贵州省医务人员心肺复苏知信行和自我效能现状及影响因素分析

Status and influencing factors of knowledge-attitude-practice and self-efficacy of cardiopulmonary resuscitation among medical staff in Guizhou province

目的调查贵州省医务人员心肺复苏(CPR)知信行和自我效能现状并分析其影响因素,为提升医务人员急救能力提供参考。方法采用滚雪球抽样法和目的抽样法选取贵州省医务人员,通过自行设计调查问卷对1198名医务人员进行在线调查。使用SPSS 29.0和Amos 24.0进行数据分析。结果贵州省医务人员CPR知信行和自我效能得分率分别为91.8%、95.1%、93.4%和86.2%,其中自动体外除颤仪(AED)得分最低。知信行和自我效能四者之间呈正相关(P<0.01)。路径分析显示,年龄、医院级别、个人健康状况、听说过AED、实施过CPR、参加过CPR培训、文化程度、职称和会使用AED会直接影响知识;文化程度和知识会直接影响态度;态度和自我效能会直接影响行为;医院级别、实施过CPR、会使用AED、性别、知识会直接影响自我效能(P<0.05)。结论贵州省医务人员CPR知信行和自我效能水平整体较高,AED培训有待加强。知信行和自我效能影响因素众多,建议开展针对性培训和复训,全面提升医务人员CPR知信行和自我效能水平,进一步提高综合急救能力。

Objective To investigate the current status of cardiopulmonary resuscitation(CPR)knowledge,attitude,practice(KAP)and self-efficacy among medical personnel in Guizhou province,and analyze the influencing factors,providing reference for enhancing medical personnel’s emergency response ability.Methods Using snowball sampling method and objective sampling method,1198 medical personnel in Guizhou province were selected for a self-designed online survey.Data analysis was conducted using SPSS 29.0 and Amos 24.0.Results The CPR KAP and self-efficacy scores of medical staff in Guizhou Province were 91.8%,95.1%,93.4%and 86.2%,respectively,among which the automated external defibrillator(AED)score was the lowest.Positive correlation was observed among knowledge,attitude,practice and self-efficacy(P<0.01).Path analysis revealed that age,hospital level,personal health status,familiarity with AED,prior CPR experience,participation in CPR training,education level,professional title and AED usage directly influenced knowledge.Education level and knowledge directly impacted attitude;Attitude and self-efficacy directly influenced practice;Hospital level,prior CPR experience,AED usage,gender and knowledge directly affected self-efficacy(P<0.05).Conclusion The level of CPR KAP and self-efficacy of medical staff in Guizhou Province is relatively high,while the AED training needs to be strengthened.The influencing factors of KAP and self-efficacy are multifaceted,and it is recommended to provide targeted training and retraining.So as to comprehensively enhance the medical personnel’s CPR KAP and self-efficacy,and to further improve the comprehensive first-aid ability.