摘要
目的探讨心肺复苏(CPR)培训对医学生实施现场CPR意愿的影响。方法通过问卷星调查,分析2023年来自安徽医科大学和蚌埠医科大学的医学生在CPR培训前、后对不同类别心跳骤停患者实施现场CPR的意愿以及不愿意实施现场CPR的原因,评价CPR培训对医学生实施现场CPR意愿的影响。结果本研究共发放问卷212份,回收有效问卷208份,回收有效率98.11%。培训前、后,医学生对熟人(同学、朋友、同事)及家人愿意实施现场CPR的占比高于陌生人,差异具有统计学意义(P<0.05);培训后,医学生对陌生人、熟人(同学、朋友、同事)及家人愿意实施现场CPR的占比高于培训前,差异具有统计学意义(P<0.05)。培训前、后,医学生对中青年心跳骤停患者愿意实施现场CPR的占比均高于儿童和老年心跳骤停患者,差异具有统计学意义(P<0.05);培训前、后,医学生对儿童、中青年以及老年心跳骤停患者愿意实施现场CPR的占比比较,差异无统计学意义(P>0.05)。培训后,医学生由于无法识别哪些患者需要实施CPR、害怕胸外心脏按压部位不准确、担心胸外心脏按压导致胸骨或肋骨骨折、对自己急救技能没有信心、自己目前还不是医生及多一事不如少一事而不愿实施现场CPR的占比均低于培训前,差异具有统计学意义(P<0.05);医学生由于担心会给自己带来麻烦及担心会带来后续法律责任而不愿实施现场CPR的占比较高,但CPR培训前、后差异无统计学意义(P>0.05)。结论对医学生进行CPR培训后可明显提高其对心跳骤停患者实施现场CPR的意愿,而担心会带来后续法律责任等原因仍是导致其对陌生人实施CPR意愿的障碍。
Objective To explore the effect of cardiopulmonary resuscitation(CPR)training on medical students'willingness to implement on-site CPR.Methods Through the questionnaire star survey,the willingness of medical students from Anhui Medical University and Bengbu Medical University to implement on-site CPR for different types of cardiac arrest patients before and after CPR training in 2023 and the reasons for unwillingness to implement on-site CPR were analyzed,and the impact of CPR training on the willingness of medical students to implement on-site CPR was evaluated.Results In this study,a total of 212 questionnaires were distributed and 208 valid questionnaires were recovered,with an effective recovery rate of 98.11%.Before and after the training,the proportion of medical students who were willing to implement on-site CPR on acquaintances(classmates,friends,colleagues)and family members were higher than those of strangers,and the differences were statistically significant(P<0.05);after training,the proportion of medical students willing to implement on-site CPR for strangers,acquaintances(classmates,friends,colleagues)and family members were higher than those before training,and the differences were statistically significant(P<0.05).Before and after training,the proportion of medical students who were willing to implement on-site CPR in young and middle-aged patients with cardiac arrest was higher than that in children and elderly patients with cardiac arrest,and the difference was statistically significant(P<0.05);before and after training,there were no significant differences in the proportion of medical students who were willing to implement on-site CPR for children,young and middle-aged patients and elderly patients with cardiac arrest(P>0.05).After training,the proportions of medical students reluctant to implement on-site CPR due to inability to identify which patients needed CPR,fear of inaccurate chest cardiac compressions,fear of chest or rib fractures caused by chest cardiac compressions,lack of confidence in their first aid skills,they are not doctors at present,and more things than less things were lower than those before training,and the differences were statistically significant(P<0.05);the proportion of medical students who were reluctant toimplement on-site CPR was higher because they were worried about bringing trouble to themselves and the subsequent legal responsibility,but there were no statistically difference before and after CPR training(P>0.05).Conclusion CPR training for medical students can significantly improve their willingness to implement on-site CPR on patients with cardiac arrest,and fear of subsequent legal responsibility is still an obstacle to their willingness to implement CPR on strangers.
作者
曹利军
鹿中华
陈虎
付路
杨翔
刘梅
李靖靖
孙昀
CAO Lijun;LU Zhonghua;CHEN Hu;FU Lu;YANG Xiang;LIU Mei;LI Jingjing;SUN Yun(No.1 Critical Care Medicine Department,the Second Affiliated Hospital of Anhui Medical University,Hefei 230601,China)
出处
《临床医学研究与实践》
2025年第8期17-20,共4页
Clinical Research and Practice
基金
安徽省教育厅2022年度高等学校省级质量工程项目(No.2022jyxm750)
安徽省教育厅2021年度高等学校省级质量工程项目(No.2021jyxm0703)。
关键词
医学生
心肺复苏培训
心跳骤停
救治意愿
medical student
cardiopulmonary resuscitation training
cardiac arrest
willingness to rescue
