山区农村老年人急性心脑血管事件目击情境真实体验的质性研究

BackgroundFirst aid in mountainous areas is the key and difficult point in the construction of the basic emergency rescue network in China. As the main resident population in mountainous areasthe elderly in mountainous rural areas have a high mortality and disability rate of cardiovascular and cerebrovascular emergencies and understanding the real experience of this group when witnessing acute cardiovascular and cerebrovascular diseases is an important supplement to the relevant research on mountain first aid literacy. ObjectiveTo analyze the real experience of elderly people in rural areas under the witness situation of acute cardiovascular and cerebrovascular events to deeply understand the first-aid literacy level of elderly people in rural areas and to provide practical reference for the management of cardiovascular and cerebrovascular diseases in mountainous areas for grass-roots public health service personnel. MethodsFrom January to February 2024, purpose sampling was used to select rural elderly people in Zunyi Mountain area of Guizhou Province as the research objects for face-to-face and semi-structured in-depth interviews. The directed content analysis method was used to analyze the data based on the knowledge-attitude-practice (KAP) theory. ResultsThree themes and eight sub-themes were summarized1Personal first aid knowledge and skillsseriouslack of first aid knowledgeweak ability of information screeninginformation support needs exist.2Beliefs and attitudes towards rescue in emergency situationsnegative response to life first aidlack of confidence in the role of rescuemore rescue concerns.3 Specific behavior in emergent situationspoor response to illnesswrong rescue behavior. ConclusionThe problems of low first aid literacy, poor treatment level, and insufficient rescue initiative among elderly people in mountainous rural areas who witness acute cardiovascular and cerebrovascular events have become prominent. Grassroots health service organizations should focus on improving the relevant work of this group's ability to treat acute cardiovascular and cerebrovascular diseases.