上海市感控人员流行病学调查和风险评估能力现状及培训需求分析

Status and training needs of epidemiological investigation and risk assessment capacities of infection prevention and control practitioners in Shanghai

目的了解上海市医院感控人员流行病学调查和风险评估能力现状、经历经验和培训需求,为后续提高感控人员流行病学调查处置与风险评估能力、探索医疗机构感控人才队伍体系建设、提升医疗机构传染病突发事件应对能力储备提供依据。方法2023年9—11月,采用方便抽样的方式对上海市354名感控人员进行横断面问卷调查。结果上海市感控人员流行病学调查与风险评估能力得分为(187.82±27.35)分,处于中等偏上水平。三级医院感控人员能力得分高于非三级医院,有传染病应急处置经验、应急救援经历、参加过应急演练、风险评估培训的感控人员能力得分高于无相关经历者(P<0.05或P<0.01)。79.94%调查对象表示愿意或非常愿意参加流行病学调查和风险评估培训,培训需求中居前3位的内容分别为应急预案及演练(93.22%)、传染病基础知识(83.33%)和公共卫生应对(81.36%)。结论上海市感控人员流行病学调查和风险评估能力整体较强,但个体能力水平差异较大,可以针对薄弱环节加强培训,全面提升感控人才队伍的流行病学调查与风险评估能力水平,做好突发事件应对能力储备。

Objective To investigate the status,experience,and training needs of epidemiological investigation and risk assessment capacities of infection prevention and control practitioners(IPCP)in Shanghai hospitals,in order to provide a basis for improving the epidemiological investigation,handling,and risk assessment capacities of IPCP in the future,exploring the construction of infection control talent team in medical institutions,and improving the reserve of infectious disease emergency response capacity of medical institutions.Method From September to November 2023,a crosssectional questionnaire survey was conducted on a total of 354 IPCP in Shanghai,using convenient sampling.Results The score of epidemiological investigation and risk assessment capacities of IPCP in Shanghai was(187.82±27.35),which was at the upper middle level.The capacity score of IPCP in tertiary hospitals was higher than that of non-tertiary hospitals,and the capacity scores of IPCP with experience in emergency response to infectious diseases,emergency rescue,emergency drills,and risk assessment training were higher than those without relevant experience(P<0.05 or P<0.01).Among the survey subjects,79.94%expressed their willingness or very willingness to participate in epidemiological investigation and risk assessment training,and the top three training needs were emergency response plan and drill(93.22%),basic knowledge of infectious diseases(83.33%),and public health response(81.36%).Conclusions The epidemiological investigation and risk assessment capacities of IPCP in Shanghai are generally robust,but the individual capacity levels vary greatly.So it is possible to strengthen training for weak links,comprehensively improve the epidemiological investigation and risk assessment capacities of the infection control talent team,and effectively build emergency response capacity reserves.