首页|基于不同人群心肺复苏培训效果研究及其影响因素分析

基于不同人群心肺复苏培训效果研究及其影响因素分析

Research on the effectiveness of cardiopulmonary resuscitation training cross different populations and analysis of its influencing factors

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目的 借助实施心肺复苏(CPR)教育和培训来提高公众CPR普及率和医务人员急救水平.方法 以分层整群随机抽样的方式选取2020-2022年接受本区技能中心统一安排的美国心脏协会标准化CPR培训课程的4类人群共800名作为研究对象,最终纳入医疗组312人次,社区组168人次,住培医生组120人次,社会大众组200人次进行研究.收集各类人员的一般情况和培训结果,分析培训效果和影响培训通过率的相关因素.结果 4组人群在CPR关键操作环节普遍存在掌握不足,但培训后对CPR知识掌握、认知和实施意愿均有明显提高.单因素分析结果显示,影响人群CPR培训通过率的因素有年龄、学历、人群类别、培训经历、培训前知识掌握调查得分、培训前认知实施意愿调查得分(P<0.05).多因素logistic回归分析显示,CPR培训经历(OR=3.184,95%CI:1.893~5.357,P<0.001)、培训前知识掌握调查得分(OR=1.061,95%CI:1.037~1.086,P<0.001)、培训前认知实施意愿调查得分(OR=1.839,95%CI:1.484~2.279,P<0.001)为CPR培训通过率的独立影响因素.结论 (1)4类人群普遍存在CPR关键操作环节掌握不足的问题,开展培训可有效提高人群知识和技能水平、认知和实施意愿.(2)有CPR培训经历、培训前有一定的CPR知识、认知和实施意愿的人群往往更容易通过培训.
Objective By implementing cardiopulmonary resuscitation(CPR)education and training,we aim to improve the prevalence of CPR and the level of emergency response among healthcare workers.Methods A total of 800 individ-uals from four categories who received American Heart Association-standardized CPR training courses between 2020 and 2022 were selected as the research subjects.Finally,312 patients were included in the medical group,168 in the com-munity group,120 in the resident training doctor group,and 200 in the public group.General information and training results were collected for each group to analyze the training effectiveness and related factors affecting the training pass rate.Results All four groups exhibited a general lack of mastery in key CPR operational steps.The results of univariate analysis showed that the factors affecting the pass rate of CPR training among the population include age,education level,population category,training experience,pre-training knowledge mastery survey score,and pre-training cognitive imple-mentation intention survey score(P<0.05).Multivariate logistic regression analysis showed that CPR training experience(OR=3.184,95%CI:1.893-5.357,P<0.001),pre-training knowledge mastery survey score(OR=1.061,95%CI:1.037-1.086,P<0.001),and pre-training cognitive implementation intention survey score(OR=1.839,95%CI:1.484-2.279,P<0.001)were independent factors influencing the CPR training pass rate.Conclusion(1)There is a widespread problem of insufficient mastery of the key CPR operational steps among the four groups.Con-ducting training effectively improve knowledge,skills,cognition,and willingness to perform CPR.(2)Individuals with prior CPR training experience,pre-training CPR knowledge,and higher cognitive awareness and willingness to implement CPR are more likely to pass the training.

Cardiopulmonary resuscitationTrainingMedical staffThe public

雷泠、胡磊、任菁菁

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杭州市临安区第一人民医院质量管理办公室,浙江 杭州 311399

杭州市临安区第一人民医院急诊科

浙江大学医学院附属第一医院全科医学科,浙江 杭州 310003

心肺复苏 培训 医务人员 公众

2024

中华全科医学
中华预防医学会,安徽省全科医学会

中华全科医学

CSTPCD
影响因子:1.688
ISSN:1674-4152
年,卷(期):2024.22(12)