Readiness to perform cardiopulmonary resuscitation: An emerging strategy against sudden cardiac death

被引:24
作者
Nolan, RP
Wilson, E
Shuster, M
Rowe, BH
Stewart, D
Zambon, S
机构
[1] Univ Ottawa, Fac Social Sci, Sch Psychol, Ottawa, ON, Canada
[2] Univ Ottawa, Fac Med, Dept Epidemiol & Copmmunity Med, Ottawa, ON, Canada
[3] Heart & Stroke Fdn Canada, Ottawa, ON, Canada
[4] Mineral Springs Hosp, Banff, AB, Canada
[5] Univ Alberta, Fac Med, Div Emergency Med, Edmonton, AB, Canada
[6] Cambridge Mem Hosp, Waterloo Reg Base Hosp Program, Waterloo, ON, Canada
[7] Heart & Stroke Fdn Ontario, Toronto, ON, Canada
来源
PSYCHOSOMATIC MEDICINE | 1999年 / 61卷 / 04期
关键词
cardiopulmonary resuscitation; transtheoretical model; bystander response; medical decision making; emergency cardiac care;
D O I
10.1097/00006842-199907000-00020
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objectives: This investigation assessed motivational factors and psychosocial barriers that affect individual readiness to perform cardiopulmonary resuscitation (CPR). This is the first study to use the Transtheoretical model in assessing readiness to perform CPR. Methods: A sample of 786 subjects, greater than or equal to 45 years of age and who resided in a private residence, were randomly selected to participate in a structured telephone interview, Data on motivational readiness, emotional state, perceived psychosocial barriers, and perceived efficacy in performing CPR were collected using dichotomous and Likert-type ratings. Results: Subjects with greater motivational readiness expected to experience significantly fewer symptoms of emotional distress during a cardiac emergency and to encounter fewer psychosocial barriers, This group also reported greater efficacy in their ability to perform CPR, These findings were independent of gender, medical history, age, and educational level. Conclusions: Meaningful differences aro apparent in individual readiness to perform CPR. These findings provide additional support for the need to tailor CPR training strategies using behavioral methods that enhance motivational readiness and decrease apprehension about anticipated emotional distress and psychosocial barriers.
引用
收藏
页码:546 / 551
页数:6
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