目的 调查某医学院校新生心肺复苏培训效果,为培训改进提供参考。方法 2021年11月,面向中国医科大学全体2021级新生开展心肺复苏实践教学,并于2022年1月采用分层等比例抽样选择1 117名学生进行问卷调查,以了解培训效果。采用χ2检验比较不同专业学生对心肺复苏认知程度的差异和学生对操作各步骤掌握程度的差异。结果 临床医学专业、临床医学类特设专业、护理学类专业、其他医学类专业、非医学类专业分别有87.9%(362/412)、88.6%(147/166)、75.0%(123/164)、76.5%(176/230)、84.8%(123/145)的学生认为心肺复苏普及非常有必要,其差异具有统计学意义(χ2=25.48,P<0.001);对于心脏骤停的识别、启动应急反应系统、胸外按压、开放气道、人工通气的操作方法,分别有80.5%(899/1 117)、71.9%(803/1 117)、95.2%(1 063/1 117)、86.9%(971/1 117)、89.5%(1 000/1 117)的学生非常了解或基本了解,其差异具有统计学意义(χ2=276.97,P<0.001);84.5%(944/1 117)的学生因为担心能力不足而影响对陌生人施救;67.1%(749/1 117)的学生希望接受紧急情况下决策与团队调动能力方面的培训。结论 2021级新生普遍认同心肺复苏普及的必要性,但对相关知识的认知水平有待提高;大多数学生能够掌握心肺复苏的操作方法,但各步骤的掌握情况存在差异。建议加强医学院校新生心肺复苏相关知识的培训,不忽略每一个步骤。
Objective To investigate the current state of CPR awareness and CPR mastery of a medical school and to provide reference for curriculum improvement. Methods In November 2021, CPR skills training was conducted for all 2021 freshmen of China Medical University. And in January 2022, a stratified equal proportion sampling method was used to select 1 117 students for a questionnaire survey to investigate the training effect. The χ2test was used to compare the differences of CPR awareness and the degree of mastery of each step of the operation among students of different majors. Results Respectively 87.9%(362/412), 88.6%(147/166), 75.0%(123/164), 76.5%(176/230) and 84.8%(123/145) of students among majors of clinical medicine, special clinical medicine, nursing, other medicine, and non-medicine thought that universal CPR was very necessary, the difference was statistically significant (χ2=25.48,P<0.001); 80.5%(899/1 117), 71.9%(803/1 117), 95.2%(1 063/1 117), 86.9%(971/1 117) and 89.5%(1 000/1 117) of students knew very well or basically knew activating emergency response system, chest compression, opening airway, and manual ventilation, respectively,the difference was statistically significant (χ2=276.97,P<0.001); 84.5%(944/1 117) of the students were concerned about their lack of ability to respond to strangers, and 67.1%(749/1 117) of the students wanted to be trained in leadership skills in the face of emergencies. Conclusions The new students of class 2021 generally agree with the necessity of promoting CPR, but the level of awareness about it needs to be improved. Students were basically able to master the operation of CPR, with differences in the mastery of each step. It is recommended to strengthen the teaching of CPR-related knowledge for new students in medical schools, without neglecting each step.
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