武汉地区三级医疗机构医护人员突发公共卫生事件应急能力调查

Emergency response ability of medical staff in tertiary medical institutions in Wuhan region for public health emergencies

目的调查武汉地区三级医疗机构医护人员突发公共卫生事件的应急能力现状并分析相关影响因素,为进一步提高相关人员突发公共卫生事件应急能力提供理论依据。方法采用便利抽样法,抽取武汉市3家三级医疗机构的2976名医护人员作为研究对象进行突发公共卫生事件应急能力、应急知识、应急态度的问卷调查,并收集医护人员的人口学特征资料,对应急能力的影响因素进行分析。结果2976名医护人员的突发公共卫生事件应急能力平均得分为(142.74±10.93)分,总条目均分为(3.86±0.53)分。在应急能力各维度评分中,防护能力条目均分最高,准备能力条目均分最低。医护人员的突发公共卫生事件应急能力与应急知识和应急态度呈正相关(r=0.704,0.513,均P<0.05)。多重线性回归分析显示,专业类型(β’=0.821、0.635、0.524)、工作年限(β’=0.779)、参与应急培训/演练(β’=2.278)、应急知识(β’=1.349)和应急态度(β’=1.125)是影响医护人员突发公共卫生事件应急能力的主要影响因素。结论武汉地区三级医疗机构医护人员缺乏突发公共卫生事件应急培训/演练以及实际应急工作经历,需针对性加强应急知识学习和提高认知水平,从而进一步提高医护人员的应急能力。

Objective To investigate the status of emergency response ability of medical staff in tertiary medical institutions in Wuhan region for public health emergencies and analyze relevant influencing factors,to provide theoretical basis for further improving the emergency response ability of relevant personnel for public health emergencies.Methods By convenient sampling method,2976 medical staff from three tertiary medical institutions in Wuhan were selected to conduct a questionnaire survey on emergency response ability,emergency knowledge,and emergency attitude of public health emergencies.The demographic characteristics of medical staff were collected to analyze the influencing factors of emergency response ability.Results The average score of the emergency response ability of 2976 medical staff for public health emergencies was(142.74±10.93)points,and the average score of the total items was(3.86±0.53)points.Among the scores of each dimension of emergency response ability,the item of protection ability had the highest average score,and the item of preparedness ability had the lowest average score.The emergency response ability of medical staff for public health emergencies was positively correlated with emergency knowledge and attitude(r=0.704,0.513,both P<0.05).Multiple linear regression analysis showed that major type(β'=0.821,0.635,0.524),working years(β'=0.779),participation in emergency training/drills(β'=2.278),emergency knowledge(β'=1.349),and emergency attitude(β'=1.125)were the main influencing factors affecting the emergency response ability of medical staff for public health emergencies.Conclusions public health emergencies and actual emergency work experience.It is necessary to strengthen emergency knowledge learning and improve cognitive level,so as to further improve the emergency response ability of medical staff.