Liu Xinran, Wang Bing, Xing Jingjing, Zhang Hailong, Ye Sheng
Emergency Department, The Second Affiliated Hospital of Wannan Medical College, Wuhu, Anhui, People's Republic of China.
Graduate School, Wannan Medical College, Wuhu, Anhui, People's Republic of China.
Adv Med Educ Pract. 2025 Aug 27;16:1559-1568. doi: 10.2147/AMEP.S540797. eCollection 2025.
Emergency education is a critical component of medical training, enabling students to effectively respond to urgent and life-threatening situations. This study aimed to evaluate the knowledge, attitudes, and practices (KAP) of medical students regarding prehospital emergency care, and to explore the factors influencing these dimensions.
A cross-sectional survey was conducted between September 1 and October 10, 2024, at Wannan Medical College in Anhui province, southeastern China. Participants were selected using a stratified cluster sampling method. Data were analyzed using independent samples -tests, one-way ANOVA, and Pearson correlation analysis. Structural equation modeling (SEM) was employed to examine the interrelationships among emergency knowledge, attitudes, and practices.
A total of 452 medical students completed the survey, with 439 valid responses included in the final analysis. Among the participants, 213 were male (48.50%) and 226 were female (51.50%). The mean scores for emergency knowledge, attitudes, and practices were 23.17 ±4.43, 18.20 ±3.76, and 13.68 ±2.71, respectively. The SEM analysis revealed that knowledge had a significant positive effect on attitude (β=0.831, <0.001) and on practice (β=0.477, <0.001). Attitude also significantly influenced practice (β=0.448, <0.001).
This study underscores the pivotal mediating role of attitudes in linking emergency knowledge to practice among medical students. Enhancing emergency knowledge through targeted educational interventions, alongside fostering positive attitudes, may effectively improve students' engagement and performance in real-life emergency care situations.
急救教育是医学培训的关键组成部分，能使学生有效应对紧急和危及生命的情况。本研究旨在评估医学生对院前急救护理的知识、态度和实践情况，并探讨影响这些维度的因素。
2024年9月1日至10月10日在中国东南部安徽省的皖南医学院进行了一项横断面调查。采用分层整群抽样方法选取参与者。数据采用独立样本t检验、单因素方差分析和Pearson相关分析进行分析。采用结构方程模型（SEM）来检验急救知识、态度和实践之间的相互关系。
共有452名医学生完成了调查，最终分析纳入439份有效回复。参与者中，男性213人（48.50%），女性226人（51.50%）。急救知识、态度和实践的平均得分分别为23.17±4.43、18.20±3.76和13.68±2.71。结构方程模型分析显示，知识对态度（β=0.831，P<0.001）和实践（β=0.477，P<0.001）有显著正向影响。态度也显著影响实践（β=0.448，P<0.001）。
本研究强调了态度在医学生将急救知识与实践联系起来方面的关键中介作用。通过有针对性的教育干预增强急救知识，同时培养积极态度，可能有效提高学生在实际急救护理情况下的参与度和表现。
