摘要
目的调查武汉居民对心搏骤停现场施救的意愿,并由急救中心组织急救培训,观察培训效果。方法设计问卷调查表,以武汉三镇共79个急救中心为单位,采取社区走访的方式随机对周围社区常住人口进行问卷调查。由急救中心组织以社区为单位的急救培训,观察培训前后,居民对心搏骤停急救知识认知及现场施救的意愿变化情况。结果最终以社区为单位,培训前后共有8个社区问卷完整度较高,共含1562人次的有效问卷。以此8个社区,1562人次的问卷为标准进行分析。培训后,居民对诱发心搏骤停常见因素(54.16%vs.34.31%)、心搏骤停发生征兆(37.07%vs.31.45%)、对心搏骤停的判断与评估(56.27%vs.70.29%)、CPR实施流程(61.08%vs.74.07%)及AED使用流程(27.34%vs.39.88%)知晓率均有所提升;居民对心搏骤停患者现场施救意愿有所提升(40.72%vs.30.35%);居民对家属(95.90%vs.93.09%)、朋友(90.59%vs.84.79%)、熟识者(84.83%vs.77.72%)及陌生人(40.72%vs.30.35%)现场施救意愿均有所提升;居民担心自己急救能力不够的比例有所降低(26.88%vs.34.74%)。结论本市常住居民对心搏骤停的认知率及现场施救的意愿不高,通过急救培训后,心搏骤停的认知率及现场施救的意愿均有所上升,但效果仍不满意,仍需进一步提高。
Objective To investigate the rescue willingness to cardiac arrest in Wuhan residents,and to organize first-aid training by the emergency center to observe training effect.Methods The resident populations in surrounding communities were investigated by questionnaires in the 79 emergency centers from the three towns of Wuhan.The community-based first aid training was organized by the emergency centers to observe the changes in residents'cognition to first aid knowledge of cardiac arrest and their rescue willingness before and after training.Results Before and after training,there were 8 communities with high completeness of questionnaires,including 1562 valid questionnaires.After training,residents'cognition rates were improved in terms of common factors inducing cardiac arrest(54.16%vs.34.31%),cardiac arrest signs(37.07%vs.31.45%),determination and evaluation for cardiac arrest(56.27%vs.70.29%),CPR implementation process(61.08%vs.74.07%)and AED use process(27.34%vs.39.88%).After training,residents'rescue willingness to patients with cardiac arrest was improved(40.72%vs.30.35%),and residents'rescue willingness was improved to family members(95.90%vs.93.09%),friends(90.59%vs.84.79%),acquaintances(84.83%vs.77.72%)and strangers(40.72%vs.30.35%).After training,proportion of residents worrying about lacking first-aid ability was decreased(26.88%vs.34.74%).Conclusions The cognition rate of cardiac arrest and rescue willingness are not high in permanent residents of the city.After first aid training,the two indexes are improved,but the effect is still not satisfactory,which still needs to be further improved.
作者
严敏
蔡克俭
江旺祥
Yan Min;Cai Kejian;Jiang Wangxiang(Wuhan Emergency Center,Wuhan,China)
基金
武汉市卫健委科研指导项目(项目编号:WG20Z03)
关键词
心搏骤停
武汉居民
社会调查
施救意愿
急救培训
Cardiac arrest
WUHAN resident
Social survey
Rescue wllingness
First aid training
