医院护理人员对灾害护理的认知与态度

Hospital Paramedics' Cognition and Attitude to Disaster Nursing

目的:探讨护理人员对灾害护理的认知水平和对灾害护理的态度,找出欠缺点并提出改进意见,进一步提高护理人员在未来灾害中的应急能力,使医院灾害护理教育科学、规范、快速发展。方法:参考有关文献、书籍自行设计灾害护理救援知识问卷,调查100名护理人员的灾害护理经验、灾害相关知识和对灾害的态度。结果:护理人员在灾害护理知识中现场救援得分最高,而卫生防疫、信息沟通和分享、教育、备灾相对较低;有灾害救援相关经验知识水平得分高,而职称、学历、工作年限与知识水平无关;多数护理人员能够认识到灾害护理知识的重要性,对灾害护理相关知识的继续教育抱有积极向上的态度,并且愿意参加实际灾害护理工作;同时激励护理人员愿意参加救援工作的主要因素是"救死扶伤的使命感"以及"能够体现自我价值",而顾虑的主要因素是"知识水平有限"和"家庭因素"。结论:护理人员对灾害护理的认知有待加强,护理人员有通过相关课程学习灾害护理相关知识的意愿且愿意参加实际的灾害护理救治工作,因此护理管理者应该重视灾害护理学的建设,不仅要对护理人员普及灾害护理基础知识,而且在平时的护理工作中要以理论教学为辅,模拟现场演练为主,加强护理人员对灾害护理的认知,从而促进部队医院灾害护理学的快速发展。

Objective： To improve nursing staffs emergency ability in future disaster further, and promote sci- entific, norm and rapid development of hospital disaster nursing education by exploring the paramedic＇s cognitive level and attitude to disaster nursing in Lanzhou General Hospital of Lanzhou Command, find out the shortcomings and raising the improvements. Methods： Disaster nursing rescue knowledge questionnaire was designed by consulting the related literature and books, which was used to investigate 100 paramedics＇ experience about disaster nursing, disaster-related knowledge and their attitude to disaster. Results： The paramedics from Lanzhou General Hospital of Lanzhou Command obtained the highest scores in field rescue of disaster nursing knowledge, while low scores in hygiene and immunization, information communication and share, education and disaster preparedness; the nurses who had disaster and rescue related experience obtained higher scores in the knowledge levels, while professional ranks and titles, educational background and employment length were irrelevant to the level of knowledge; most of the nurses could realize the importance of disaster nursing knowledge, they were positive in continuing education about disaster nursing-related knowledge and willing to participate actual disaster nursing; meanwhile, main factors of en- couraging the nurses to join the rescue were ＂the sense of mission of healing the wounded and rescuing the dying＂ and ＂realizing self-value＂, while the main factors of apprehension were ＂limited knowledge＂ and ＂family factor＂. Conclusion： The paramedic＇s cognition needs to be enhanced; they show their wishes of learning disaster nursing re- lated knowledge through the related curriculum, and they are willing to join actual disaster nursing rescue work, therefore, nursing manager should pay attention to the construction of disaster nursing, not only spread basic knowledge of disaster nursing among the paramedics, but also strengthen the paramedics＇ cognition to disaster nursing through taking theoretical teaching as auxiliary, and simulating field drill as main measure, consequently, to promote rapid development of disaster nursing in military hospital.