摘要
目的 调查贵州省医务人员心肺复苏(CPR)知信行和自我效能现状并分析其影响因素,为提升医务人员急救能力提供参考.方法 采用滚雪球抽样法和目的抽样法选取贵州省医务人员,通过自行设计调查问卷对1 198名医务人员进行在线调查.使用SPSS 29.0和Amos 24.0进行数据分析.结果 贵州省医务人员CPR知信行和自我效能得分率分别为91.8％、95.1％、93.4％和86.2％,其中自动体外除颤仪(AED)得分最低.知信行和自我效能四者之间呈正相关(P＜0.01).路径分析显示,年龄、医院级别、个人健康状况、听说过AED、实施过CPR、参加过CPR培训、文化程度、职称和会使用AED会直接影响知识;文化程度和知识会直接影响态度;态度和自我效能会直接影响行为;医院级别、实施过CPR、会使用AED、性别、知识会直接影响自我效能(P＜0.05).结论 贵州省医务人员CPR知信行和自我效能水平整体较高,AED培训有待加强.知信行和自我效能影响因素众多,建议开展针对性培训和复训,全面提升医务人员CPR知信行和自我效能水平,进一步提高综合急救能力.
Abstract
Objective To investigate the current status of cardiopulmonary resuscitation(CPR)knowledge,atti-tude,practice(KAP)and self-efficacy among medical personnel in Guizhou province,and analyze the influen-cing factors,providing reference for enhancing medical personnel's emergency response ability.Methods Using snowball sampling method and objective sampling method,1 198 medical personnel in Guizhou province were se-lected for a self-designed online survey.Data analysis was conducted using SPSS 29.0 and Amos 24.0.Results The CPR KAP and self-efficacy scores of medical staff in Guizhou Province were 91.8％,95.1％,93.4％and 86.2％,respectively,among which the automated external defibrillator(AED)score was the lowest.Positive correlation was observed among knowledge,attitude,practice and self-efficacy(P＜0.01).Path analysis re-vealed that age,hospital level,personal health status,familiarity with AED,prior CPR experience,participation in CPR training,education level,professional title and AED usage directly influenced knowledge.Education lev-el and knowledge directly impacted attitude;Attitude and self-efficacy directly influenced practice;Hospital lev-el,prior CPR experience,AED usage,gender and knowledge directly affected self-efficacy(P＜0.05).Conclusion The level of CPR KAP and self-efficacy of medical staff in Guizhou Province is relatively high,while the AED training needs to be strengthened.The influencing factors of KAP and self-efficacy are multifaceted,and it is recommended to provide targeted training and retraining.So as to comprehensively enhance the medical personnel's CPR KAP and self-efficacy,and to further improve the comprehensive first-aid ability.
基金项目
贵州茅台医院科研与人才培养资金项目(MTyk2022-18)
维普
万方数据