院外心肺复苏“第一目击者”自我效能感及影响因素分析  

Analysis of self-efficacy and influencing factors of"first witness"of out-of-hospital cardiopulmonary resuscitation

作　　者：庞爱华[1] 张西英[1] 艾莉[1] 王秀兰 王玲 PANG Aihua;ZHANG Xiying;AI Li;WANG Xiulan;WANG Ling(Heze Municipal Hospital,Heze Shandong 274000,China)

机构地区：[1]菏泽市立医院,山东菏泽274000 [2]菏泽市牡丹区中心医院,山东菏泽274000

出　　处：《中国急救复苏与灾害医学杂志》2022年第12期1544-1547,共4页China Journal of Emergency Resuscitation and Disaster Medicine

摘　　要：目的调查院外心脏骤停“第一目击者”实施心肺复苏术(CPR)的自我效能感及影响因素,为促进“第一目击者”积极实施CPR提供参考对策。方法采用自行设计CPR自我效能感问卷、应对态度问卷、复苏意愿问卷,对2019年8月—2021年8月院外心脏骤停现场“第一目击者”372人进行问卷调查。结果收集有效调查问卷300份,有效率80.6%,参与CPR 11人(3.7%),知晓CPR相关知识、技能(社区培训,单位培训,视频学习,旁观者经历)等63人(21.0%),自我效能感条目均分(21.28±4.16)分,自我感觉CPR知识和技能掌握不足、参加培训及复训演练次数、是否承担法律责任、复苏现场环境及自身风险是影响实施CPR自我效能感的主要原因。结论“第一目击者”自我效能感水平低下,现场施行CPR率较低,需加强多样化公众培训,可将自我效能、应急能力相关的法律法规普及,以及传染病和引起纠纷的讨论充实到培训中,以提高“第一目击者”自我效能感,为院外心脏骤停患者的成功救治争取必要时间。Objective To investigate the self-efficacy and influencing factors of cardiopulmonary resuscitation(CPR)performed by the first witness of cardiac arrest out-of-hospital,and to provide reference for promoting CPR performed by the first witness.Methods The self-designed CPR self-efficacy questionnaire,response attitude questionnaire and resuscitation intention questionnaire were used to investigate 372 people who were the first witness of cardiac arrest out-of-hospital from August 2019 to August 2021.Results 300 valid questionnaires were collected,the effective rate was 80.6%,11 participants(3.7%),63(21.0%)knew CPR related knowledge and skills(community training,unit training,video learning,bystander experience),and the average score of self-efficacy was(21.28±4.16),the main factors that affect the self-efficacy of CPR were the lack of cardiopulmonary resuscitation knowledge and skills,the number of training and retraining exercises,whether to bear legal responsibility,the environment of resuscitation site and self-risk.Conclusion The level of self-efficacy of the"first witness"is low and the rate of performing CPR on the spot is low.It is necessary to strengthen diversified public training and popularize self-efficacy,emergency response ability and relevant laws and regulations,as well as the discussion of infectious diseases and disputes to enrich the training,improve the"first-witness"self-efficacy,for the successful treatment of out-of-hospital cardiac arrest patients to buy the necessary time.

关 键 词：第一目击者 心肺复苏 自我效能感 影响因素 

分 类 号：R605.974[医药卫生—急诊医学]