摘要
目的探讨三甲医院、二甲医院、社区医院和社区"四位一体"培训模式下三甲医院对社区居民心肺复苏培训效果。方法由某三甲医院经美国心脏协会心血管急救培训中心培训认证的基础生命支持师资团队对180例社区居民进行现场心肺复苏培训,培训前后对社区居民进行问卷调查和技能考核,应用t检验及χ2检验等统计学方法,比较培训前后问卷得分、心肺复苏技能得分和考核合格率的差异。结果培训后社区居民心肺复苏的相关知识总得分由(3.29±2.20)分提高至(7.90±1.60)分,态度得分由(20.47±3.13)分上升至(22.07±1.87)分,技能得分(3.24±3.38)分上升至(12.39±2.28)分,考核合格率由7.78%上升至65.56%,院外急救场合现场施救意愿由61.1%增长至91.7%,差异有统计学意义(P<0.05)。结论 "四位一体"模式下心肺复苏培训可有效提高社区居民心肺复苏相关知识和技能水平,明显改善其在院外施救时的消极态度,对于建立区域性全民协同急救体系,普及民众急救知识和技能,促进合格的院前急救,具有良好的借鉴意义。
【Objective】 To explore the effectiveness of cardiopulmonary resuscitation（CPR） training among community citizens under the quaternity mode of the third-grade and second-grade class-A hospitals,community hospital and community.【Methods】 A total of 180 community citizens received cardiopulmonary resuscitation training by tutors certificated by American Heart Association Emergency Cardiovascular Care Training Center.And all of them received questionnaire survey and skill test before and after the training.The differences in the knowledge and attitudes towards CPR and willingness of pre-hospital rescue were compared before and after the training.【Results】 After the training,the scores of CPR related knowledge,attitudes and skills increased from（3.29 ± 2.20） to（7.90 ± 1.60）,（20.47 ± 3.13） to（22.07 ± 1.87） and（3.24 ± 3.38） to（12.39± 2.28）,respectively.And the examination pass rate increased from 7.78% to 65.56%.And willingness of pre-hospital rescue increased from 61.1% to 91.7%,the differences were statistically significant（P〈0.05）.【Conclusions】 The training mode can effectively improve community citizens＇ knowledge and skill levels and attitudes towards cardiopulmonary resuscitation,and enhance their confidence in rescue.This training mode provides practical guidance for establishing a district emergency system and is worth being popularized.
出处
《中国现代医学杂志》
CAS
北大核心
2015年第30期99-103,共5页
China Journal of Modern Medicine
基金
湖南省科技厅项目(No:2012SK4053)
关键词
“四位一体”模式
社区居民
心肺复苏
培训
quaternity mode
community citizen
cardiopulmonary resuscitation
trainin
