秦巴山区中青年农村居民对空中救援认知和使用意愿现状调查分析

Investigation and Analysis on the Status Quo of Air Rescue Cognition and Willingness to Use of Young and Middle-Aged Rural Residents in Qinba Mountain Area

摘要: 目的：调查秦巴山区中青年农村居民对空中救援的认知和使用意愿，为我国发展空中医学救援事业提供参考依据。方法：采用分层便利抽样的方法，选取秦巴山地区湖北省十堰市、陕西省汉中市、四川省达州市4个农村(十堰市选取2个农村，汉中市、达州市各选1个农村)的626名中青年农村居民，使用一般资料调查表以及自行设计量表进行调查。结果：中青年农村居民对空中救援的了解程度大多只是听说过，占55.1%，完全不了解占26.4%，非常了解仅占1.8%。秦巴山区中青年农村居民对空中救援使用意愿的总得分为(21.90 ± 4.72)分，对“您认同空中救援相较于传统救援方式具有救援范围广、响应速度快、机动能力强、科技含量高、救援效果好等优势”得分最高，为(3.94 ± 0.71)分。根据多元线性回归分析结果显示：民族、职业、医保类型、近一年医院就诊经历次数是影响秦巴山区中青年农村居民对空中救援使用意愿的主要因素。结论：秦巴山区中青年农村居民对空中医学救援的认知水平总体偏低，且使用愿意偏低，需积极科普宣传空中救援急救相关知识，有助于提升秦巴山区农村居民的急救意识，必要情况下积极使用空中救援资源，及时得到高质量救治，降低疾病负担。

Abstract: Objective: To investigate the cognition and willingness to use air rescue of young and middle-aged rural residents in Qinba Mountain area, and then provide a reference for the development of air medical rescue in China. Methods: A stratified convenient sampling method was used to investigate, and 626 young and middle-aged rural residents in four villages in Qinba Mountain area, namely Shiyan City, Hubei Province, Hanzhong City, Shanxi Province and Dazhou City, Sichuan Province (two rural areas were selected from Shiyan City, and one rural area was selected from Hanzhong City and one rural area from Dazhou City), were investigated by using general information questionnaire and self-designed scale. Results: Most of the young and middle-aged rural residents have only heard of air rescue, accounting for 55.1%, 26.4% have no understanding at all and 1.8% have a good understanding. The total score of young and middle-aged rural residents’ willingness to use air rescue in Qinba Mountain area is (21.90 ± 4.72), and the highest score is (3.94 ± 0.71) for “Do you agree that air rescue has the advantages of wider rescue scope, faster response speed, stronger mobility, high technology content and better rescue effect compared with traditional rescue methods”. According to the results of multiple linear regression analysis, nationality, occupation, medical insurance type and the number of hospital visits in the past year are the main factors affecting the willingness of young and middle-aged rural residents in Qinba Mountain area to use air rescue. Conclusion: The cognition level of young and middle-aged rural residents in Qinba mountain area is generally low, and their willingness to use air medical rescue is low. It is necessary to actively publicize the knowledge of air rescue and first aid, which is helpful to enhance the first aid awareness of rural residents in Qinba Mountain area, actively use air medical rescue resources if necessary, get high-quality treatment in time, and reduce the disease burden.