North City Community Health Technical Personnel Cardiopulmonary Resuscitation (CPR) Status And Training Needs Investigation And Study Ability

BackgroundAs the improvement of living standards and life rhythm speeding up, the courtyard external cardiac arrest (the out-of-at cardiac arrest, OHCA) has become a serious public health problem. When a court external cardiac sudden stopping time, the best treatment method is cardiopulmonary resuscitation (CPR). If can start within 4 min after the onset of CPR, can make the survival rate is as high as 45% above, more than 6 min, the survival rate of only 4%. Now our country emergency paramedics arrived at the scene for an average 11 min. Community health technical personnel in the field position and professional and technical advantages, can greatly improve the rescue success rate of critically ill patients, so the community health technical staff to grasp skilled cardiopulmonary resuscitation skills has become a necessary need.ObjectiveSurvey city community health technical personnel CPR (Cardiopulmonary resuscitation, or CPR, theory of knowledge and skills operation status and training needs, and analyzed the relevant factors affecting the ability of Cardiopulmonary resuscitation (CPR), and put forward feasible Suggestions to strengthen and improve the ability of Cardiopulmonary resuscitation (CPR), for the city management departments for public health in the future to carry out community health technical personnel Cardiopulmonary resuscitation (CPR) training to provide theoretical basis and practical guidance.MethodsAdopt the method of convenient sampling, choose a city 8 community service centers, community health service station 8 technical personnel as the research object, application of the theory of cardiopulmonary resuscitation (CPR) questionnaire, cardiopulmonary resuscitation (CPR) knowledge questionnaire for cardiopulmonary resuscitation (CPR) basic situation, theoretical knowledge, training needs survey. Volunteered for the selected and qualified personnel for cardiopulmonary resuscitation skills examination at the scene. Not relate to the information to fill the questionnaire, and the health management related leaders, community health service center is responsible for the pedestrian in-depth interviews. In the research and analysis of community health technical personnel cardiopulmonary resuscitation (CPR) implementation of influence factors in the process of the present situation and training needs, training on the use of analysis of variance, chi-square, and other statistical methods.Results1. CPR knowledge and skills to master the situationTheoretical knowledge score with a point value between 0 and 100, eligible for 60 points, grade point average of 43.5 points, the highest score of 71.5 points, as the gp; The lowest scores for 11 points, is a public health workers. Community health technical personnel’s job is different, for cardiopulmonary resuscitation (CPR) and different levels of theory knowledge. Participate in the examination of the technical staff of 48 people, skills assessment score with a point value between 0 and 100, respondents grade point average of 45.8 points,95 points, the lowest points 0 points, percent of pass is 27.08%. Gp score significantly higher than the other two groups. Doctors and nurses on chest compressions projects have statistical difference (P<0.05)2. CPR knowledge and skills influence factorsCPR knowledge scores and jobs, job title, whether to attend training and to participate in training the number of times. CPR skills operation performance and age, job, whether to participate in training and training related to the number of times.3. CPR training present situation and the demandParticipate in the questionnaire survey of 106 health technicians, there are 85 people participated in CPR training, accounting for 80.19% of the total; Participated in the above 3 times and 3 times training of personnel account for 56.4% of the trainees.29.4% of technical staff think the cause of the training difficult is unit leadership not active and training target is limited; In the training of technical personnel,47.1% of the students trained teaching method is the theory is given priority to, complementary skills training; 50.6% of the location of the training is a school students,41.2% of the students think teacher’s training level is on the average; 41.2% of the students is the overall evaluation of training in general; Is the cause of 49.4% of the students are not satisfied with the teaching content from the clinical practice.106 health technical personnel involved in the CPR training needs survey.47.1% of the current demand for CPR training very,61.3% think that community health technical personnel should participate in at least 1 years CPR after training,49.1% of technical staff hope training teachers from medical colleges and universities engaged in the work of the first aid teaching teachers,61.3% of the technical personnel hope training in schools; 50.0% increased technical personnel hope at the same time in the teaching of clinical practice; 51.9% of technicians believe that the best examination time is once a year.Conclusion1. City community health technical personnel CPR theory and skills to master level is poorer, and whether to participate in the training, training the number of times and the effect were positively correlated, and the differences between the different positions.2. The city community health service institutions of CPR training effectiveness is poorer, but community health technical personnel of CPR training demand is relatively strong.