上海某高校大学生心脏骤停急救能力及施救意愿调查研究  

Survey on the first aid skills and rescue willingness for cardiac arrest among students of a university in Shanghai

作　　者：蒲淼 冯铁男 李瑶 汪雅平 姜成华[1] PU Miao;FENG Tie-nan;LI Yao;WANG Ya-ping;JIANG Cheng-hua(Tongji University School of Medicine,Shanghai 200092,China;Clinical Research Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China)

机构地区：[1]同济大学医学院,上海200092 [2]上海交通大学医学院临床研究中心,上海200025

出　　处：《同济大学学报（医学版）》2020年第1期117-122,共6页Journal of Tongji University(Medical Science)

基　　金：国家科技支撑计划(2014BAL05B06);国家自然科学基金(31870935)

摘　　要：目的了解上海某985高校大学生心脏骤停急救知识知晓现状及施救意向。方法采用问卷调查法对上海某高校新生军训中1595名大一及大二学生进行调查并进行统计学分析。结果该校大学生心脏骤停急救能力整体偏低,t检验显示不同性别、医学生与非医学生心肺复苏(cardiopulmonary resuscitation, CPR)、自动体外除颤器(automated external defibrillator, AED)基础技能知识总体得分差异有统计学意义(P<0.01);CPR、AED基础技能培训前与培训后在现场第一目击者反应、判断心脏骤停的基本方法、CPR具体操作、AED具体操作等方面差异具有统计学意义(P<0.01),培训后知识掌握情况比未接受培训好;男生、医学生、知晓急救保护法的调查对象表示更愿意对陌生人施救(P<0.01);大学生不愿意对陌生人施救的原因主要是没有信心、担心没有资格、造成二次伤害、不会做以及缺乏法律保护,非医学生更担心自己不会做和被传染疾病(P<0.05)。结论大学生心脏骤停急救能力整体较差,接受过急救培训、急救知识技能及格、知晓法律保护是大学生急救意愿的促进因素。向大学生普及心脏骤停急救知识是重要且必要的,同时应更加侧重实际操作能力的培养。Objective To investigate the skill and willingness for the first aid of cardiac arrest among students of a university in Shanghai. Methods A questionnaire survey was conducted among 1595 freshmen and sophomores of a university in Shanghai during August to September 2017. Results The first-aid ability for cardiac arrest of the college students was generally low. There was a significant difference in the overall scores of CPR and AED basic skills between medical students and non-medical students and between different genders(both P<0.01). The CPR, AED basic skills, including first witness response, basic methods of judging cardiac arrest, specific CPR procedure, specific AED procedure, as well as the knowledge of the first aids were improved after training(P<0.01). Male students, medical students and respondents who were aware of the first aid protection law were more willing to help strangers(P<0.01). The main reasons of reluctantness to help strangers were lack of confidence, fear of being unqualified, secondary injury, inability to do it and lack of legal protection. Non-medical students were more worried about lack of capability or being infected with diseases(P<0.05). Conclusion The survey indicates that first aid ability of cardiac arrest among college students is low in general, and it is necessary to popularize the first aid knowledge and train the skills among college students.

关 键 词：心脏骤停 急救 心肺复苏 施救意愿 影响因素 

分 类 号：R195.1[医药卫生—卫生统计学]