云南省急救中心急救医师心肺复苏知识评估  

An assessment of physicians＇theoretical knowledge of cardiopulmonary resuscitation in the emergency center of Yunnan province

作　　者：周国忠 肖力屏[1] 李雪梅[1] 刘浩[1] 王艳[1] 王振洲 木丽华 

机构地区：[1]云南省急救中心急救科,昆明650000

出　　处：《中国急救复苏与灾害医学杂志》2017年第10期931-934,共4页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：云南省科技厅科技惠民计划项目（2013RA010）

摘　　要：目的调查分析云南省急救中心急救医师的CPR知识水平，为后续针对性培训提供理论依据。方法采用横断面调查研究，对云南省急救中心全体一线急救医师进行问卷调查。使用SpSS23．0进行统计分析，对总分变量按职称，学历和培训程度分组比较，两组间对比用t检验，多组间对比用方差分析。结果共发放56份调查问卷，收回47份。总分均值（S5．32＋12．41）分，及格率为36．17％。胸外按压得分最低，平均（9．11＋5．20）分。胸外按压深度和频率的正确率只有27．66％和42．55％，更多人（59．57％和55．32％）选择了旧版答案（〉5cm和〉100次／min）。各职称间对比总分无统计学差异（P〉0．05），研究生组的总分较本科组高（72．80±5．26VS53．24±11．33，P〈0．001），6个月内参与过培训组的总分明显高于未培训组（59．88±11．47vs45．43±9．36，P〈0．001）。结论云南省急救中心的院外急救医师对CPR知识的掌握程度较低，急救医师缺乏自我更新知识的能力，急需系统的理论知识培训和考核。Objective To investigate physicians＇ theoretical knowledge of cardiopalmonary resuscitation （CPR） in the emergency center of Yunnan province, and to provide feedback for subsequent targeted training. Methods A cross-sectional study was performed. A self-administered questionnaire was used to assess physicians＇ theoretical knowledge. SpSS23.0 was used. Variables according to the title, degree of education and training group comparison, contrast between the two groups using t test, compared with analysis of variance between groups. Results 47 （83.9%） of the targeted 56 physicians responded. The CPR Knowledge of the physicians was poor, with a mean score for correct answers in the written test of 55.32±12.41, the pass rate was 36.17%. The score of chest compressions was the lowest. Chest compressions depth and frequency accuracy was only 27.66% and 42.55%, respectively, more participants （59.57% and 55.32%） chose the older answer （〉 5 cm and 〉 100 bpm）. There was no difference among three title. The total score of graduate student group was higher than the undergraduate group （72.80±5.26 vs 53.24±11.33, P 〈0,001）. The physicians who participated in CPR training during the last 6 months had advantages in total score than those without training （59.88±11.47 vs 45.43±9.36, P 〈0.001）.Conclusion The CPR Knowledge of the prehospital physicians was poor. It is crucial to participate in updated CPR courses.

关 键 词：院外急救 心肺复苏 

分 类 号：R129[医药卫生—环境卫生学]