2015版心肺复苏术在初中生群体中的推广应用研究

目的 探讨2015版心肺复苏术在初中生群体中的推广应用价值。方法 2017年3月，分别于我市2所乡镇初级中学随机选取108、109名初中生，分别命名为学校A、学校B；分别于我市2所市区内初级中学随机选取108、109名初中生，分别命名为学校C、学校D。从4所学校中各挑选3名骨干老师，对所选取的骨干老师进行指导培训。由所选取的骨干老师对本校初中生进行周期性培训指导，学校A、学校C 初中生每隔3个月培训1次，学校B、学校D 初中生每隔2个月培训1次，4所学校初中生均持续培训1年。对各学校初中生培训前后心肺复苏（Cardiopulmonary resuscitation，CPR）相关知识、技能操作水平进行考核，由本校骨干老师进行CPR 技能考核评分，通过构建统一实况场景对4所学校初中生进行实况模拟考核。结果 与CPR 培训前相比，434名初中生接受CPR 培训后，CPR 相关知识、CPR 急救技能掌握率明显上升（P＜0.05）。接受CPR 培训后，相比学校A 初中生，学校B、学校C 初中生CPR 技能考核评分较高；相比学校B、学校C 初中生，学校D 初中生CPR 技能考核评分较高（P＜0.05）；接受CPR 培训后，相比学校A 初中生，学校B、学校C 初中生按压频率较低，按压深度较高；相比学校B、学校C 初中生，学校D 初中生按压频率较低，按压深度较高（P＜0.05）。结论 对初中生进行CPR 规范化培训，初中生CPR 相关理论知识掌握率更高，实际操作水平得到一定的提升，按压频率、按压深度水平出现明显变化。

Study of the promotion and application of 2015 edition cardiopulmonary resuscitation among junior middle school students

Objective To explore the significance of the promotion and application of 2015 edition cardiopulmonary resuscitation(CPR) among junior middle school students.Methods In March 2017,108 and 109 junior middle school students were randomly selected from 2 township junior middle schools in our city respectively,which were named School A and School B respectively; another 108 and 109 junior middle school students were randomly selected from 2 junior middle schools in our city proper respectively,which were named School C and School D respectively.From each of the 4 schools,3 backbone teachers were selected,instructed and trained.The selected backbone teachers gave periodic training guidance to the junior middle school students from their schools.The junior middle school students from School A and School C were trained once every 3 months,while the junior middle school students from School B and School D were trained once every 2 months,and all the junior middle school students from the 4 schools kept being trained for 1 year.The CPR related knowledge and the level of skilled operation of the junior middle school students from the 4 schools before and after training were assessed.The backbone teachers of their respective schools scored the CPR skills assessment,and unified live scenes were constructed for conducting live simulation assessment among the junior middle school students from the 4 schools.Results Compared with before CPR training,the mastery rate of the CPR related knowledge and the CPR first aid skills of the 434 junior middle school students increased significantly after they received the training(P<0.05).After receiving CPR training,compared with the junior middle school students from School A,the junior middle school students from School B and School C gained higher scores in the CPR skills assessment; compared with the junior middle school students from School B and School C,the junior middle school students from School D gained higher scores in the CPR skills assessment(P<0.05).After receiving CPR training,compared with the junior middle school students from School A,the junior middle school students from School B and School C had lower compression frequency and greater compression depth; compared with the junior middle school students from School B and School C,the junior middle school students from School D had lower compression frequency and greater compression depth(P<0.05).Conclusion Through the standardized training of CPR for junior middle school students,their mastery rate of the CPR related theoretical knowledge is further increased,their practical operation levels are improved to a certain extent,and their compression frequency and the levels of their compression depth are changed greatly.