三级医院医务人员突发公共卫生事件应急能力的调查分析-现代医学

三级医院医务人员突发公共卫生事件应急能力的调查分析

单位：1. 南京大学医学院附属口腔医院, 江苏南京 210008;
2. 安徽医科大学卫生管理学院, 安徽合肥 230032

分类号：R192

出版年·卷·期（页码）：2022·50·第七期（799-805）

摘要：

目的：分析三级医院医务人员突发公共卫生事件应急能力现状及影响因素，为提高医务人员应急能力提供依据。方法：采用便利抽样方法，对安徽省某市4家三级医院的726名在岗一线医务人员进行问卷调查。应用SPSS 19.0软件对调查数据进行统计分析，以了解调查对象应急能力水平，分析其影响因素。结果：医务人员应急知识、态度和技能得分分别为（33.34±7.49）分、（34.11±5.00）分和（45.61±6.68）分，对应得分率（平均得分/总分×100%）为74.09%、85.28%和76.02%；性别、年龄、持有执业证书情况、工作年限、是否参加过相关培训、应急演练和应急救援情况等均是医务人员应急能力的影响因素；参加过相关培训人员的应急技能得分和总得分高于未参加者，参加过应急演练及救援行动人员应急知识、态度、技能得分和总得分均高于未参加者。结论：当前三级医院医务人员已意识到突发公共卫生事件应急能力的重要性，但对突发公共卫生事件存在恐惧心理，应急能力水平还须进一步提升。应加强三级医院医务人员应急培训和演练，注重他们职业心理建设，并要强化医防协同应对机制。

Objective: To analyze the status quo and influencing factors of emergency response competences of public health emergencies of medical staff in tertiary hospitals, and to provide basis for improving medical staff's emergency response competences. Methods: A questionnaire was conducted among 726 on-the-job medical staff from four tertiary hospitals in a city of Anhui province by convenience sampling methods. SPSS 19.0 software was used for statistical analysis to understand the level of emergency response competences of the respondents and analyze its influencing factors. Results: The scores of emergency knowledge, attitude and skills of medical staff were(33.34±7.49), (34.11±5.00) and (45.61±6.68), respectively, and the corresponding score rates(average score/total score×100%) were 74.09%, 85.28% and 76.02%; gender, age, having practicing certificate, working years, relevant training, emergency drill and emergency rescue were the influencing factors of medical staff's emergency response competences; the emergency skills' score and total score of the personnel who have participated in the relevant training, and the emergency knowledge, attitude, skills' scores and total score of the personnel who have participated in the emergency drill and emergency rescue, were higher than those of non-participants. Conclusion: At present, the medical staff in tertiary hospitals have realized the importance of the response to public health emergencies. They have a fear of public health emergencies. The level of emergency response competences needs to be further improved. In the future, we should strengthening emergency training and drills, paying attention to the professional psychological construction of medical staff, and strengthen the cooperative response mechanism of the medical treatment and prevention.

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