上海市某社区中老年居民急救知识水平现状及相关因素分析

Analysis of the current status and related factors of first aid knowledge among middle-aged and elderly residents in a community in Shanghai

【目的】研究上海市某社区≥50岁中老年居民急救知识水平现状及相关因素,为提升中老年居民急救自救和互救能力提供参考依据。【方法】通过多阶段分层随机抽样方法,采用自制调查问卷对上海市某社区335名≥50岁的中老年居民进行调研,综合分析社区中老年居民的急救知识水平现状及相关因素。【结果】335名≥50岁中老年居民急救知识水平较低,高认知水平率为24.18%。单因素分析显示,男性居民高认知率高于女性(P=0.044);≥70岁和60~岁居民高认知率均低于50~岁的居民(P<0.05);自己患有慢性病的居民高认知率高于未患慢性病的居民(P=0.031);家人患有慢性病的居民高认知率高于家人未患有慢性病的居民(P<0.001);急救培训经历影响居民急救认知水平(P=0.003)。【结论】社区≥50岁中老年居民急救知识水平较低,年龄、家人是否患慢性病和急救培训是影响中老年居民急救知识掌握水平的独立相关因素。政府与相关机构应探索建立规范急救培训体系,针对中老年居民不同特征群体实施分类分级,提供针对性急救培训,有利于提高中老年居民急救自救与互救能力,提高院前急救成功率。

[Objective]To investigate the current status of first aid knowledge among middle-aged and elderly residents aged 50 and above in a community in Shanghai,in order to provide reference for improving the self-rescue and mutual aid capabilities of middle-aged and elderly residents.[Methods]A multi-stage stratified random sampling method was used to conduct a survey on 335 residents aged 50 and above in a community in Shanghai using a self-made survey questionnaire.The current situation and related factors of emergency knowledge level of residents aged 50 and above in the community were comprehensively analyzed.[Results]First aid knowledge level of 335 residents aged 50 and above was low,and the rate of high cognitive level was only 24.18%.Univariate analysis showed that male residents had a higher awareness rate than female residents(P=0.044),while residents aged 70 and above and 60‒had lower awareness rates than residents aged 50‒(P<0.05).Residents with chronic diseases had a higher awareness rate than those who did not(P=0.031).Residents with family members suffering from chronic diseases had a higher awareness rate than those without(P<0.001).Experience of first aid training affected residents’awareness of first aid(P=0.003).[Conclusion]The level of first aid knowledge among middle-aged and elderly residents aged 50 and above in the community is low.Age,the presence of chronic diseases in family members,and emergency training are independent and relevant factors that affect the awareness of first aid knowledge among middle-aged and elderly residents.The government and relevant institutions should explore the establishment of a standardized emergency response training system,implement classification and grading for middle-aged and elderly groups with different characteristics,and provide targeted emergency training to strengthen their self-rescue and mutual aid capabilities and improve the success rate of pre-hospital emergency care.