Acknowledge and Use of Automatic External Defibrillators among the Resident in China

doi:10.12114/j.issn.1007-9572.2019.00.021

Abstract

Abstract: Background　Nowadays，the incidence of sudden cardiac arrest in China is high，but the survival rate of out-of-hospital resuscitation is extremely low.The application of automated external defibrillator （AED） in public place could effectively increase the survival rate of the out-of-hospital resuscitation.Therefore，the use of AED by the general public is the key to deal with this issue.Objective　To inquire about the acknowledge and learning willingness of using AED by the general public in China.Methods　Participants of the 9th course of Emergency Common Sense （http：//www.icourses.cn/mooc/） were selected to conduct a questionnaire survey from 10 October 2017 to 10 November 2017.The questionnaire included the basic information of the respondents，the knowledge about AED and the attitude towards the use of AED.Results　A total of 2 130 questionnaires were collected，with 1 918 valid questionnaires and an effective rate of 90.05%.Of the 1 918 subjects，697 （36.34%） had been exposed to CPR-related learning or training，including 378 （67.74%，378/558） worked in medical profession，319 （23.46%，319/1 360） in non-medical profession；35.61% （683/1 918） could accurately describe the name of AED，25.60% （491/1 918） could clearly describe the role of AED，and 22.94% （440/1 918） could accurately describe the use of AED.1 623 patients （84.62%） were willing to rescue，all of who mastered the methods of CPR and AED；1 856 （96.77%） were willing to rescue under the premise of AED knowledge；1 832（95.52%） were willing to learn AED related knowledge.The awareness rate of the role and usage of AED in medical group was higher than that in non-medical group，and the proportion of people willing to learn AED related knowledge was lower than that in non-medical group （P<0.05）．The proportion of people willing to help in medical group was higher than that in non-medical group，and the proportion of people willing to learn AED related knowledge in medical group was lower than that in non-medical group （P<0.05）．Among 295 people reluctant to learn，75 answered the reasons，of whom 31 （41.33%） did not dare to rescue for lack of relevant first aid knowledge；34 （45.33%） expressed concern about improper operation and aggravation of the patient's condition；10 （13.34%） were reluctant to contact strangers for personal reasons.Conclusion　Nowadays the resident in China still know very little about AED，but they are willing to learn and use it.It is necessary to change the current situation by making efforts to improve the knowledge of application of AED.

Key words: Heart arrest, Defibrillators, Automated external defibrillator, Acknowledge and attitude, Network survey

摘要：

背景　目前我国心脏骤停发病率很高，院外抢救成功率极低，公共场所自动体外除颤仪（AED）的使用可有效提高心脏骤停的院外抢救成功率。因此，居民对AED的使用是院外抢救成功的关键。目的　初步了解我国目前AED的使用、知晓情况和学习意愿，为提高抢救成功率提供依据。方法　于2017-10-10至2017-11-10选取互联网平台爱课程（http：//www.icourses.cn/mooc/）《急救常识》第9次课程的学员进行问卷调查，问卷包括调查对象的基本信息、AED相关知识知晓情况以及关于AED使用态度。结果　共回收2 130份问卷，有效问卷为1 918份，有效率为90.05%。1 918例受试者中，接触过心肺复苏（CPR）相关学习或训练者697例（36.34%），包括医学类378例（67.74%，378/558）、非医学类319例（23.46%，319/1 360）；35.61%（683/1 918）能够准确描述AED的名称，25.60%（491/1 918）能够清楚描述AED的作用，而22.94%（440/1 918）能够准确描述AED使用；对心脏骤停患者愿意施救者1 623例（84.62%），均掌握CPR和AED的方法；会使用AED前提下愿意施救者1 856例（96.77%）；愿意学习AED相关知识者1 832例（95.52%）。医学类人群的AED作用、用法知晓率均高于非医学类，愿意学习AED相关知识所占比例低于非医学类（P<0.05）。医学类人群愿意施救所占比例高于非医学类，愿意学习AED相关知识所占比例低于非医学类（P<0.05）。295例不愿施救者中，75例回答了原因，其中，31例（41.33%）为无相关急救常识而不敢施救；34例（45.33%）则表示担心操作不当而加重患者病情；10例（13.34%）是因为个人原因而不愿意与陌生人接触。结论　目前我国居民对AED相关知识的了解甚少，但应用和学习意愿强烈，需采取措施以提升其对AED的了解和应用。

关键词: 心脏停搏, 除颤器, 自动体外除颤器, 知晓情况, 网络调查

NI Shaozhou,ZHU Jiayong,LI Shunqing, et al. Acknowledge and Use of Automatic External Defibrillators among the Resident in China　[J]. Chinese General Practice, 2019, 22(26): 3171-3174. DOI: 10.12114/j.issn.1007-9572.2019.00.021.
倪绍洲,朱家永,李顺青等. 我国居民自动体外除颤仪使用和知晓情况的现状调查[J]. 中国全科医学, 2019, 22(26): 3171-3174. DOI: 10.12114/j.issn.1007-9572.2019.00.021.

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