成都市某社区医护人员应急核心能力现状调查及干预

The investigation and intervention about the medical staffs′core competencies on public health emergency in a community of Chengdu city

目的调查成都市某社区医护人员应急核心能力现状,并提供干预措施,评价干预效果。方法使用自行设计的调查问卷进行现状调查,通过被调查者能力自评,对培训前后社区医护人员的各项应急核心能力进行评分和统计分析。结果该社区45.45%的被调查医护人员没有参加突发公共卫生事件应急处理的经历;42.86%没有参加过应急演习;50.65%没有接受过专业培训;该社区医护人员在培训前应急核心能力各一级指标评分平均得分由高到低分别是:现场紧急救护能力得分5.91分(培训后7.39分),临时安置点救护能力得分5.52分(培训后7.26分),搬运与疏散能力得分5.45分(培训后7.25分),拣伤分类能力得分5.21分(培训后7.14分),理论知识水平得分为5.18分(培训后7.10分),个人防护能力得分5.14分(培训后7.34分),预防卫生控制的能力得分5.12分(培训后7.04分),心理救援的能力得分5.12分(培训后7.32分),综合平均能力得分为5.33分(培训后7.23分)。培训前后应急核心能力得分比较,差异有统计学意义(P<0.05)。结论目前,成都市某社区大多数医护人员缺乏参与突发公共卫生事件应急处理、演练的经历,缺乏专业培训,且应急核心能力仍处于有待提升。经过有效培训社区医护人员突发公共卫生事件应急核心能力在各一级指标水平都有显著提升。

Objective To assess the medical staffs′core competencies on public health emergency in a community of Chengdu city.To apply a systemic professional training program and to evaluate the effect of that intervention.Methods A self-designed questionnaire was adopted to assess the medical staffs′core competencies on public health emergency in a community of Chengdu city,and to evaluate the change of the core competencies after the professional training.Results According to the result,45.45% of medical staff have no experience of public health emergency,42.86% of respondents have not been participated in any public health emergency drill,50.65% of them had no chance to receive professional training on public health emergency.The scores of the community medical staff emergency core ability level were skewness distributed.Mean score for each dimension ranked in descending order as follows：emergency rescue ability on site 5.91（7.39 after training）,temporary sites rescue ability 5.52（7.26 after training）,evacuation ability 5.45（7.25 after training）,triage ability 5.21（7.14 after training）,the theoretical knowledge 5.18（7.10 after training）,individual protection score 5.14（7.34 after training）,the score of post disaster prevention of infectious disease 5.12（7.04 after training）and the psychological assistance ability 5.12（7.32 after training）,and the comprehensive ability score 5.33（7.23 after training）.The respondents′public health event emergency core ability scores demonstrate significant improvement after training.Conclusion nowadays most of the medical staff in communities of Chengdu lack the experience in public health emergency drill and professional training,their emergency responding core competency remain to be improved;while the training program shows positive effect on enhancing their knowledge and ability.