Effects of Education and Training on Self-efficacy for Performing CPR Considering Demographic Variables

Abstract

Introduction : In Korea, annual incidence of cardiac arrest had been increased steadily every year. But among the cardiac arrest patients, the survival rate was only ~4.4% and the rates of bystander CPR is just 6.5% in 2012. Likewise, the cardiac arrest is a major issue of public health and emergency medicine in Korea. To improve the CPR performing rate, the education and training of CPR for public is necessary. The objective of this study is suggesting effective strategies for customized CPR education and leading to improvement of CPR self-efficacy of the public and finding out the vulnerable groups of each CPR related characteristics from determining the limiting demographic factors for CPR self-efficacy.

Methods : Data were obtained from the Community Health Survey (CHS) performed in 2012. The participants are adults above 19 years old who lived in national 17th cities and final sample size is 214,190. The analysis is proceeded with four survey items related to the CPR contains recognition, education, training and self-efficacy. For analysis, frequency analysis, Chi-square test and logistic regression analysis were mainly used. Especially, mediation analysis is performed to demonstrated the effects of CPR self-efficacy on demographics.

Results : The CPR educated group has strong self-efficacy (OR=8.52, 95% CI=8.18-8.88) and training experienced group are associated with higher self-efficacy (OR=4.09, 95% CI=3.78-4.44). By demographic characteristics, Female, older, low educated, low income, unemployed or manual workers and housewives, city residents and married people have lower self-efficacy.

Conclusion : For improving the self-efficacy as outcomes, increasing the awareness of importance of CPR, distributing the customized education program broadly and providing manikin training requisitely with education program is required.