社区居民急救知信行现状调查研究

doi:10.3761/j.issn.1672-9234.2023.07.015

摘要/Abstract

摘要：

目的了解社区居民急救知识、信念和行为现况水平。方法 2022年3月—9月，采用便利抽样法选取合肥市非医学背景的居民作为研究对象，采用急救知识、信念、行为问卷进行调查。结果 1 252名社区居民急救知识得分（11.01±2.29）分，急救信念得分（36.36±6.25）分，急救行为得分（19.45±2.70）分。不同年龄、自认为急救知识掌握情况不同者的急救知信行得分差异有统计学意义（P<0.05）；不同急救知识技能培训经历者的急救知识、信念得分差异有统计学意义（P<0.05），急救行为得分差异无统计学意义（P>0.05）。结论社区居民急救知识和信念水平处于中等偏高水平，行为处于中等水平，应进一步制订合理的公众急救科普知识及技能演练培训方案，以提高社区居民急救知识和技能水平。

关键词: 问卷调查, 急救, 社区居民, 知识, 态度, 行为

Abstract:

Objective To investigate the current status of emergency knowledge，beliefs，and behaviors among community residents. Methods The residents with non-medical background in Hefei were recruited as the participant by convenient sampling method from March to September 2022. A self-designed questionnaire of first aid knowledge，belief and behavior was used for investigation. Results A total of 1 252 residents were surveyed with first aid knowledge score of（11.01±2.29），first aid belief score of（36.36±6.25） and first aid behavior score of （19.45±2.70） respectively. There was a statistically significant difference in first aid knowledge，belief，and behavior scores among people with different age and self-perceived mastery of first aid knowledge （P<0.05）. Whether or not received training on first aid knowledge and skills has a statistically significant impact on first aid knowledge and belief scores （P<0.05），yet no statistically significant impact on first aid behavior score（P>0.05）. Conclusion Community residents’ first aid knowledge and belief level are at a moderate to high level，and their behavior is at a moderate level. It is necessary to further develop a reasonable public first aid knowledge and skill training program to improve the first aid knowledge and skill level for community residents.

Key words: Questionnaires, First Aid, Community residents, Knowledge, Belief, Behavior

王芳, 祁娟, 陈春丽, 蔡人燕, 赵阳, 谢伦芳. 社区居民急救知信行现状调查研究[J]. 中华护理教育, 2023, 20(7): 852-856.

WANG Fang, QI Juan, CHEN Chunli, CAI Renyan, ZHAO Yang, XIE Lunfang. Investigation on the status of first aid knowledge，beliefs and behaviors of community residents[J]. Chinese Journal of Nursing Education, 2023, 20(7): 852-856.

图/表 4

参考文献 16

[1]	鲁利斌, 张思森. 心搏骤停患者院前急救现状调查研究:基于郑州院外心搏骤停患者的流行病学调查和转归分析[J]. 河南医学研究, 2019, 28(8):1356-1362.
	Lu LB, Zhang SS. Investigation on the current situation of pre-hospital care for patients with cardiac arrest:epidemiological investigation and analysis of outcomes of patients with out-of-hospital cardiac arrest in Zhengzhou[J]. Henan Med Res, 2019, 28(8):1356-1362.
[2]	帅琴瑛, 陆玉, 张凤玲. 我国居民急救知识普及应用现状[J]. 教育教学论坛, 2018(3):91-92.
[3]	中华医学会急诊医学分会, 中国医师协会急诊医师分会, 解放军急救医学专业委员会, 等. 院前急救待援期公众应对措施专家共识[J]. 中国急救医学, 2022, 42(5):380-386.
[4]	周明, 张娜, 蒋新军, 等. 《院前急救待援期公众应对措施专家共识》解读[J]. 中华急危重症护理杂志, 2023, 4(1):71-74.
	Zhou M, Zhang N, Jiang XJ, et al. Interpretation of expert consensus on public response measures during pre-hospital first aid period[J]. Chin J Emerg Crit Care Nurs, 2023, 4(1):71-74.
[5]	张文武, 徐军, 余涛, 等. 关于我国公众急救培训体系建设的探讨[J]. 中国急救医学, 2019, 39(4):309-312.
	Zhang WW, Xu J, Yu T, et al. Discussion on the construction of public first aid training system in China[J]. Chin J Crit Care Med, 2019, 39(4):309-312.
[6]	Hosapatna M, Bhat N, Belle J, et al. Knowledge and training of primary school teachers in first aid:a questionnaire based study[J]. Kurume Med J, 2021, 66(2):101-106. doi: 10.2739/kurumemedj.MS662001
[7]	Yin G, Chen LH, Wu YR, et al. The implementation of a community-centered first aid education program for older adults-community health workers perceived barriers[J]. BMC Health Serv Res, 2023, 23(1):128. doi: 10.1186/s12913-023-09142-y pmid: 36755241
[8]	万志盈, 付沫. 国内外居民急救素养现状比较[J]. 护理研究, 2017, 31(32):4057-4060.
	Wan ZY, Fu M. A comparative study on status quo of first-aid literacy of residents in abroad and at home[J]. Chin Nurs Res, 2017, 31(32):4057-4060.
[9]	费素定, 胡苏珍, 金晓霞, 等. 宁波市农村居民院前急救知识、态度与行为现状的研究[J]. 中华护理杂志, 2014, 49(3):275-279.
	Fei SD, Hu SZ, Jin XX, et al. Knowledge,attitude and practice of first aid among rural residents in Ningbo[J]. Chin J Nurs, 2014, 49(3):275-279.
[10]	万志盈. 荆州市城区不同职业人群急救素养的现状调查及对策研究[D]. 荆州: 长江大学, 2018.
[11]	许振丹, 徐艳, 李玉琴. 基于知信行模式的新乡市社会公众院前急救能力调查[J]. 中华现代护理杂志, 2020, 26(13):1743-1746.
	Xu ZD, Xu Y, Li YQ. Investigation of pre-hospital emergency ability of the general public in Xinxiang City based on knowledge,attitude and practice[J]. Chin J Mod Nurs, 2020, 26(13):1743-1746.
[12]	Huang EPC, Chiang WC, Hsieh MJ, et al. Public knowledge,attitudes and willingness regarding bystander cardiopulmonary resuscitation:a nationwide survey in Taiwan[J]. J Formos Med Assoc, 2019, 118(2):572-581. doi: 10.1016/j.jfma.2018.07.018
[13]	Maalim Issack A, Jiru T, Wubetie Aniley A. Assessment of knowledge,attitude and practice on first aid management of choking and associated factors among kindergarten teachers in Addis Ababa governmental schools,Addis Ababa,Ethiopia. A cross-sectional institution-based study[J]. PLoS One, 2021, 16(7):e0255331. doi: 10.1371/journal.pone.0255331
[14]	金心蕊, 姜柏生. 院前公众紧急救助免责问题的立法进展与完善研究[J]. 医学与哲学, 2018, 39(11):57-60.
[15]	吴淑菁, 张宇皓, 张艳, 等. 赣州市章贡区居民急救知识与技能现状调查及其影响因素分析[J]. 赣南医学院学报, 2020, 40(5):523-526.
[16]	Wang YM, Lin LT, Jiang JH, et al. Public knowledge and attitudes toward automated external defibrillators use among first aid eLearning course participants:a survey[J]. J Cardiothorac Surg, 2022, 17(1):119. doi: 10.1186/s13019-022-01863-1