温州市明园社区居民心肺复苏现状调查及对策研究

Study on the status of cardiopulmonary resuscitation of residents of Mingyuan Community in Wenzhou City

目的了解温州市社区人群对心肺复苏技术(CPR)的认知现状,为开展全民CPR的推广和普及提供参考依据。方法采用随机整群抽样法,并借助自行设计的CPR调查表,对2017年1～3月明园社区18岁以上符合纳入标准的330名社区常驻人口进行现场调查,并应用四象限分析法分析知信行(KAP)现状。结果本研究共调查330人,有效问卷300份,有效率为90.90%。CPR急救知识知晓率为40.00%～97.50%,正确态度持有率为42.10%～89.29%,正确行为持有率12.50%～50.00%。四象限分析法显示,落入第Ⅰ象限(知识行为均正确)、第Ⅱ象限(知识不正确行为正确)、第Ⅲ象限(知识行为均不正确)、第Ⅳ象限(知识正确行为不正确)的人群比例分别为46.33%、26.33%、19.33%、13.33%。结论社区人群对CPR认知程度低而学习意愿强,应该有效加强社区人群CPR知识及技能培训,从而提高心跳骤停病人抢救成功率。

Objective To understand the cognitive status of cardiopulmonary resuscitation（CPR） among community residents in Wenzhou City, and to provide reference for the promotion and popularization of national CPR. Methods Using a random cluster sampling method and using a self-designed CPR questionnaire, an on-site survey was conducted on330 resident populations of the Mingyuan Community over the age of 18 who met the inclusion criteria from January to March 2017, and the status quo of knowledge, attitude, practice（KAP） was analyzed by four-quadrant analysis. Results A total of 330 people were investigated, 300 valid questionnaires were collected, and the effective rate was 90.90%.The awareness rate of first aid knowledge of CPR was 40.00%-97.50%, and the rate of correct attitude was 42.10%-89.29%, correct behavior holding rate was 12.50%-50.00%. Four quadrant analysis showed that the proportion of population falling into the first quadrant（knowledge behavior are correct）, the second quadrant（incorrect knowledge,and correct behavior）, the third quadrant（knowledge behavior are not correct）, the fourth quadrant（incorrect behavior,and correct knowledge） was 46.33%, 26.33%, 19.33%, 13.33% respectively. Conclusion The community has a low awareness of CPR and a strong willingness to learn. Therefore, it is necessary to effectively strengthen the CPR knowledge and skills training of the community, so as to improve the rescue success rate of patients with cardiac arrest.