“第一目击者”体系培训大学生现场急救技能的效果评价

Effect evaluation of Western First Responder training system on first aid skills among college students

目的采用欧美国家"第一目击者"培训体系培训国内大学生现场急救技能,为中国大学生现场急救规范化培训提供依据。方法 2017年3—7月,随机整群选取河南省平顶山学院27个班级1 625名非医学专业大学生,参照美国"第一目击者"培训课时、培训内容和考核标准,采用课堂教学和网络教学相结合的教学方式培训和考核大学生现场急救技能。比较培训前后大学生理论成绩、技能成绩、合格率的差异,同时分析性别、年级、地域、城乡来源等一般因素对培训效果的影响。结果培训前,大学生理论平均成绩、技能平均成绩、理论成绩及格率、技能成绩及格率和"第一目击者"合格率分别为(17.63±4.87)(21.72±6.08),5.67%,6.16%,4.88%,培训后上述成绩均明显增加,分别为(61.48±14.16)(79.24±18.54),58.71%,63.88%,55.57%,差异均有统计学意义(t/χ~2值分别为113.63,118.89,1 061.10,1 025.70,988.50,P值均<0.01)。性别、年级、地域、城乡来源在培训前和培训后对大学生上述成绩影响差异均无统计学意义(P值均>0.05)。结论欧美国家"第一目击者"培训体系适用于中国大学生现场急救培训,采用国际标准化现场急救培训体系对中国大学生进行培训有重要的现实意义。

Objective To evaluate an effective system of training college students for first aid skills based on Western First Responder training system. Methods Totally 1 625 non-medical college students were trained based on Western First Responder training system. Class teaching and on-line teaching were applied and their first aid skills were evaluated. The differences of theoretical and practical score, passing rate were compared before and after the training. Meanwhile, the effect of covariates, including gender, grade, territoriality and difference between town and county, on training were analyzed. Results Before the training, the students＇ average theoretical score, practical score, passing rate of theoretical, practical score and First Responder system were（ 17.63±4.87）,（ 21.72±6.08）, 5.67%, 6.16% and 4.88%, respectively. After the training, the scores and the passing rate were promoted significantly, they were（ 61.48±14.16）,（ 79.24±18.54）, 58.71%, 63.88% and 55.57%, respectively, these differences were statistically significant（ t/χ^2= 113.63, 118.89, 1 061.10, 1 025.70, 988.50, P〈0.01）. Gender, grade, region, and whether from town or country had no effect on the scores（ P〈0.05）. Conclusion College students are competent for the Western First Responder training system. It was of practical significance to train college students based on standard international training system.