中国公众对心肺复苏术的知识、态度、实践和自我效能感的在线横断面调查。
Knowledge, attitudes, practices, and self-efficacy of the Chinese public regarding cardiopulmonary resuscitation: an online cross-sectional survey.
机构信息
Department of Nursing, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.
School of Nursing, Zunyi Medical University, Zunyi, Guizhou, China.
出版信息
Front Public Health. 2024 Feb 29;12:1341851. doi: 10.3389/fpubh.2024.1341851. eCollection 2024.
OBJECTIVE
To evaluate the current status of Chinese public's knowledge, attitudes, practices (KAP) and self-efficacy regarding cardiopulmonary resuscitation (CPR), and to analyze the factors that influence KAP and self-efficacy.
METHODS
An online cross-sectional survey was conducted from February to June 2022 in Mainland China via a self-designed self-filled questionnaire. Potential participants were recruited through WeChat by convenience sampling and snowball sampling methods. Descriptive and quantitative analyses were used for statistical analysis.
RESULTS
The survey included 4,450 participants from 31 provinces, autonomous regions, or municipalities across Mainland China, aged 18 or above. The public's average understanding (clear and very clear) of the knowledge regarding CPR was 67.4% (3,000/4,450), with an average proportion of positive attitudes at 96.8% (4,308/4,450). In practice, the average proportion of good practices was 92.8% (4,130/4,450), while the percentage of good self-efficacy averaged at 58.9% (2,621/4,450), only 42.4% (1,885/4,450) of the participants had confidence in the correct use of automated external defibrillator (AED). Pearson correlation analysis showed a significantly positive correlation among knowledge, attitude, practice, and self-efficacy ( < 0.01). Multiple linear regression analysis revealed that several factors have a significant influence on the public's CPR KAP and self-efficacy, including ever having received CPR training ( < 0.001), hearing about AED ( < 0.001), performing CPR on others ( < 0.001), hearing about CPR ( < 0.001), occupation ( < 0.001), personal health status ( < 0.001), education level ( < 0.001), gender ( < 0.001), and encountering someone in need of CPR ( = 0.021).
CONCLUSION
The Chinese public demonstrates good knowledge of CPR, positive attitude, and high willingness to perform CPR. However, there is still room for improvement in the mastery of some professional knowledge points related to CPR and AED. It should be noted that knowledge, attitude, practice, and self-efficacy are interrelated and influence each other. Factors such as prior CPR training, hearing about AED, having performed CPR before, hearing about CPR, occupation, personal health status, education level, gender, and having encountered someone in need of CPR have a significant impact on the public's KAP and self-efficacy.
目的
评估中国公众心肺复苏术（CPR）知识、态度、实践（KAP）和自我效能的现状，并分析影响 KAP 和自我效能的因素。
方法
本研究于 2022 年 2 月至 6 月采用自行设计的自填式问卷，通过便利抽样和滚雪球抽样方法，在中国内地进行了一项在线横断面调查。采用描述性和定量分析进行统计分析。
结果
调查共纳入来自中国内地 31 个省、自治区或直辖市的 4450 名 18 岁及以上的参与者。公众对 CPR 知识的平均理解（清楚和非常清楚）率为 67.4%（3000/4450），平均积极态度比例为 96.8%（4308/4450）。在实践中，良好实践的平均比例为 92.8%（4130/4450），而良好自我效能的平均比例为 58.9%（2621/4450），只有 42.4%（1885/4450）的参与者有信心正确使用自动体外除颤器（AED）。Pearson 相关分析显示，知识、态度、实践和自我效能之间呈显著正相关（ < 0.01）。多元线性回归分析显示，一些因素对公众的 CPR KAP 和自我效能有显著影响，包括是否接受过 CPR 培训（ < 0.001）、是否听说过 AED（ < 0.001）、是否对他人进行过 CPR（ < 0.001）、是否听说过 CPR（ < 0.001）、职业（ < 0.001）、个人健康状况（ < 0.001）、教育水平（ < 0.001）、性别（ < 0.001）和是否遇到过需要 CPR 的人（ = 0.021）。
结论
中国公众对 CPR 具有较好的知识、积极的态度和较高的实施 CPR 的意愿。然而，在掌握一些与 CPR 和 AED 相关的专业知识要点方面仍有提升空间。需要注意的是，知识、态度、实践和自我效能是相互关联和相互影响的。先前的 CPR 培训、是否听说过 AED、是否进行过 CPR、是否听说过 CPR、职业、个人健康状况、教育水平、性别以及是否遇到过需要 CPR 的人等因素对公众的 KAP 和自我效能有显著影响。
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