目的 了解湖南省医务人员对儿童现场救护能力的掌握程度和开展儿童第一目击者培训的需求,为在湖南省开展儿童第一目击者培训提供依据。方法 2024年4月10日至24日,通过自制调查问卷对湖南省医务人员以微信推送问卷的方式进行儿童现场救护能力现状和培训需求调查,收集问卷数据并进行描述性和χ²检验等统计学处理。结果 参与调查的10 746名医务人员中,参加过儿童第一目击者培训的有5 862名(54.6%);9 313名(86.7%)医务人员认为自己有能力识别儿童危重症状态;自我评价第一目击者能力中儿童心肺复苏[9 674名(90.0%)]和儿童海姆立克法[10 089名(93.9%)]掌握情况较好,而儿童自动体外除颤仪使用[7 900名(73.5%)]和创伤4项技术[7 857名(73.1%)]掌握情况一般。医务人员中,有10 226名(95.2%)认为成人和儿童第一目击者有所区别,10 524名(97.9%)认为有必要开展儿童第一目击者培训。9 988名(92.9%)医务人员对儿童第一目击者培训有需求,7 927名(73.8%)对儿童第一目击者导师培训有需求。医疗机构级别越高、职称越高、工作年限越长、从事儿科学专业、有第一目击者培训合格证书的医务人员对肯定儿童第一目击者开展的必要性、自我评价第一目击者能力及培训需求越高,其差异均具有统计学意义(均P＜0.05)。结论 湖南省医务人员应加强儿童第一目击者培训,尤其是基层医疗机构、低年资医务人员。儿童第一目击者能力中儿童自动体外除颤仪使用和儿童创伤4项技术培训有待加强。

Objective To understand the level of medical personnel′s mastery of children′s on-site rescue capabilities in Hunan Province and to investigate the demand for conducting first witness training for children, in order to inform future training in this area. Methods From April 10 to 24, 2024, a self-made survey questionnaire was used to survey medical personnel in Hunan Province through WeChat questionnaires. The questionnaire data was collected and subjected to descriptive and chi square test. Results Among the 10 746 medical staff who participated in the survey, 5 862(54.6%) had received training as the first witness for children, and 9 313(86.7%) of medical staff believed that they had the ability to identify the critical condition of children. Among the self-evaluation of first witness abilities, the mastery rates of child cardiopulmonary resuscitation [9 674(90.0%)] and child Heimlich maneuver [10 089(93.9%)] were very high, while the mastery rates of child AED [7 900(73.5%)] and trauma four techniques [7 857(73.1%)] were relatively low. Among the investigators, 10 226(95.2%) believed there is a difference between adult and child first witnesses, and 10 524(97.9%) believed it is necessary to conduct training for child first witnesses. In addition, 9 988(92.9%) had a need to participate in the training of children′s first witnesses, and 7 927(73.8%) had a need to participate in the training of children′s first witness mentors. The higher the level of hospital institutions, the higher the professional titles of personnel, the longer the working years, the professionals engaged in pediatrics, and the investigators with the first witness training certificate, the higher the necessity of affirming the first witness of children, self-evaluation of the first witness ability, and training needs. The differences are statistically significant (all P<0.05). Conclusions Medical personnel in Hunan Province should strengthen the training of children′s first witnesses, especially in grassroots medical institutions, junior medical personnel, and child AED use and the four techniques of child trauma in children′s first witness abilities, which need to be further trained.