| Objective To investigate the status quo of KAP about CPR in urban and rural residents of Changsha city; To explore the influence of interactive teaching training and traditional teaching training for improving residents’KAP about CPR, evaluate the immediate and long-term effects of the interventions, so as to improve the success rates of pre-hospital CPR, reduce mortality and provide universal theoretical basis and practical guidance for residents of CPR training management model.Methods The project consists of two parts.The first part is a sample survey of the status of KAP about CPR; the second part is a community experimental research.1855urban and rural residents of Changsha city have been selected with stratified random sampling method at three-stage, and were measured by the self-designed CPR questionnaire of residents and single unarmed CPR practice assessment scale.100people were screened randomly by using a random number table from968urban residents and cluster-randomly assigned to the control group and interactive teaching training group.The control group only received traditional health education on CPR, based on the control group, the interactive teaching training group received interactive teaching training including Class discussions, Human body model demonstration and practice operation. Instantly, one month and four month follow-up, all the participants’ data were measured by above questionnaires and scales.SPSS13.0statistical package was used in the analysis of KAP about CPR of urban and rural residents, including statistical description, t-test, Chi-square test, ANOVA, Nonparametric test, Spearman correlation analysis, Multiple linear regression analysis, and repeated measures ANOVA.Results (1) The survey totally distributed1930questionnaires, among which1855were valid (urban968, rural887), the recovery rate was96.11percent.(2) The sampling survey result revealed that the awareness rate of CPR was58.8percent. There were differences between urban and rural residents in Changsha, the farmers had the lowest awareness rate (37.8percent).(3) The mean knowledge score of urban and rural residents was (28.62±16.35), accounting for44.72percent of the full score; The mean attitude score was (24.10±7.60), accounting for66.94percent of the full score; The mean practice score was (11.87±21.87), accounting for11.87percent of the full score.(4) Spearman correlation analysis indicated that there were positive correlation between knowledge and attitude (r=0.469, P<0.01), knowledge and practice (r=0.388, P<0.01), attitude and practice (r=0.340, P<0.01).(5) One-way ANOVA and Stepwise regression analysis indicated: main factors impacting on CPR knowledge score were received training, educational level, awareness of CPR, age, monthly income, self-felt health condition, religious belief, national, and family’s health status; main factors impacting on CPR attitude score were received training, self-felt health condition, awareness of CPR, age, religious belief, educational level, area, marital status; main factors impacting on CPR practice score were received training and occupation.(6) Before training, the difference of CPR knowledge, attitude, practice and KAP score between two groups were not statistically significant (P>0.05). After training, Repeated measures analysis of variance showed that the time main effects of CPR knowledge, attitude, practice and KAP score were statistically siginificant(P<0.01), instantly after training in the two groups, all scores are the highest; the intervention main effects of CPR knowledge, practice and KAP score were siginificant(P<0.01) except in attitude (P>0.05); there were significant interactions between time and intervention factors on CPR knowledge, practice and KAP score (P<0.05) except in attitude (P>0.05). Interactive plot indicated:after training, the scores of KAP of CPR increased of the two groups, and the interactive teaching training group had higher scores than the control group both instantly, one month and four month later except in attitude.Conclusion (1) The awareness rate of CPR was low in urban and rural residents in Changsha (58.8percent), and the urban residents’ awareness rate was higher than the rural residents. There were high demands on CPR knowledge and skills among urban and rural residents。(2) Of all the scores of CPR knowledge, attitude and practice among urban and rural residents in Changsha, the score of attitude was highest, while the score of knowledge was lower, and the score of practice was lowest.It is necessary to comprehensive knowledge, attitude and behavior intervention, in order to improve the overall level of CPR.(3) Urban and rural residents’ CPR knowledge, attitude and practice were positive correlated.(4) The factors impacting on CPR knowledge were related to received training, educational level, awareness of CPR, age, monthly income, self-felt health condition, religious belief, national, and family’s health status; the factors impacting on CPR attitude were related to received training, self-felt health condition, awareness of CPR, age, religious belief, educational level, area, marital status; main factors impacting on CPR practice score were related to received training and occupation.(5) The scores of CPR knowledge and practice increased greatly after training, their CPR attitude were better.(6) The interactive teaching method is much better than traditional teaching method for improving CPR knowledge and practice of residents, is worthy be widely application. The deterioration of the KAP of CPR in participants over time, which indicates that it is necessary to refresh training. |
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