嘉定某社区居民急救知识培训效果评估

Investigation of training effect of first-aid knowledge of a community in Jiading district

目的调查嘉定区某社区居民急救知识水平状况及评估急救知识培训效果。方法本研究为横断面研究，随机抽取某社区年龄15—80岁的培训前居民387名和培训后居民390名为研究对象。设计统一的问卷调查表，表格包括一般性项目和急救知识两部分构成，急救知识得分范围0-10分，对培训前后调查结果进行统计分析。结果①培训前收回有效问卷370份，有效回收率95．61％；培训后收回有效问卷364份，有效回收率93．33％。培训前后2组人群的性别、年龄、文化程度构成比均无明显统计学差异。②培训前调查者对于120急救电话、皮肤烧伤、颈椎损伤、脸朝下的昏迷患者的现场急救方法知晓率较高，为80．27％～91．08％。对于癫痫持续发作、气道异物梗阻的现场急救知晓率分别为75．14％和65．95％。而对于胸部不适、心肺复苏按压位置、毒物致眼睛外伤、外伤止血方法的回答得分率低，仅为27．30％-32。70％。③培训后，居民急救知识平均得分高于培训前得分（8．75±1．58）vs（6．04±1．72）分，（P〈0．05），并且无年龄、性别、文化程度差异（P〉0．05）。结论居民急救知识知晓率低，对居民进行针对性的急救知识培训是提高居民急救知识水平的有效方法。

Objective The aim of this study was to evaluate the levels of knowledge of residents in a community of Jiading district and evaluate the training effect. Methods In this cross-sectional analytic study, 387 residents before training and 390 after training in a community of Jiading district constituted the population. A questionnaire questioning soeiodemographie properties and the level of knowledge related with first-aid practices was applied under supervision. The level of knowledge was evaluated on a 10-point scale. Then, analysis of training effect was assessed. Results①A total of 370 fully completed questionnaires were received with a response rate of 95.61% before training and a total of 364 fully completed questionnaires were received with a response rate of 93.33% after training.②About 80.27%-91.08% residents had good knowledge of first aid about phone number of emergency, bums, cervical spine trauma and face down unresponsive. The knowledge of first aid management in acute epilepsy was about 75.14% and first aid of accidental choking was only 65.95%. The least known issues included first aid of chest distress, position of CPR, ways of rinsing eyes exposed to toxic substances and blood control （32.7%, 32.43%, 30.54% and 27.3%, respectively）.③It was found that the mean scores of the residents received first-aid education were higher compared to those who did not receive education（8.75± 1.58）vs（6.04± 1.72）分; P 〈 0.05）.First-aid scores did not show significant difference in terms of age, gender and education level （P 〉0.05）.Conclusions Residents had insufficient first-aid knowledge and it＇ s efficient to accept more first-aid training to improve.