泸州市基层公共卫生人员传染病应急处置能力及培训需求调查

Investigation on the Emergency Response Ability and Training Needs of Grassroots Public Health Professionals in Luzhou City

目的:分析泸州市基层公共卫生人员传染病应急能力的现状及培训需求,为基层公共卫生人员的传染病应急防控知识技能培训提供参考。方法:采用分层整群随机抽样的方法,对泸州市各县区的1252名基层公共卫生人员进行问卷调查,对公共卫生人员的基本情况和自评价得分进行描述性分析,并对可能影响自评价得分的因素进行单因素分析和多重线性回归分析。结果:基层公共卫生人员传染病应急能力自评价得分总分为35.40±4.88分,得分率为69.41%。其中医疗卫生机构院感防控知识的得分率最高,为82.33%,疫情报告与处置总结得分率最低,为51.00%。多重线性回归分析显示,公共卫生人员学历、参加传染病应急处置培训、相关法律知晓情况与应急能力自评价得分呈正相关,职称与自评价总分呈负相关,工作单位为村卫生室、县/区CDC的评分较乡镇卫生院更低(P<0.05)。结论:泸州市基层公共卫生人员的传染病应急能力处于中等水平,人员职称、参加传染病应急培训和相关法律知晓情况是主要影响因素,需加强村卫生室与县区CDC的公共卫生人员的应急能力培训。

Objective To analyze the status and training needs of the emergency response capacity of grass-roots public health professionals in Luzhou City,and provide a reference for the training of knowledge and skills on emergency prevention and control of infectious diseases for grass-roots public health professionals.Methods A questionnaire survey was conducted on 1252 grass-roots public health professionals in Luzhou City by stratified cluster random sampling.Data were studied with descriptive a⁃nalysis,single factor analysis and multiple linear regression analysis.Results The total self-evaluated score of the emergency re⁃sponse ability of grass-roots public health professionals for infectious diseases was 35.40±4.88,and the scoring rate was 69.41%.Among which,the scoring rate of hospital infection prevention and control knowledge in medical and health institutions was the highest,and the scoring rate of epidemic reporting and disposal summary was the lowest.Multiple linear regression analysis showed that the academic qualifications of public health professionals,participation in emergency response training for infectious diseases,and the relevant legal knowledge were positively correlated with the self-evaluated scores of emergency response capabil⁃ities,and the professional title was negatively correlated with the total score.And the scores of those working in village clinics and county/district CDC were lower than those in township health centers(P<0.05).Conclusion The emergency response ability to infectious diseases of public health professionals was at a medium level.Professional title,participation in emergency training for in⁃fectious diseases and knowledge of relevant laws are the main influencing factors.It is necessary to strengthen the emergency re⁃sponse ability training of public health personnel in village clinics and county CDCs.