天津市医务人员应对化学恐怖袭击事件医学救援能力的研究

Medical rescue capability against chemical terrorism of medical workers in Tianjin

目的调查天津市医务人员应对化学恐怖袭击事件的医学救援能力。方法对来自随机抽取的7所医院的540名天津市医务人员进行有关应对化学恐怖袭击事件医学救援能力的问卷调查,120人(22.22%)来自一级医院随机抽取的,140人(25.93%)来自二级医院,280人(51.85%)来自三级医院;男性290人(53.7%),女性250人(46.3%);20～29岁222人(41.11%),30￣39岁186人(34.44%),40～49岁86人(15.93%),大于50岁46人(8.52%);专科及以下学历132人(24.45%),大学以上学历408人(75.55%);初级职称274人(50.74%),中级职称174人(32.22%),高级职称92人(17.04%);曾接受有关培训76人(69.63%),未接收有关培训164人(30.37%)。结果所有被调查者的综合考核得分普遍偏低,平均为(60.51±16.27)分。化学品中毒防治专科医院平均得分(64.33±18.24)分,显著高于普通医院的医务人员[(56.60±17.90)分,P=0.000]。三级、二级、一级医院医务人员平均得分依次降低,为(62.13±15.57)分、(56.40±17.58)分和(45.93±11.18)分,各组间的差异均有统计学意义(P=0.000)。专科医院内专科以上医务人员平均得分为(64.67±17.10)分,显著高于专科及以下学历者[(50.00±12.11)分,P=0.008];普通医院专科以上医务人员的平均得分为(54.45±18.81)分,显著高于专科及以下人员[(42.55±9.90)分,P=0.008]。专科医院高级、中级、初级职称的医务人员平均得分为(65.86±17.64)分、(58.00±17.19)分和(50.20±15.22)分,各组间差异均有统计学意义(P=0.00);普通医院高级、中级、初级职称的医务人员平均得分依次降低:(57.00±15.95)分、(50.47±18.13)分和(42.82±19.84)分,(均P=0.00)。结论天津市医务人员应对化学恐怖袭击事件的医学救援能力有待提高。

Objective To explore the medical rescue capability against chemical terrorism of the medical doctors in different hospitals in Tianjin. Methods A questionnaire smwey was conducted among 540 medical doctors, 290 males （53.7%）and 250 females（46.3%）, 222 （41.11%） being aged 20-29, 186 （34.44%） aged 30-39, 86 （15.93%） aged 40-49, and 46 （8.52%） aged 〉 50; 132 （24.45%） with the degrees of postsecondar3. specialized college and under, and 408 （75.55%） with the degrees of university and over; 274 （50.74%） being with primary professional title, 174 （32.22%） with middle level professional title, and 92 （17.04%） with senior professional title; and 76 （69.63%） of them being un-trained and 164 （30.37%） having been trained, 120 （22.22%） working in primary hospitals, 140 （25.93%） in secondary hospital, and 280 （51.85%） in tertiary hospitals, from 7 randomly selected hospitals in Tianjin, 2 being primary hospitals, 3 secondary hospital, and 2 tertiary hospitals, so as to assess their knowledge about acute poisoning of chemical agents. Results The average comprehensive score of all the respondents was rather low： 60.51±16.27. The average comprehensive score of the specialized hospitals was 64.33±18.24, significantly higher than that of the general hospitals （56.60±17.90, P=0.000）. The average comprehensive scores of the medical workers of the tertiary, secondary, and primary hospitals were 62.13±15.57, 56.40±17,58, and 45.93±11.18, with significant differences between any 2 kinds of hospital （all P =0.000）. The average comprehensive scores of the doctors with the academic degree of university and over was 64.67＋17.10, significantly higher than that of the medical doctors with the academic degree of specialized professional college and under （50.00±12.11, P =0.000）. The average comprehensive scores of the doctors with senior, middle, and primary professional titles in the specialized hospitals were 65.86±17.64, 58.00± 17.19, and 50.20± 15.22 respectively , with significant differences between any 2 groups （all P= 0.000）. The average comprehensive scores of the doctors with senior, middle, and primary professional titles in the general hospitals were 57.00±15.95. 50.47±18.13,and 42.82±19.84 respectively, with significant differences between any 2 groups （all P =0.000）. Conclusion The medical rescue capability against chemical terrorism among the medical workers in Tianjin is not high and needs to be improved.