Public participation willingness in out-of-hospital cardiopulmonary resuscitation: A systematic review and meta-analysis  

公众参与院外心肺复苏意愿的影响因素:系统评价和meta分析

作　　者：Yuqiu Cheng Chunzhi Zhang Li Chen Hongjun Liu Wanling He Zeya Shi 程雨秋;张春芝;陈莉;刘洪君;何婉玲;石泽亚

机构地区：[1]School of Nursing,Hunan Normal University,Changsha,China [2]Kiang Wu Nursing College of Macao,Macao,China [3]Guangzhou Red Cross Hospital of Jinan University,Guangzhou,China [4]Hunan Prevention and Treatment Institute for Occupational Diseases,Affiliated Prevention and Treatment Institute for Occupational Diseases of University of South China,Changsha,China

出　　处：《International Journal of Nursing Sciences》2025年第2期192-199,共8页国际护理科学(英文)

基　　金：supported by Major Scientific Research Special Project for High-level Talents in Health and Wellness,Hunan Province(R2023072);Project of Hunan Provincial Department of Finance(2050205);Hunan Provincial Department of Finance Project(050205).

摘　　要：Objective This systematic review and meta-analysis aimed to identify the main factors influencing the public’s willingness to participate in out-of-hospital emergency care.Methods Studies were searched in online databases,including PubMed,Embase,Web of Science,and the Cochrane Library.The articles included in this review were published from inception to July 31,2024.The Iain Crombie assessment tool was used to assess study quality.Meta-analysis was performed using RevMan(version 5.4)software.The review protocol has been registered with PROSPERO(CRD42024570491).Results A total of 1,434 research articles were initially identified,among which 18 were incorporated into this study,and all of the included studies were cross-sectional.Meta-analysis results demonstrated that gender(male;OR=1.37,95%CI:1.28–1.47),profession(healthcare provider;OR=0.17,95%CI:0.06–0.47),knowledge and skill level(OR=1.63,95%CI:1.25–2.11),willingness to undergo training(OR=2.68,95%CI:1.89–3.79),interest in first aid(OR=2.08,95%CI:1.60–2.69),previous training(OR=2.14,95%CI:1.49–3.08),and previous first-aid experience(OR=1.70,95%CI:1.37–2.11)were the principal influencing factors of the public’s willingness to engage in out-of-hospital cardiopulmonary resuscitation.Conclusion Demographic factors,knowledge,belief,and behavior are crucial in influencing public emergency decision-making.Medical personnel could create specialized training programs based on relevant factors to enhance the public's willingness to engage in out-of-hospital CPR.目的系统评价公众参与院外心肺复苏意愿的影响因素。方法计算机检索PubMed、Embase、Web of Science和the Cochrane Library等数据库中有关公众参与院外心肺复苏影响因素的文献。检索时限为建库至2024年7月31日。采用Crombie横断面研究评价工具评估研究质量。由2名分析人员独立筛选文献、提取资料、质量评价后采用RevMan5.4软件进行meta分析。该研究方案已在PROSPERO注册(CRD42024-570491)。结果共纳入18篇文献,均为横断面研究。Meta分析结果显示,性别(男性,0R=1.37,95%CI:1.28~1.47)、职业(医疗保健提供者,0R=0.17,95%CI:0.06~0.47)、知识和技能水平(0R=1.63,95%CI:1.25~2.11)、接受培训的意愿(OR=2.68,95%CI:1.89~3.79)、对急救的兴趣(OR=2.08,95%CI:1.60~2.69)、既往培训(OR=2.14,95%CI:1.49~3.08)和既往急救经验(0R=1.70,95%CI:1.37~2.11)是影响公众参与院外心肺复苏意愿的主要因素(P<0.05)。结论人口因素、知识、信念和行为是影响突发公共事件决策的关键因素。医务人员可以根据相关因素制订有针对性的培训计划,从而提高公众对院外心肺复苏的参与意愿。

关 键 词：Cardiopulmonary resuscitation FACTORS META-ANALYSIS Out-of-hospital cardiac arrest PUBLIC WILLINGNESS 

分 类 号：R459.7[医药卫生—急诊医学]