期刊：
影响因子：
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通讯作者：
Heisler M
中科院分区：
文献类型：
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作者：
Sasson C;Haukoos JS;Bond C;Rabe M;Colbert SH;King R;Sayre M;Heisler M
居住在主要是非洲裔美国人，拉丁美洲人或穷人的社区的居民更有可能发生院外心脏骤停（OHCA），不太可能接受心肺复苏术（CPR），也不太可能生存。没有先前的研究已经进行，以了解可能会降低居民学习和执行心肺复苏术在这些社区的可能性的影响因素。本研究的目的是确定在哥伦布，俄亥俄州的三个低收入，“高风险”主要是非洲裔美国人，社区学习和执行心肺复苏术的障碍和促进因素。2011年1月至2月，在俄亥俄州哥伦布的三个目标高风险社区，采用基于社区的前瞻性研究（CBPR）方法与社区合作伙伴一起开发和开展六个焦点小组。由社区联络员进行的雪球和有目的的抽样被用来招募参与者。三位评审员在一个迭代过程中分析了数据，以确定反复出现和统一的主题。学习心肺复苏术的三个主要障碍被确定，包括财务，信息和动机因素。四个主要障碍被确定为执行心肺复苏术，包括恐惧的法律的后果，情绪问题，知识，和情境的关注。与会者认为，家庭/自我保护，情感和经济因素可能作为潜在的促进因素，在增加提供旁观者心肺复苏术。当设计一个以社区为基础的心肺复苏术教育项目时，必须解决心肺复苏术培训的经济成本、信息的缺乏以及对自己生命危险的恐惧。使用来自社区的数据可以促进CPR计划的改进设计和实施。
Residents who live in neighborhoods that are primarily African-American, Latino, or poor are more likely to have an out-of-hospital cardiac arrest (OHCA), less likely to receive cardiopulmonary resuscitation (CPR), and less likely to survive. No prior studies have been conducted to understand the contributing factors that may decrease the likelihood of residents learning and performing CPR in these neighborhoods. The goal of this study was to identify barriers and facilitators to learning and performing CPR in three low-income, “high-risk” predominantly African American, neighborhoods in Columbus, Ohio. Community-Based Participatory Research (CBPR) approaches were used to develop and conduct six focus groups in conjunction with community partners in three target high-risk neighborhoods in Columbus, Ohio in January-February 2011. Snowball and purposeful sampling, done by community liaisons, was used to recruit participants. Three reviewers analyzed the data in an iterative process to identify recurrent and unifying themes. Three major barriers to learning CPR were identified and included financial, informational, and motivational factors. Four major barriers were identified for performing CPR and included fear of legal consequences, emotional issues, knowledge, and situational concerns. Participants suggested that family/self-preservation, emotional, and economic factors may serve as potential facilitators in increasing the provision of bystander CPR. The financial cost of CPR training, lack of information, and the fear of risking one's own life must be addressed when designing a community-based CPR educational program. Using data from the community can facilitate improved design and implementation of CPR programs.