| Objectivethe research investigates and analyzes coronary heart disease patients'family members'CPR knowledge, current training status ,training demand, willingness of learning and performing CPR to their family members and related factors influencing the willingness, aiming to explore effective strategies to improve heart disease patients'family members'CPR knowledge and skills.MethodsA quantitative descriptive study was undertaken from November 2009 to January 2010,a questionnaire designed by ourselves was applied on a convenient sample from six hospitals in Changchun, in total about 150 questionnaires were distributed and 144 valid questionnaires were received.The questionnaire is consisted of four sections: (1) socio-demographical characteristics of patients and their family members,(2) the current status of participating in CPR training, (3) the level of the commanding of CPR knowledge, (4)willingness of studying, operating CPR to their family members and related factors. A database was established by excel 2003, and the data was analyzed using the statistical package of social science (SPSS 13.0). Quantitative data was described by frequency, percentage and mean±standard deviation; Statistical difference was determined by Rank-Sum test,Chi-square test and logistic regression test. Effective strategies to improve heart disease patients'family members'CPR knowledge and skills was proposed by analyzing the result and referencing relevant literature domestic and abroad.Results1. 26.4% repondants have heard about the world"Cardio Pulmonary Resuscitation", 53.5% repondants knew about the knowledge about"artificial respiration and chest compression", 5.6% repondants have paticipated in CPR training. The mean score of the CPR knowledge of the family members of coronary heart disease patients was 22.4,the passing rate was 3.5%.2. The three top way they acquaired CPR knowledge are by watching television(43%), communicating with others (25%)and by reading books and newspapers(16%). The three top reasons they haven't paticipated in CPR training are having no message about where have relevant course(38.5%),having no time(27.8%)and having no interest to learn it(17.8%).3. 14.6%,63.9% and 21.5% respondents are very likely to,likely to and not likely to participate in CPR training, respectively. the reasons they don't like to participate in CPR training are not having enough time(55%), having no interest to learn it (39%)and poor health (6%), respectively.4. 75.7%,8.3% and 16.0% respondents are likely to,don't like to and uncertain to operate CPR , respectively. The reasons why they don't like to operate CPR are unsure of their CPR ability(91.4%), worrying about being complained by other relatives(5.71%) and being afraid to touch"died person"(2.85%).5. The respondents are devided into several group by whether they consider CHD is highly dangerous to develop to OHCA, weather they believe patients suffered from OHCA can be rescued by CPR, how they perceive their self-efficacy in learning CPR, whether they have sense of responsibility to learn CPR, the psychological influence on patients and their family members, and the willingness to perform CPR. There are significant difference among those groups on learning CPR. After a deep analysis of logistic regression test,perception of their self-efficacy , the psychological influence on patients'family members themselves, and willingness to perform CPR are taken into logistic regression model finally.6. The respondents are devided into several group by their age,the relationship with patients, whether they consider CHD is highly dangerous to develop to OHCA, weather they believe patients suffered from OHCA can be rescued by CPR, how they perceive their self-efficacy in operating CPR, whether they have sense of responsibility to learn CPR, how they feel when they operating CPR, and weather they believe assistance-dispatch instruction.There are significant difference among those groups on operating CPR. After a deep analysis of logistic regression test,whether they consider CHD is highly dangerous to develop to OHCA and weather they believe assistance-dispatch instruction are taken into logistic regression model finally.Conclusion1. Very few CHD patients'family members have participated in CPR training and have poor command of CPR knowledge in Changchun.2. Most CHD patients'family members hold positive attitude to learning and performing CPR.3. Perception of CHD patients'family members'self-efficacy,how they fell when participating to CPR training and willingness to perform CPR markedly influence their willingness of participating to CPR training.4. Whether CHD patients'family members consider CHD is highly dangerous to develop to OHCA and weather assistance-dispatch instruction available markedly influence their willingness of operating CPR.5. In order to promote CHD patients'family members'CPR knowledge and skills, we must let more heatr disease patients'family members know the importance of B-CPR, establish a standardized training system and mobilize nurses and doctors undertake more publicity and communication among patients and their family members. |
