切换至 "中华医学电子期刊资源库"

中华卫生应急电子杂志 ›› 2020, Vol. 06 ›› Issue (04) : 239 -244. doi: 10.3877/cma.j.issn.2095-9133.2020.04.009

所属专题: 文献

论著

新媒体时代公众自救互救素养提升调查与分析
李春雨1, 张成2, 龚青云3, 王迪3, 邓波4, 陈彦5, 张雪静6,()   
  1. 1. 210029 江苏南京,南京医科大学第一附属医院妇幼分院重症医学科
    2. 210029 江苏南京,南京医科大学第一附属医院妇幼分院科技处
    3. 210029 江苏南京,南京医科大学第一附属医院急诊医学中心
    4. 210029 江苏南京,南京医科大学第一附属医院妇幼分院医务处
    5. 210029 江苏南京,南京医科大学第一附属医院门诊部
    6. 210029 江苏南京,南京医科大学第一附属医院科技处
  • 收稿日期:2020-04-20 出版日期:2020-08-18
  • 通信作者: 张雪静
  • 基金资助:
    江苏现代医院管理研究中心医院管理研究课题(JSY-3-2017-071)

Role of new media in improving the level of community residents’ self-help and mutual aid

Chunyu Li1, Cheng Zhang2, Qingyun Gong3, Di Wang3, Bo Deng4, Yan Chen5, Xuejing Zhang6,()   

  1. 1. Intensive Care Unit, Women and Children Branch Hospital of the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
    2. Science and Technology Department, Women and Children Branch Hospital of the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
    3. Emergency Medicine Center, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
    4. Medical Department, Women and Children Branch Hospital of the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
    5. Outpatient Department, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
    6. Science and Technology Department, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
  • Received:2020-04-20 Published:2020-08-18
  • Corresponding author: Xuejing Zhang
  • About author:
    Corresponding author: Zhang Xuejing, Email:
引用本文:

李春雨, 张成, 龚青云, 王迪, 邓波, 陈彦, 张雪静. 新媒体时代公众自救互救素养提升调查与分析[J]. 中华卫生应急电子杂志, 2020, 06(04): 239-244.

Chunyu Li, Cheng Zhang, Qingyun Gong, Di Wang, Bo Deng, Yan Chen, Xuejing Zhang. Role of new media in improving the level of community residents’ self-help and mutual aid[J]. Chinese Journal of Hygiene Rescue(Electronic Edition), 2020, 06(04): 239-244.

目的

了解江苏省南京市公众自救互救相关知识、技能和态度,探索现场自救互救素养提升的有效途径。

方法

2020年1月-2020年4月随机抽取江苏省南京市5个社区528位居民进行不记名问卷调查,包括社区居民自救互救普及现状满意度、获得自救互救技能的途径,自救互救认知情况等,利用SPSS23.0统计分析社区居民对于现场自救互救态度、知识和技能现状的认识。

结果

大部分社区居民对我国目前的现场自救互救知识技能普及现状是满意的,仍有11.55%的居民不满意。居民接受现场自救互救知识的途径多样,其中新媒体(微信、微博、互联网、急救科普)途径比例最多,占37.88%。现场自救互救知识普及困难原因调查中,居民学习主动性差比例最大,为33.47%,其次是社会不够重视占28.76%,开展培训方式不吸引人占21.32%,获取途径偏少占16.45%。大部分居民能够掌握心肺复苏基本知识,但自动体外除颤仪的使用、锐器刺中大腿后的处理、脚扭伤的现场处理等其他自救互救基本知识有待提高。心绞痛现场处理、卒中现场处理和抽搐现场处理完全不知道比例较高,分别为41.10%、44.13%、40.53%。62.69%的居民希望接受心肺复苏自救互救培训。

结论

社区居民对现场自救互救知识与技能现状较为乐观,除心肺复苏外,其他自救互救知识和现场处理技能有待提高,可采取居民接受途径最多的新媒体方式进行宣传和培训,全面提高公众现场自救互救素养。

Objective

To understand the current status of knowledge, attitudes and behavioral cognition of self-rescue and mutual rescue among residents in Nanjing, Jiangsu Province, and to explore effective ways for on-site self-rescue and mutual rescue training.

Methods

A total of 528 residents from 5 communities in Nanjing, Jiangsu Province were randomly selected to conduct an anonymous questionnaire survey from January 2020 to April 2020, including the current situation of community residents’ self-help and mutual aid popularization satisfaction, the way to acquire the skills of self-help and mutual aid, and the cognition of self-help and mutual aid. SPSS 23.0 was used to statistically analyze the current status of community residents’ attitudes, knowledge and behavior towards self-help and mutual rescue on the spot.

Results

Most of the community residents were satisfied with the current status of on-site self-help and mutual rescue knowledge and skills in China, and 11.5% of the residents were still dissatisfied. Residents had various ways to accept on-site self-help and mutual aid knowledge, among which the new media had the largest proportion, accounting for 37.88%. In the on-site survey on the reasons for the difficulty in popularizing self-help and mutual-aid knowledge, residents had the largest percentage of poor learning initiative, at 33.47%, followed by the society ’s lack of attention to 28.76%, the lack of attractive training methods, 21.32%, and the lack of access to 16.45%. Most residents were able to master the basic knowledge of cardiopulmonary resuscitation, but the use of automatic external defibrillators, the treatment of thighs after dabbing, the on-site treatment of sprained feet and other basic knowledge of self-help and mutual rescue needed to be improved. Angina treatment, stroke treatment and convulsions treatment did not show a high proportion, 41.10%, 44.13%, and 40.53%, respectively. 62.69% of the residents wished to receive CPR self-help mutual rescue training.

Conclusion

Community residents are more optimistic about the status of self-help and mutual rescue on site. Apart from cardiopulmonary resuscitation, other self-rescue mutual rescue knowledge and on-site processing skills need to be improved. New media methods with the most channels for residents can be adopted for publicity and training to improve the community the ability of residents to save themselves on the spot.

图1 社区居民基本信息
图2 自救互救认知情况调查
图3 居民获得自救互救技能的途径
图4 自救互救基本知识掌握情况调查
图5 自救互救知识掌握程度调查
图6 居民最希望接受自救互救技能培训情况
图7 自救互救知识普及困难原因
1
Pek JH.Guidelines for bystander first aid 2016[J].Singapore Med J,2017,58(7):411-417.
2
李春雨,姜婷,王魏魏,等.新媒体时代公众自救互救科普培训实践与探索[J/CD].中华卫生应急电子杂志,2017,3(1): 62-64.
3
王一镗.再论发展我国急诊医学的重要方针之一——三分提高七分普及[J].中国急救医学,2010,30(2):97-98.
4
Stassart C, Stipulante S, Zandona R,et al.Psychological impact of out-of-hospital cardiopulmonary resuscitation (CPR) on the witness engaged in gestures of survival[J].Rev Med Liege,2017,72(5):236-240.
5
李树平,黄渊旭,杨勇,等.12744例院前急救患者流行病学特点分析[J/CD].中华卫生应急电子杂志,2016,2(5):289-296.
6
邹晓平.秦红.社区居民现场急救的态度、知识、行为现状调查报告[J].现代预防医学,2006,33(12):2404-2405.
7
葛波涌,王明太,王玉波,等.社区普及徒手心肺复苏对猝死患者抢救的意义[J]. 中华急诊医学杂志,2017,26(8):974-976.
8
潘鑫,章衡,花长松,等.健康镇江全民自救互救素养提升工程的现状和思考[J/CD].中华卫生应急电子杂志,2017,3(3):170-171.
9
江苏省卫生健康委员会. 关于印发全民自救互救素养提升工程实施意见的通知(苏卫应急〔2016〕4号)[EB/OL]. (2016-09-08)[2020-04-20].

URL    
10
陶旭.张明.江苏省南通市区社区居民急救知识现状调查与应对策略分析[J].中国现代医生,2016,54(28):136-138,145.
11
Dalle Ave AL, Gardiner D.Shaw DM.Cardio-pulmonary resuscitation of brain-dead organ donors: a literature review and suggestions for practice[J].Transpl Int,2016,29(1):12-19.
12
Yu Y, Liu XJ, Wang LJ,et al.History of cardiopulmonary resuscitation in ancient China: a narrative review[J].J Cardiothorac Surg,2020,15(1):50.
13
Plata C, Nowack M, Loeser J,et al.Verbal Motivation vs.digital real-time feedback during cardiopulmonary resuscitation:comparing bystander cpr quality in a randomized and controlled manikin study of simulated cardiac arrest[J/OL].Prehosp Emerg Care,2020[2020-05-13].

URL    
14
高静.刘喜文.西安市公众自救互救认知水平的现况调查[J].中国社会医学杂志,2018,35(2):214-216.
15
岳茂兴.何忠杰.卫生应急医学的定义与主要发展方向[J/CD].中华卫生应急电子杂志,2018,4(1):14-20.
[1] 阚艳敏, 王东, 丁建民, 经翔. 住院医师规范化培训教学活动指南在超声医学教学中的应用[J]. 中华医学超声杂志(电子版), 2023, 20(05): 537-541.
[2] 高美莹, 赫飞, 郝玉芝, 吴雅峰, 张华斌, 李朝军, 温朝阳. 超声报告模板使用现状的问卷调查分析[J]. 中华医学超声杂志(电子版), 2022, 19(11): 1256-1263.
[3] 王丽丽, 姜凡, 彭梅. 在超声医学专业质量管理控制指标专家共识指导下的安徽省超声医学质量控制现状[J]. 中华医学超声杂志(电子版), 2022, 19(07): 629-632.
[4] 夏思燕, 纪世召, 周万芳, 黄润之, 张丽君. 对烧创伤患者出院准备度现状调查及影响因素的分析[J]. 中华损伤与修复杂志(电子版), 2023, 18(04): 331-337.
[5] 王乐诗, 张曼莉, 申玉芹, 余挺. 口腔医学本科生对牙周医学的认知状况调查[J]. 中华口腔医学研究杂志(电子版), 2023, 17(01): 55-61.
[6] 黄明珠, 陆鹰, 何康, 王艳. 儿童肝移植受者出院后服药依从性现状调查及影响因素分析[J]. 中华移植杂志(电子版), 2023, 17(02): 112-117.
[7] 伦琰. 按病种付费对公立医院医疗服务绩效评价影响的调查分析[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(01): 115-120.
[8] 陈冀, 邓才霞, 张厚丽, 祝冰晶, 刘攀, 何建, 唐春兰, 周向东, 罗虎. 高危肺结节患者认知及焦虑状况调查分析[J]. 中华肺部疾病杂志(电子版), 2023, 16(02): 164-168.
[9] 关旭, 焦帅, 彭健, 姚宏亮, 王贵玉, 何庆泗, 郑阳春, 胡军红, 李太原, 康亮, 王振宁, 蔡建春, 江波, 熊治国, 马丹, 孙学军, 丁克峰, 汪泳, 周海涛, 傅传刚, 王锡山. 中国经自然腔道取标本手术41 841例开展现状分析:2022年医师调查报告[J]. 中华结直肠疾病电子杂志, 2023, 12(01): 42-49.
[10] 李琼蔚, 苏怡, 卢喆, 李谦, 孙伟. 内蒙古赤峰地区高中生睡眠问题现状调查[J]. 中华临床医师杂志(电子版), 2023, 17(02): 117-124.
[11] 杨占奇, 钟绍婷, 谢焱, 张琼阁, 赵红薇, 张宏林, 王宏宇. 北京市古城社区卫生服务中心慢性病管理现况浅析[J]. 中华临床医师杂志(电子版), 2022, 16(06): 474-480.
[12] 曹宾, 郭瑛, 夏盼盼, 刘佳榛, 王骏, 孙育民. 非阵发性心房颤动的治疗策略:来自心脏电生理一线医师的问卷调查[J]. 中华心脏与心律电子杂志, 2023, 11(03): 147-153.
[13] 秦建军, 郭旭峰, 胡杨, 李向楠, 李卓毅, 林江波, 梅新宇, 唐鹏, 王长春, 王枫, 王洪琰, 尹俊, 袁勇, 赵晋波, 李志刚, 李印. 日本2022版食管癌诊治指南在中国的接受度——中国红杉树专家调研[J]. 中华胸部外科电子杂志, 2023, 10(04): 195-199.
[14] 闫晶, 蒋媛, 买买提·依斯热依力, 王俭, 王永康, 阿巴伯克力·乌斯曼, 王志, 克力木·阿不都热依木. 膈肌生物反馈训练对胃食管反流病的效果分析[J]. 中华胃食管反流病电子杂志, 2023, 10(01): 50-55.
[15] 韩菲, 张遥, 周立新, 倪俊, 朱以诚. 八年制医学生神经病学见习巡诊课程现状调查与改革探讨[J]. 中华脑血管病杂志(电子版), 2023, 17(03): 260-265.
阅读次数
全文


摘要