重大公共卫生事件期间医护人员求助效能感与社会救助意愿

Help-seeking efficacy and the intention of social assistance among medical care personnel during the major public health events

目的探讨重大公共卫生事件期间医护人员的求助效能感与社会救助意愿,为提升医护人员心理资源和服务质量,进一步优化防治方针提供依据。方法于2020年2月,采用方便抽样方法,对河南省医护人员进行网络在线问卷调查,共回收问卷2136份。其中,有效问卷1940份,问卷有效回收率90.82%。采用《疫情下的求助效能感与社会救助意愿问卷》调查医护人员求助效能感和助人意愿。用频数和率(%)分析医护人员求助效能感和社会救助意愿总体情况,不同人口学变量间差异用χ^(2)检验。结果1940名医护人员中,有18.81%(365/1940)医护人员不知晓该如何获得合适的心理援助。与低年龄组比较,高年龄组医护人员具备网络信息查询能力、知识资源的占有能力、谣言和实情的辨别力和获取合适的医学帮助交通感的得分较高,差异有统计学意义(P<0.05);医护人员具备积极配合政府行动的意愿、维持社会稳定的意愿、义务工作从事意愿的比例分别为99.43%(1929/1940)、98.81%(1917/1940)、97.11%(1884/1940)。结论医护人员求助效能感和社会救助意愿较高。需进一步加强对医护人员心理、社会和人文关怀等资源的支持。

Objective To explore the help seeking efficacy and social assistance willingness of medical staff during major public health events,so as to provide basis for improving the psychological resources and service quality of medical staff and further optimizing the prevention and treatment policies.Methods In February 2020,a convenient sampling method was used to conduct an online questionnaire survey on medical staff in Henan Province,and a total of 2136 questionnaires were collected.Among them,there were 1940 valid questionnaires,and the effective recovery rate was 90.82%.The questionnaire of help seeking efficacy and willingness to social assistance under epidemic situation was used to investigate the help seeking efficacy and willingness of medical staff.The frequency and rate(%)were used to analyze the overall situation of medical staff's help seeking efficacy and social assistance willingness.The differences among different demographic variables were tested byχ^(2) test.Results Among the 1940 medical and nursing staff,18.81%(365/1940)did not know how to obtain appropriate psychological assistance.Compared with the low age group,the medical staff in the high age group had the ability of information query,the ability to occupy knowledge resources,the ability to distinguish rumors and facts and the sense of efficacy of obtaining appropriate medical help,and the difference was statistically significant(P<0.05).The willingness of medical and nursing staff to actively cooperate with the government,maintain social stability and volunteer work were 99.43%(1929/1940),98.81%(1917/1940)and 97.11%(1884/1940).Conclusion The medical staff had a higher sense of help seeking efficacy and willingness to social assistance.It is necessary to further strengthen the resource support of psychological,social and humanistic care for medical staff.