ABSTRACT
Objective To investigate the level of knowledge, attitude and practice (KAP) of cardiopulmonary resuscitation (CPR) and analyze its related influencing factors in order to provide the basis for the construction of CPR training and management model and enhance the knowledge level and operational skills of CPR among community residents in Shacheng district of Wenzhou City. Methods From June 2015 to June 2016, a total of 560 community residents in Shacheng district of Wenzhou City were randomly selected as the subjects based on community house number using the random number table method, and they were investigated by general information questionnaire, CPR training questionnaire, and CPR KAP questionnaire. Univariate and multivariate linear regression analyses were used to analyze the influencing factors on KAP of CPR among community residents; the bivariate correlation analysis was used to analyze the correlations between KAP of CPR and the dimensions of KAP in the community residents. Results Of the 560 community residents, 33.39% knew CPR, only 15.89% had received CPR training and 12.14% knew how to handle cardiac arrest (CA), the average score of CPR KAP in community residents was (42.50±11.34) scores, which was positively correlated with knowledge, attitude and behavior dimensions (r = 0.56, 0.45, 0.49, all P ＜ 0.05). The average scores of CPR KAP of residents with various occupations were as follows: farmers, workers, students, teachers, company staff, medical workers, and other residents (respectively 37.24±9.34, 38.28±8.12, 43.12±8.45, 45.45±10.23, 44.89±9.89, 49.67±7.45, 40.00±10.45), the average scores of CPR KAP of residents with various educational levels were as follows: elementary school and below, junior high school, senior high school or secondary technical school, college education, bachelor degree or above (respectively 35.65±8.76, 37.67±10.65, 40.87±9.87, 44.56±10.78, 49.87±9.23), the average scores of CPR KAP were differed by whether they knew CPR or not (47.34±8.76 vs. 40.07±11.23), whether they had received CPR training or not (49.56±9.56 vs. 41.17±11.78), and whether they knew how to deal with CA or not (51.89±9.34 vs. 41.20±11.18), which were statistically significant (all P ＜ 0.05). Multiple linear regression analysis showed that the education level [95% confidence interval (95%CI) =1.12 - 2.24, P = 0.00), whether they knew the CPR or not (95%CI = 0.87 - 1.89, P = 0.00), and whether they had received CPR training or not (95%CI = 1.32 - 2.58, P = 0.00) and whether they knew how to deal with CA or not (95%CI =1.87 - 3.23, P = 0.00) were the factors affecting the residents' KAP of CPR. Conclusions The CPR KAP level of community residents in Shacheng district of Wenzhou city is low, and the level is influenced by many factors such as education level, etc. Local public health departments should actively carry out effective training of CPR knowledge and skills, and from the CPR knowledge, attitude and practice aspects, comprehensively enhance the residents' level of CPR KAP.