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贵州省医务人员心肺复苏知信行和自我效能现状及影响因素分析

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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。
Status and influencing factors of knowledge-attitude-practice and self-efficacy of cardiopulmonary resuscitation among medical staff in Guizhou province
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.

cardiopulmonary resuscitationmedical personnelknowledge,attitude,practiceself-efficacypath analysis

童青青、刘小会、龙建梅、李丽、潘小莹、高绘明、周满红、冯永贵、李顺佳、胡汝均

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遵义医科大学附属医院护理部,贵州遵义 563099

遵义医科大学护理学院,贵州遵义 563099

遵义医科大学附属医院急诊科,贵州遵义 563099

贵州茅台医院急诊科,贵州仁怀 564500

贵州茅台医院神经外科,贵州仁怀 564500

遵义医科大学附属医院重症医学科,贵州遵义 563099

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心肺复苏 医务人员 知信行 自我效能 路径分析

贵州茅台医院科研与人才培养资金项目

MTyk2022-18

2024

遵义医科大学学报
遵义医科大学

遵义医科大学学报

CSTPCD
ISSN:2096-8159
年,卷(期):2024.47(2)
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