1. Attitude and behavior toward bystander cardiopulmonary resuscitation during COVID-19 outbreak
- Author
-
Sot Shih-Hung Liu, Hsien Chin He, Hsiang Wen Yang, Chien-Hua Huang, Kah Meng Chong, Patrick Chow-In Ko, Jiun Wei Chen, Wan-Ching Lien, Chien Yu Chi, Mei Fen Yang, Edward Huang, Yen Pin Chen, Edward Che-Wei Liao, Marvin Chih Hsien Wu, Cheng Yi Wu, and Hui-Chih Wang
- Subjects
Male ,Resuscitation ,Viral Diseases ,Health Knowledge, Attitudes, Practice ,Critical Care and Emergency Medicine ,Cross-sectional study ,Epidemiology ,medicine.medical_treatment ,Health Care Providers ,Social Sciences ,Geographical Locations ,Medical Conditions ,Psychological Attitudes ,Medicine and Health Sciences ,Psychology ,Medical Personnel ,Young adult ,Computer Networks ,Multidisciplinary ,Social distance ,Masks ,Middle Aged ,Professions ,Infectious Diseases ,Medicine ,Female ,Research Article ,Adult ,medicine.medical_specialty ,Computer and Information Sciences ,Asia ,Coronavirus disease 2019 (COVID-19) ,Science ,Health Personnel ,education ,Taiwan ,Young Adult ,Physicians ,medicine ,Humans ,Cardiopulmonary resuscitation ,Aged ,Internet ,business.industry ,Outbreak ,Biology and Life Sciences ,COVID-19 ,Covid 19 ,Hand ,Cardiopulmonary Resuscitation ,Health Care ,Cross-Sectional Studies ,Public Opinion ,People and Places ,Population Groupings ,business ,Demography - Abstract
Background Outbreaks of emerging infectious diseases, such as COVID-19, have negative impacts on bystander cardiopulmonary resuscitation (BCPR) for fear of transmission while breaking social distancing rules. The latest guidelines recommend hands-only cardiopulmonary resuscitation (CPR) and facemask use. However, public willingness in this setup remains unknown. Methods A cross-sectional, unrestricted volunteer Internet survey was conducted to assess individuals’ attitudes and behaviors toward performing BCPR, pre-existing CPR training, occupational identity, age group, and gender. The raking method for weights and a regression analysis for the predictors of willingness were performed. Results Among 1,347 eligible respondents, 822 (61%) had negative attitudes toward performing BCPR. Healthcare providers (HCPs) and those with pre-existing CPR training had fewer negative attitudes (p < 0.001); HCPs and those with pre-existing CPR training and unchanged attitude showed more positive behaviors toward BCPR (p < 0.001). Further, 9.7% of the respondents would absolutely refuse to perform BCPR. In contrast, 16.9% would perform BCPR directly despite the outbreak. Approximately 9.9% would perform it if they were instructed, 23.5%, if they wore facemasks, and 40.1%, if they were to perform hands-only CPR. Interestingly, among the 822 respondents with negative attitudes, over 85% still tended to perform BCPR in the abovementioned situations. The weighted analysis showed similar results. The adjusted predictors for lower negative attitudes toward BCPR were younger age, being a man, and being an HCP; those for more positive behaviors were younger age and being an HCP. Conclusions Outbreaks of emerging infectious diseases, such as COVID-19, have negative impacts on attitudes and behaviors toward BCPR. Younger individuals, men, HCPs, and those with pre-existing CPR training tended to show fewer negative attitudes and behaviors. Meanwhile, most individuals with negative attitudes still expressed positive behaviors under safer measures such as facemask protection, hands-only CPR, and available dispatch instructions.
- Published
- 2021