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中华临床医师杂志(电子版) ›› 2023, Vol. 17 ›› Issue (04) : 367 -374. doi: 10.3877/cma.j.issn.1674-0785.2023.04.001

临床研究

我国大学生应急救护培训现状调查
陈焕军, 颜时姣, 宋兴月, 陈瑜, 吕传柱()   
  1. 571700 儋州,儋州市疾病预防控制中心;570100 海口,海南医学院公共卫生与全健康国际学院
    570100 海口,海南医学院公共卫生与全健康国际学院
    570100 海口,海南医学院第二附属医院急诊科
    570100 海口,海南医学院急诊与创伤教育部重点实验室
  • 收稿日期:2023-03-17 出版日期:2023-04-15
  • 通信作者: 吕传柱
  • 基金资助:
    国家自然科学基金(82160647); 海南省重大科技专项(ZDKJ202004); 四川省重点研发项目(2022YFS0602)

A survey of current situation of emergency rescue training among college students in China

Huanjun Chen, Shijiao Yan, Xingyue Song, Yu Chen, Chuanzhu Lv()   

  1. Danzhou Center for Disease Control and Prevention, Danzhou 571700, China; International School of Public Health and One Health, Hainan Medical University, Haikou 570100, China
    International School of Public Health and One Health, Hainan Medical University, Haikou 570100, China
    Department of Emergency, The Second Affiliated Hospital of Hainan Medical University, Haikou 570100, China
    Key Laboratory of Emergency and Trauma of Ministry of Education, Hainan Medical University, Haikou 570100, China
  • Received:2023-03-17 Published:2023-04-15
  • Corresponding author: Chuanzhu Lv
引用本文:

陈焕军, 颜时姣, 宋兴月, 陈瑜, 吕传柱. 我国大学生应急救护培训现状调查[J]. 中华临床医师杂志(电子版), 2023, 17(04): 367-374.

Huanjun Chen, Shijiao Yan, Xingyue Song, Yu Chen, Chuanzhu Lv. A survey of current situation of emergency rescue training among college students in China[J]. Chinese Journal of Clinicians(Electronic Edition), 2023, 17(04): 367-374.

目的

了解我国大学生应急救护培训现状,为今后培训提供参考依据。

方法

通过线上网络方式向我国各地区(不含香港、澳门、台湾)在校大学生进行问卷调查。计量资料采用均数±标准差表示,计数资料采用百分比(%)表示。采用二元和多元Logistic回归模型分析大学生应急救护培训考核通过率及培训效果影响因素。

结果

共收集2037份问卷,最终有效问卷2032份。学生培训率达73.9%。未培训学生中,63.4%因为学校未组织,34.5%因为没有时间,31.7%因为未关注,2.1%觉得没意义。在掌握急救知识与技能前提下,73.0%的学生表示愿意对陌生人进行施救,83.0%的学生表示愿意对认识的人进行施救。不愿施救学生中,84.0%担心自己能力不够,44.0%担心承担责任,13.0%担心得传染病、14.0%害怕碰“死人”,其他原因占4.0%。培训学生考核通过率达94.0%,培训效果、年级是影响因素。接受培训学生中,49.0以上%的学生认为培训效果好,专业、复训是影响因素。培训内容满意度,“复训过程”最低,“培训知识和技能的实用性”最高。急救知识与技能熟练度,“心肺复苏”最高,“婴儿心肺复苏”、“婴儿气道异物梗阻排除”和“蛇咬伤”较低。

结论

我国在校大学生培训率、考核通过率、施救意愿以及培训意愿较高,培训效果较好,但部分应急救护知识与技能有待加强。

Objective

To determine the current situation regarding emergency rescue training among Chinese college students, in order to provide insight for future training programs.

Methods

Questionnaires were collected online from college students in different regions of China (excluding Hong Kong, Macao, and Taiwan). Measurement data are expressed as the mean±standard deviation, and counting data are expressed as percentages (%). Binary and multiple logistic regression models were used to analyze the passing rate of emergency rescue training and the influencing factors of training effect.

Results

A total of 2037 questionnaires were collected, of which 2032 were valid. The student training rate reached 73.9%. Among the students who did not receive training, 63.4% reported that the school did not organize such training program, 34.5% did not have time to attend the training, 31.7% did not pay attention to the training, and 2.1% believed that the training was meaningless. Under the premise of mastering first aid knowledge and skills, 73.0% of students reported that they were willing to rescue strangers and 83.0% were willing to rescue people that they knew. Of the students who did not want to provide help, 84.0% were worried about their ability, 44.0% worried about taking responsibility, 13.0% worried about infectious diseases, 14.0% were afraid of touching "dead people", and other reasons accounted for 4.0%. The passing rate of training reached 94.0%, and training effect and grade were influencing factors on the the passing rate. Among the students who received training, 49.0% believed that the training effect was good, with major and retraining being the influencing factors of training effect. Satisfaction with training content was lowest in the "retraining process" and highest in the "practicability of training knowledge and skills". With regard to first aid knowledge and skill proficiency, "cardiopulmonary resuscitation" was the highest, and "infant cardiopulmonary resuscitation", "infant airway foreign body obstruction exclusion", and "snake bite" were lower.

Conclusion

The training rate, passing rate, rescue intention, and training intention of Chinese college students are high, and the training effect is good, but some knowledge and skills of emergency rescue need to be strengthened.

表1 调查对象基本特征
图1 未培训的原因
图2 未培训大学生应急救护的知识和技能需求
图3 未培训学生在掌握应急救护的知识与技能前提下对不同人群施救意愿
图4 未培训学生在掌握了应急救护的知识和技能前提下不愿施救原因
图5 培训内容满意度
图8 接受培训大学复训周期需求
图9 接受陪训大学生考核通过率
图10 应急救护培训总体培训效果
表2 接受陪训大学生考核通过率影响因素
表3 总体培训效果影响因素
图11 培训后急救理论知识掌握情况图
图12 培训后单项急救操作技能掌握情况
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