昆山市高一新生院前急救知识水平调查及影响因素分析

Investigation on the level of first aid knowledge and analysis of influencing factors in the high school freshmen in Kunshan City

目的探讨高一新生掌握院前急救知识的水平及接受培训的意愿和现场开展急救行为的态度,为持续推广青少年急救培训提供理论依据和参考。方法参考"院前急救公众化培训调查问卷"设计高中生院前急救知识调查问卷,并分析性别、户籍所在地、现居住地、父母文化、培训经历对学生掌握基本急救知识、院前急救态度、院前急救行为的影响。结果高中生掌握院前急救知识与技能总水平不高。急救知识题目正确率达到90%的有12项(60%),错误率达到80%以上的条目3项(15%),不确定率达到80%以上的条目5项(25%);性别、培训经历、健康状况对学生掌握急救知识水平的影响无统计学意义(P>0.05),急救态度及急救行为在各分组间差异比较中有统计学意义(P<0.05);曾接受培训率95.60%,自愿接受者70.49%,学校安排者26.93%,拒绝接受培训者2.58%;可接受培训方式中理论+技能占45.25%、急救情景设计体验占48.19%。结论昆山市城乡高中新生接受培训的机会均等,掌握院前急救知识水平不高,接受培训的意愿高,院前急救态度和行为表现良好,对培训形式有较高的需求。注重青少年急救培训,评估学生培训意愿,安排专业急救培训机构,设置合理培训内容和形式是提升青少年掌握急救知识和技能的重要手段。

Objective The objective of this study was to explore the level of pre-hospital knowledge and the willingness to receive training and the attitude to conducting first aid on the spot, so as to provide theoretical basis and reference for the promotion of adolescent first aid training. Methods Based on the "Pre-hospital First Aid Public Training Questionnaire", the questionnaire for prehospital knowledge of high school students was designed, and the influence of information as gender, household registration, current residence, parent culture and training experience on acquisition of basic first aid knowledge and pre-hospital first aid attitude and prehospital first aid behavior. Results The overall level of pre-hospital knowledge and skills of high school students was not high. There were 12 items (60%) having a correct rate of 90% for first aid knowledge, 3 items (15%) having an error rate of 80% or above, and 5 items (25%) having an uncertainty rate of 80% or more;there was no significant difference in the level of first aid knowledge between the gender, training experience and health status (P>0.05), and the first aid attitude and first aid behavior were statistically significant in the comparison between all groups (P<0.05). The respondents that were trained accounted for 95.6%, those who got voluntary training for 70.49%,"scheduled to" for 26.93% and "refused training" for 2.58%;for the acceptable training methods, the theoretical training + skills accounted for 45.25%, and the emergency scenario experience accounted for 48.19%. Conclusions Both urban and rural high school freshmen in Kunshan City have equal opportunities for training. Though the pre-hospital first aid knowledge level is not high, the willingness to receive training is high, the pre-hospital first aid attitude and behavior are good, and there is a high demand for training. Paying attention to the first aid training for young people, assessing the willingness of students to train, and arranging professional first aid training institutions to set reasonable training content and form are important means to improve young people's first aid knowledge and skills.