The Positive Effect of First Aid Knowledge Level on Willingness to Render Aid and the Inhibitory Effect on Willingness to Learn—An Empirical Study Based on Two Universities in Huzhou, China

目的：探讨大学生急救知识水平、学习意愿与紧急情境下施救意愿的关联机制及内在作用路径。方法：采用横断面调查设计，通过便利抽样法获取湖州两所高校491名在校生数据，使用自制问卷评估急救知识掌握度与学习意愿，并构建多元线性回归模型控制性别、专业及年级等混杂变量。结果：(1) 大学生急救知识整体薄弱，关键急救知识指标正确率介于34.6%~79.0%，其中胸外按压深度认知正确率最低(34.6%)；(2) 学习意愿呈高水平特征(M = 4.24 ± 1.032)，但与施救意愿呈显著负向关联(β = −0.203, P β = 0.124, P = 0.029)，而人口学变量未达统计显著性。结论：大学生急救知识水平偏低，与施救意愿呈正向关联；而学习意愿水平较高与施救意愿呈负向关联。Aims: This study aims to explore the correlation mechanism and internal action pathways between college students’ levels of first aid knowledge, their learning intentions, and their intentions to provide rescue in emergency situations. Methods: A cross-sectional survey design was utilized, collecting data from 491 students across two universities in Huzhou through convenience sampling. First aid knowledge mastery and learning intentions were assessed using self-developed questionnaires, and a multivariate linear regression model was employed to control for confounding variables such as gender, major, and academic year. Results: (1) Overall, college students exhibit a weak level of first aid knowledge, with the accuracy rates of key indicators ranging from 34.6% to 79.0%. Notably, the cognitive accuracy rate for chest compression is the lowest at 34.6%; (2) Learning intentions are characterized by high-level attributes (M = 4.24 ± 1.032), yet they are significantly negatively correlated with rescue intentions (β = −0.203, P β = 0.124, P = 0.029), while demographic variables did not demonstrate statistical significance. Conclusions: College students possess a low level of first aid knowledge, which is positively associated with their willingness to engage in rescue efforts; conversely, a higher level of learning intention is negatively correlated with their willingness to rescue.