Effects of BLS training on factors associated with attitude toward CPR in college students.
OBJECTIVE
In order to elucidate the factors for willingness to perform CPR, we evaluated the responses of college students to questionnaires before and after basic life support (BLS) training.


METHODS
Before and after participating in a small group BLS course, 259 students completed questionnaires. A logistic regression model was used to elucidate independent factors for their willingness to attempt resuscitation.


RESULTS
Factors associated with willingness to perform BLS for strangers were "anxiety for a bad outcome" (odds ratio (OR) 0.08) and "having knowledge of automated external defibrillator (AED)" (OR 4.5) before training. The proportion of students showing willingness to perform BLS increased from 13% to 77% after the training even when the collapsed person is a stranger. After training, "anxiety for being sued because of a bad outcome" (OR 0.3), and "anxiety for infection" (OR 3.8) were significant factors. Those who preferred to perform BLS without ventilation increased from 40% to 79% (p<0.0001).


CONCLUSIONS
The proportion of students showing willingness to perform BLS increased after the training. Significant association between "anxiety for infection" and willingness to perform BLS might indicate that those who wish to perform BLS developed their awareness of risk of infection more than the counterparts. For future guidelines for resuscitation and the instruction consensus, the reluctance of bystanders to perform CPR due to the hesitation about mouth-to-mouth ventilation should be reconsidered with other recent reports indicating the advantage of compression-only CPR.
Hamasu
Shinya
S
Department of Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Morimoto
Takeshi
T
Kuramoto
Nobuo
N
Horiguchi
Masahito
M
Iwami
Taku
T
Nishiyama
Chika
C
Takada
Kaori
K
Kubota
Yoshie
Y
Seki
Susumu
S
Maeda
Yuko
Y
Sakai
Yoshiharu
Y
Hiraide
Atsushi
A
D001290:Attitude; D016887:Cardiopulmonary Resuscitation / Q000193:education*; D004521:Educational Measurement; D005260:Female; D006323:Heart Arrest / Q000628:therapy; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D013334:Students / Q000523:psychology*; D011795:Surveys and Questionnaires; D055815:Young Adult