社区卫生应急人员抗逆力调查

Resilience of community health emergency staff

目的了解新型冠状病毒肺炎疫情下浙江省社区卫生应急人员抗逆力及其影响因素。方法采用分层整群抽样方法,选取浙江省6个县(市、区)所有社区卫生服务中心(乡镇卫生院)卫生应急人员为调查对象。采用自行设计的调查问卷、医务人员突发公共卫生事件核心应急能力量表和简易抗逆力量表进行调查;采用多重线性回归模型分析社区卫生应急人员抗逆力的影响因素。结果发放调查问卷749份,回收有效问卷699份,回收有效率为93.32%。社区卫生应急人员抗逆力得分为(34.97±7.95)分,核心应急能力总分为(118.38±27.60)分。多重线性回归分析结果显示,核心应急能力(β'=0.410)、文化程度(大专:β'=0.158;本科及以上:β'=0.196)、职务(高层:β'=0.083)和身体素质符合应急工作需要(不符合:β'=-0.152;不太符合:β'=-0.235;基本符合:β'=-0.219;比较符合:β'=-0.107)是社区卫生应急人员抗逆力的影响因素。结论浙江省社区卫生应急人员抗逆力处于中等水平。核心应急能力、文化程度、职务和身体素质符合应急工作需要是社区卫生应急人员抗逆力的影响因素。

Objective To learn the level of resilience among community health emergency staff in Zhejiang Province and its influencing factors under the epidemic situation of coronavirus disease 2019.Methods Using stratified cluster sampling method,the community health emergency workers from six counties in Zhejiang Province were recruited in this study.A self-designed questionnaire,a scale for core emergency response capability of medical workers and 10 Items Connor-Davidson Resilience Scale(CD-RISC-10)were employed.The multivariate linear regression model was used to analyze the influencing factors for resilience.Results A total of 749 people were surveyed,with 699 valid questionnaires(effective rate 93.32%).Among the 699 community health emergency staffs,the total scores of resistance and core emergency response capability were 34.97±7.95 and 118.38±27.60.The multivariate linear regression analysis showed that core emergency response capability(β'=0.410),education background(diploma:β'=0.158;bachelor:β'=0.196),position(top:β'=0.083)and self-rated physical fitness(not qualified:β'=-0.152;less qualified:β'=-0.235;generally qualified:β'=-0.219;more qualified:β'=-0.107)were the influencing factors for resilience of community health emergency staff.Conclusion The resilience of community health emergency staff in Zhejiang Province is at a medium level,and is associated with education background,physical fitnes and position.