罗奕, 王聪, 童心卢, 汤佳威, 黄仙红. 杭州市基层医务人员卫生应急能力现状及影响因素分析[J]. 职业卫生与应急救援, 2021, 39(3): 251-256, 281. DOI: 10.16369/j.oher.issn.1007-1326.2021.03.002
引用本文: 罗奕, 王聪, 童心卢, 汤佳威, 黄仙红. 杭州市基层医务人员卫生应急能力现状及影响因素分析[J]. 职业卫生与应急救援, 2021, 39(3): 251-256, 281. DOI: 10.16369/j.oher.issn.1007-1326.2021.03.002
LUO Yi, WANG Cong, TONG Xinlu, TANG Jiawei, HUANG Xianhong. State and influencing factors of health emergency response capacity of grass-roots medical staff in Hangzhou[J]. Occupational Health and Emergency Rescue, 2021, 39(3): 251-256, 281. DOI: 10.16369/j.oher.issn.1007-1326.2021.03.002
Citation: LUO Yi, WANG Cong, TONG Xinlu, TANG Jiawei, HUANG Xianhong. State and influencing factors of health emergency response capacity of grass-roots medical staff in Hangzhou[J]. Occupational Health and Emergency Rescue, 2021, 39(3): 251-256, 281. DOI: 10.16369/j.oher.issn.1007-1326.2021.03.002

杭州市基层医务人员卫生应急能力现状及影响因素分析

State and influencing factors of health emergency response capacity of grass-roots medical staff in Hangzhou

  • 摘要:
      目的  调查杭州市基层医务人员卫生应急知识水平及卫生应急能力现状,了解医务人员卫生应急能力的影响因素,为提高医务人员在突发公共卫生事件中的应急救援能力提供具有针对性的建议。
      方法  采用修订后的突发公共卫生事件应急知识和应急能力问卷,对杭州市8家社区卫生服务中心417名医务人员进行调查,并从人口学因素和卫生应急知识维度对基层医务人员卫生应急能力的影响因素进行多重线性回归分析。
      结果  杭州市基层医务人员卫生应急能力各维度评分从高到低排列依次为:急救能力(3.91±0.71)分、综合能力(3.87±0.64)分、应急知识学习能力(3.73±0.70)分。多重线性回归分析显示:和无职称人员相比,高级职称人员应急能力得分提高0.216分;相比未参加过卫生应急培训者,参加过卫生应急培训的基层医务人员的得分提高0.186分;相比未经历过应急救援活动者,经历过应急救援活动者得分增加0.177分;相比单位没有完整应急预案者,单位有完整应急预案的基层医务人员得分提高0.192分(P < 0.01)。应急知识维度中,医务人员“重大传染病的特点和应对措施”维度得分每增加1分,应急能力得分增加0.475分;“法律责任”维度得分每增加1分,应急能力得分增加0.136分(P < 0.001)。
      结论  杭州市基层医务人员卫生应急能力处于中等略偏上水平,应加强针对基层医务人员的卫生应急培训,提高基层医务人员卫生应急知识,完善基层医疗卫生机构应急预案建设,强化应急演练,从而进一步提高基层医务人员卫生应急能力水平。

     

    Abstract:
      Objective  The health emergency knowledge level, current health emergency capacity and related influencing factors of grass-roots medical staff in Hangzhou were investigated in order to provide targeted suggestions for improving their emergency rescue capacity.
      Methods  Totally 417 medical staff in 8 community health care centers in Hangzhou were investigated by using the revised questionnaire on public health emergency response knowledge and response capabilities. Multiple linear regression was used to analyze the impact of demographic factors and dimensions of health emergency knowledge on the health emergency capacity among these medical staff.
      Results  The scores of 3 dimensions of health emergency ability of these medical staff, namely first aid ability, comprehensive ability and emergency knowledge learning ability were(3.91±0.71), (3.87±0.64) and (3.73±0.70) points, respectively. Multiple linear regression analysis showed that compared with the personnel without professional title, the emergency ability score of the personnel with senior professional title was increased by 0.216 points. Compared with those who did not participate in health emergency training, the score of primary medical staff who participated in health emergency training was increased by 0.186 points. Compared with those who had not experienced emergency rescue activities, the score of those who had experienced emergency rescue activities was increased by 0.177 points. Compared with those in health care centers without complete emergency plan, the medical staff in health care centers with complete emergency plan was increased by 0.192 (P < 0.01). When the score of knowing "characteristics of major infectious diseases and response measures" in the dimension of emergency knowledge of medical staff was increased by 1 points, the score of emergency capability would be increased by 0.475 points; and when the score of "legal responsibility" was increased by 1 point, the score of emergency capability would be increased by 0.136 points (P < 0.001).
      Conclusions  At present, the grass-roots medical staff in Hangzhou had middle level of health emergency capacity. Therefore, it is necessary to strengthen the health emergency training and improve their health emergency knowledge. The community health care centers should improve their emergency plans and strengthen emergency drills to further improve the health emergency capacity of their medical personnel.

     

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