The Status And Countermeasure Research Of The First-aid Training In The College Students

BackgroundYoung people accident was the increasing trend, and gradually become the first, second causes of death. Young people have become the high-risk groups of accidental injury. College Students receive knowledge quickly. By teaching them first-aid skills, in case of accident, students who received first-aid training can become active rescuer as the first responder for the victim. And then, trained students could disseminate first-aid knowledge and skills to people around, and gradually the coverage of first-aid knowledge and skills will be substantially increased. Therefore, first-aid skills training in colleges and universities are of profound significance.College Students injury has been reported, however, fewer studies reported students' first-aid knowledge and skills, training, rescue willingness and relevant factors. In order to investigate students' first-aid knowledge and skills training related issues, to take better interventions, and improve the students' first-aid skills and willingness as soon as possible, a written questionnaire-based survey with face and telephone interview was conducted among a random sample of 1656 college students except those studying in medical schools in Hangzhou. The status of first-aid skills training and various affecting factors were investigated. Based on foundings of this study, implication for policy making was presented.ObjectivesTo investigate college students' skills, training demand, attitudes of first-aid rescue, and relevant factors, especially, the obstacle factors MethodsBy searching and access to domestic and foreign literature, the research framework was established. Questionnaire was developed through expert review and, pilot survey. The investigation about the nonmedical college students was conducted by questionnaire survey, face and telephone interview from May to October in 2007. The data was checked and screened after it had been collected. Using SPSS for windows 13.0, the data was analyzed with descriptive and regression analysis.ResultsThe mean age was 20.42±1.13 years, 37.1% of the respondents of the college students were females and 24.7% of the respondents had training experience. The college students' first-aid knowledge and skills were poor, which was universal in the country. The students in this region were higher awareness of the first-aid call "120" than those in other regions. It was found that most first-aid skills such as cardiopulmonary resuscitation, the removal of spinal injury and dealing with a sprained foot emergency were not correct by subjective evaluation of college students. Logistic regression analysis showed that gender, identity of training teachers and the form of training were the main factors related to the college students' knowledge and skills about the first-aid. Students received diverse first-aid knowledge. A small proportion of students had special training in the college and university. The cumulative time of training was also low. Student had high demand and interest in first-aid skills. In all respondent categories, willingness to perform first-aid skills was low for a stranger, but high for a relative. The level of the students' first-aid knowledge and skills was the main influence factors. Respondents claimed their unwillingness to perform first-aid skills for others mainly due to poor knowledge and/or imperfect performance of the skills. The fear of communicable disease, feeling dirty, and fear of misunderstanding were the following reasons.Most college schools did not carry out the first-aid skills training for their students. Even where the first-aid skills training have been carried out, most of the colleges and universities lack of training teachers and uniform curriculum. The training contents were narrow, not standardized and the number of trainees is low. Colleges and universities had some difficulties in conducting first-aid skills training. The main difficulties were lacking of funds and trainers .ConclusionsMost college schools did not carry out the first-aid skills training for their students. Even where the first-aid skills training have been carried out, most of the colleges and universities lack of training teachers and uniform curriculum. Their training contents were narrow, not standardized and the number of trainers is low. These are main reasons that result in poor knowledge and skills of first-aid among college students. The most common reason for low training in first-aid skills was that the respondent did not know such courses or where to go for training. The low willingness to perform first-aid skills for others is mainly due to inadequate grasp of first-aid skills which lead to inconfidence. College students had high interest and demand in first-aid training while low in-school training opportunities were presented. So we propose to establish a uniform college first-aid training and evaluation system, which is led by the education sector and the health sector as soon as possible, so as that college students can have basic knowledge and skills for first-aid and expand first-aid skills to the general population.