Background : Bystander cardiopulmonary resuscitation (CPR) is a vital element of patient survival. Therefore, the aim of the present study was to assess sources of knowledge about CPR and its association with demographical characteristics in Saudi Arabia. Methodology: Data about CPR were obtained from 440 Saudi volunteers living in the city of Hail, Northern Saudi Arabia. Results: Out of the 440 study subjects, 257/440 (58.4%) individuals were found to know about CPR. Out of 257 individuals, 154/257 (60%) were males and 103/257 (40%) were females. Conclusion: The level of awareness toward CPR in general population of Northern Saudi Arabia, which requires more efforts at community basis. The most effective source for raising awareness is the appropriate utility of social media, as well as, implementing sustainable program for delivering CPR training courses evolving all community settings.
In cardiac arrest, high quality cardiopulmonary resuscitation (CPR) is a key determinant of patient survival [
In the event of cardiac arrest, basic life support can be effective to reduce the chance of death. According to the 2015 American Heart Association Guidelines [
Despite the strong evidence that basic life support including cardiopulmonary resuscitation (CPR) improves survival rates after cardiac events, the awareness and training among citizens of Saudi Arabia is low [
In this community based cross-sectional survey, data about CPR were obtained from 440 Saudi volunteers living in the city of Hail, Northern Saudi Arabia during the period from October 2017 to June 2018. Participants were randomly selected by simple random regardless to age, gender and education or occupation.
A Purposeful questionnaire was designed and used for obtaining of the necessary data. The following information were obtained from each participant: age, sex, and education level, previous information about CPR, and source of information about CPR.
Each participant was asked to sign a written ethical consent during the questionnaire’s interview. The informed ethical consent form was designed and approved by the ethical committee of the College of Medicine (University of Hail, Saudi Arabia) Research Board.
Statistical Package for Social Sciences (version 16) was used for analysis and to perform Pearson Chi-square test for statistical significance (P value). The 95% confidence level and confidence intervals were used. P value less than 0.05 was considered statistically significant.
This is a cross sectional survey investigated 440 volunteers for their knowledge about CPR, as well as, the source of this knowledge. Out of 440 contributors, 248/440 (56.3%) were males and 192/440 (43.7%) were females, their ages ranging from 18 to 70 years old.
Out of the 440 study subjects, 257/440 (58.4%) individuals were found to know about CPR. Out of 257 individuals, 154/257 (60%) were males and 103/257 (40%) were females. Although the results seemed to be similar, but males were has more knowledge about CPR than females. The 95% confidence interval (95% CI) and odd ratio (OR); OR (95% CI) = 1.4156 (0.9657 to 2.0751), P value = 0.0749.
As indicated in
Variable | Category | Males | Females | Total |
---|---|---|---|---|
Age | ||||
18 - 25 yrs | 56 | 49 | 105 | |
26 - 30 yrs | 21 | 15 | 36 | |
31 - 35 yrs | 22 | 15 | 37 | |
36 - 40 yrs | 8 | 5 | 13 | |
40+ yrs | 47 | 19 | 66 | |
Total | 154 | 103 | 257 | |
Education | ||||
Basic | 52 | 41 | 93 | |
University | 89 | 58 | 147 | |
Post-university | 13 | 4 | 17 | |
Total | 154 | 103 | 257 | |
Occupation | ||||
Educators | 26 | 31 | 57 | |
Students | 58 | 49 | 107 | |
Employees | 44 | 5 | 49 | |
Self-employed | 24 | 3 | 27 | |
Jobless | 2 | 15 | 17 | |
Total | 154 | 103 | 257 |
With regard to the education levels, the great majority of the participants were with a university level followed by those with basic education levels representing 147/257 (57%) and 93/257 (36%) in this order. For males, most of them were found with university level followed by basic levels, representing 89/154 (57.8%) and 52/154 (33.8%) correspondingly. Also the case for females is similar, most participants were found with university level followed by basic constituting 58/103 (56%) and 41/103 (39.8%) correspondingly, as indicated in
With regard to the occupation, the majority of participants were students followed by educators and employees constituting 107/257 (41.6%), 57/257 (22.2%) and 49/257 (19%), respectively. For males, most of them were students followed by employees constituting 58/154 (37.7%) and 44/154 (28.6%) in this order. For males most of them were students followed by educators representing 49/103 (47.6%) and 31/103 (30%), respectively, as indicated in
As indicated in
For females, the majority got their information about CPR from social media, followed by CPR training courses and reading in the media, representing 41/103 (39.8%), 19/103 (18.4%) and 16/103/154 (15.5%) in this order, as indicated in
Variable | Males | Females | Total |
---|---|---|---|
Television (TV) | 12 | 12 | 24 |
Social media | 50 | 41 | 91 |
CPR training course | 32 | 19 | 51 |
Relatives or friend | 20 | 5 | 25 |
Education centers | 30 | 10 | 40 |
Through reading in the media | 10 | 16 | 26 |
Total | 154 | 103 | 257 |
Variable | 18 - 25 | 26 - 30 | 31 - 35 | 36 - 40 | 40+ | Total |
---|---|---|---|---|---|---|
Television (TV) | 10 | 2 | 3 | 0 | 9 | 24 |
Social media | 36 | 14 | 21 | 5 | 24 | 91 |
CPR training course | 26 | 9 | 5 | 1 | 18 | 51 |
Relatives or friend | 9 | 3 | 1 | 5 | 5 | 25 |
Education centers | 20 | 8 | 7 | 2 | 0 | 40 |
Through reading in the media | 4 | 0 | 0 | 0 | 10 | 26 |
Total | 105 | 36 | 37 | 13 | 66 | 257 |
10/24 (41.7%) and 9/24 (37.5%), respectively. For social media, most participants were found at age range 18-25 years followed by 40+ and 31 - 35 representing 36/91 (39.5%), 24/91 (26.4%) and 21/91 (23%), respectively. For CPR training course, most participants were found at age group 18 - 25 followed by 40+ years and 26 - 30 years, representing 26/51 (50.9%), 18/51 (35.3%) and 9/51 (17.6%), in this order. For, relatives or friend, most participants were found at age group 18 - 25 followed by 36 - 40 and 40+ years constituting 9/25 (36%), 5/25 (20%) and 5/25 (20%) in this order. For reading in the media, most participants were found at age group 40+ followed by 18 - 25 years constituting 10/26 (38.5%) and 4/26 (15.4%), respectively.
With regard to the relationship between education levels and the source of information about CPR, for people with basic education level, most of them got their knowledge from social media followed by reading in the media (such as newspapers, etc), education centers, constituting 25/93 (27%), 19/93 (20.4%), and 15/93 (16%), respectively. For individuals with university level, most of them got their knowledge from social media followed by CPR training courses, and education centers, representing 59/147 (40%), 34/147 (23%), and 25/147 (17%), correspondingly. For post-university, most of them got their knowledge from CPR training courses and social media, both constituting 7/17 (41.2%), as indicated in
The distribution of the study population by occupation and source of information about CPR was summarized in
Variable | Basic | University | Post-university | Total |
---|---|---|---|---|
Television (TV) | 13 | 9 | 2 | 24 |
Social media | 25 | 59 | 7 | 91 |
CPR training course | 10 | 34 | 7 | 51 |
Relatives or friend | 11 | 13 | 1 | 25 |
Education centers | 15 | 25 | 0 | 40 |
Through reading in the media | 19 | 7 | 0 | 26 |
Total | 93 | 147 | 17 | 257 |
Variable | Educators | Students | Employees | Self-employed | Jobless | Total |
---|---|---|---|---|---|---|
Television (TV) | 5 | 4 | 6 | 7 | 2 | 24 |
Social media | 25 | 30 | 20 | 9 | 7 | 91 |
CPR training course | 6 | 30 | 8 | 4 | 3 | 51 |
Relatives or friend | 4 | 7 | 8 | 2 | 4 | 25 |
Education centers | 11 | 26 | 2 | 1 | 0 | 40 |
Reading in the media | 6 | 10 | 5 | 4 | 1 | 26 |
Total | 57 | 107 | 49 | 27 | 17 | 257 |
CPR is a growing lifesaving procedure, which involves a sequences of lifesaving actions that increase the survival rates next to sudden cardiac arrest (SCA) [
In the present study about 43.6% of the study subjects didn’t heard about CPR before. This represent a large portion of population with variable education levels and different occupation settings. However, there were few studies conducted in this context from Saudi Arabia with diverse findings. In a cross-sectional community-based survey included individuals visiting the first Pediatric Health Awareness Week held at Dammam University Hospital, of the participants, 80.8% of the females and 86.5% of males were totally unaware of CPR. Overall, 15.5% of all female participants had attended some CPR course(s) compared with 6.1% of the males; 18.7% of the females had watched CPR program (s)/video (s) on TV or online compared to 11.1% of the males [
In the present study males were more likely to know about CPR (60%) compared to females (40%). It was found that the factors most related with intention of bystander CPR were male gender, younger age, CPR awareness, recent CPR training, and qualified CPR learning [
In the present study the most common source of information about CPR was social media followed by CPR training courses, education centers and reading in the media, representing 35.4%, 19.8%, 15.6% and 10%, respectively. Effective communication is a critical function within any public health system. Social media has enhanced communication between individuals and organizations and has the potential to augment public health communication [
With reference to age, in the present study there was increased number of participants at younger and older age groups. Other wide there is no differences in age groups as well as in the sex regarding knowledge about CPR. Within age groups, 18 - 25, 26 - 30 years, most participants got their knowledge from Social media followed by CPR training courses. For age group 31 - 35 years, most participants got their knowledge about CPR from social media and education centers including schools and universities. However, the major sources for older people were also social media and CPR training courses. Thus social media can be considered as a major source for raising the public awareness towards different community related health issues, regardless of age in Northern Saudi Arabia.
With regard to education, the majority of participants in the present study were with university level of education followed by general education. For basic education (general), most participants got their information about CPR through social media followed by reading in the media (such as newspapers). On the other hand, for those with university level of education most of them got their knowledge from social media followed by CPR training courses, and this is cases for those at post-university levels of education. However, in recent years, there was development in education methods, which allows the introduction of out curriculum inclusion of certain new-fangled medical issues. Such events rendered educated people more oriented towards CPR [
With regard to occupation and source of information about CPR, for educators (teacher, lectures etc), most of them got their information from social media and education centers. Students got their knowledge predominantly from both social media and CPR training courses. School CPR training has become mandatory in many countries, but whether legislation has translated into implementation of CPR training is largely unknown. Completed CPR training was associated with believing other schools were conducting training, awareness of mandating legislation, presence of a school CPR training coordinator, teachers teacher feeling competent to conduct training, and having easy access to training material. Facilitating these factors may increase rates of school CPR training [
With regard to the employees, self-employed and jobless, the great majority of participants got their information about CPR from social media. Work site health promotion is a comprehensive approach to improving health and includes awareness, health education, behavioral change, and organizational health initiatives. Wellness programs usually include stress management, smoking cessation, weight management, CPR and first aid classes, and employee assistance programs (EAPs) [
The level of awareness toward CPR in general population of Northern Saudi Arabia requires more efforts at community basis. The most effective source for raising awareness is the appropriate utility of social media, as well as, implementing sustainable program for delivering CPR training courses evolving all community settings.
Authors would like to thank all participants for their help in collecting the data for this study. Also authors would like to thank Dr. Ali Dawood Mohammed Almansour and Dr. Abdullah Abdlhadi Hammad Alharbi, for their considerable help in data collection.
The authors declare no conflicts of interest regarding the publication of this paper.
Aljameel, O.S.H., Alhuwayfi, A.A.D., Banjar, K.S.M., Alswayda, S.H.S., Alhijaili, R.A., Elkandow, A.E.M. and Ahmed, H.G. (2018) Sources of Knowledge about CPR and Its Association with Demographical Characteristics in Saudi Arabia. Open Journal of Emergency Medicine, 6, 43-53. https://doi.org/10.4236/ojem.2018.63007