重大突发公共卫生事件下综合医院护理人员应急心理服务体系的构建

Construction of emergency psychological service system for nurses in general hospitals under major public health emergencies

目的 构建综合医院重大突发公共卫生事件护理人员应急心理服务体系,为在突发公共卫生事件应急状态下护士的心理服务提供依据。方法 基于文献分析及现象学研究,初步拟定专家咨询问卷。运用德尔菲法对35名从事心理卫生服务、医院管理、护理管理以及应急管理等领域的专家进行2轮专家咨询。结果 第1、2轮专家咨询问卷的有效回收率分别为94.29%、90.91%;专家权威系数分别为0.83、0.84;肯德尔和谐系数分别为0.16、0.20(均P<0.01)。最终形成的体系包括4个一级指标,19个二级指标,36个三级指标。结论 综合医院重大突发公共卫生事件护理人员应急心理服务体系的可靠性及实用性较高,可在突发公共卫生事件发生时为护理人员提供系统完善的心理服务提供借鉴和参考。

Objective To construct an emergency psychological service system for nurses in general hospital under major public health emergencies,and to provide reference for nurses′ mental health service in this situation.Methods Based on literature analysis and phenomenological research,an expert consultation questionnaire was initially developed.Then a 2-round Delphi study was conducted among 35 experts in the field of mental health service,hospital management,nursing management and emergency management,etc.Results Experts′ response rate was 94.29% and 90.91% in the first and second round,experts′ authority coefficient was 0.83 and 0.84,and the Kendall coefficient of concordance was 0.16 and 0.20 respectively(P<0.01 for both).The final system was consisted of 4 first-level indicators,19 second-level indicators,and 36 third-level indicators.Conclusion The reliability and practicability of the emergency psychological service system for nurses in general hospital under major public health emergencies are high,which can provide reference to offer systematic and complete psychological services for nurses when public health emergencies occur.