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Influencing factors of public willingness to implement cardiopulmonary resuscitation: A mixed-methods systematic review.

Yajie Wang, Fangqiu Zheng, Jingju Xia, Limin Zheng, Dantong Wang, Haili Wang, Bo Ma

International Journal of Cardiology. Cardiovascular Risk and Prevention · 2025-09-24 · Systematic review

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Abstract

BACKGROUND: Bystander cardiopulmonary resuscitation is a key element in the chain of survival for out-of-hospital cardiac arrest, enhancing patient survival rates. However, bystander cardiopulmonary resuscitation rates remain low. AIM: (s)To systematically evaluate the factors influencing bystander cardiopulmonary resuscitation and provide a foundation for developing training programs and guiding future research. METHODS: The systematic review adhered to the Preferred Reporting Items for Systematic Reviews and Meta--Analyses (PRISMA) guidelines and was registered with PROSPERO. DATA SOURCES: A comprehensive search of 4 databases (the Cochrane Library, PubMed, Web of Science, and Embase) were searched between the database's creation and November 13, 2024. RESULTS: A total of 11,730 studies were initially retrieved, with 28 ultimately included in the analysis. Among these, 4 were qualitative studies, and 24 were quantitative studies. Data integration was performed using Nvivo14 software. CONCLUSION: The findings demonstrated that cardiopulmonary resuscitation (CPR) knowledge, abilities, training experience, rescue objects, and rescue techniques all had an impact on the public's willingness to perform CPR. Ethics teaching will be included in the training content, and future courses will use female simulators. Second, to address the issue of a lack of CPR knowledge, CPR instruction can be included in the curriculum of schools in nations such as China which have a poor rate of CPR training development. To increase the public's rate of mastery of CPR-related knowledge, the training frequency should be increased concurrently. And it is suggested that the state create relevant legislation to safeguard rescuers. Finally, designing specialized evaluation instruments.

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