Tice Alan Douglas, Kishimoto Mitsumasa, Dinh Chuong Hoang, Lam Geoffrey Tak-Kin, Marineau Michelle
Department of Medicine, University of Hawaii, John A. Burns School of Medicine, Honolulu, Hawaii 96813-2427, USA.
Prehosp Disaster Med. 2006 May-Jun;21(3):183-9. doi: 10.1017/s1049023x00003654.
The preparedness levels of front-line clinicians including physicians, nurses, emergency medical responders (EMRs), and other medical staff working in clinics, offices and ambulatory care centers must be assessed, so these personnel are able to deal with communicable and potentially lethal diseases, such as severe acute respiratory syndrome (SARS). In order to determine the knowledge of these clinicians, a survey of their understanding of SARS and their use of educational resources was administered.
A questionnaire was distributed to physicians, nurses, and EMRs attending conferences on SARS in the summer of 2003. Questions related to information sources, knowledge of SARS, and plans implemented in their workplace to deal with it. Statistical analysis was performed using the Statistical Package for the Social Sciences (10.1 Program, SPSS Inc., Chicago, Illinois).
A total of 201 community healthcare providers (HCPs) participated in the study. A total of 51% of the participants correctly identified the incubation period of SARS; 48% correctly identified the symptoms of SARS; and 60% knew the recommended infection control precautions to take for families. There was little difference in knowledge among the physicians, nurses, and EMRs evaluated. Media outlets such as newspapers, journals, television, and radio were reported as the main sources of information on SARS. However, there appears to be a growing use of the Internet, which correlated best with the correct answers on symptoms of SARS. Fewer than one-third of respondents were aware of a protocol for SARS in their workplace. A total of 60% reported that N-95 masks were available in their workplace.
These findings suggest the need for more effective means of education and training for front-line clinicians, as well as the institution of policies and procedures in medical offices, clinics, and emergency services in the community.
必须评估包括医生、护士、急救医疗人员(EMR)以及在诊所、办公室和门诊护理中心工作的其他医务人员在内的一线临床医生的准备水平,以便这些人员能够应对诸如严重急性呼吸综合征(SARS)等传染病和潜在的致命疾病。为了确定这些临床医生的知识水平,对他们对SARS的了解情况以及他们对教育资源的使用情况进行了一项调查。
2003年夏天,向参加SARS会议的医生、护士和急救医疗人员发放了一份问卷。问题涉及信息来源、对SARS的了解以及他们工作场所为应对SARS而实施的计划。使用社会科学统计软件包(10.1程序,SPSS公司,伊利诺伊州芝加哥)进行统计分析。
共有201名社区医疗服务提供者(HCP)参与了该研究。共有51%的参与者正确识别了SARS的潜伏期;48%正确识别了SARS的症状;60%知道针对家庭应采取的推荐感染控制预防措施。在接受评估的医生、护士和急救医疗人员之间,知识水平几乎没有差异。报纸、期刊、电视和广播等媒体被报告为SARS信息的主要来源。然而,互联网的使用似乎在增加,这与关于SARS症状的正确答案关联度最高。不到三分之一的受访者知道他们工作场所的SARS预案。共有60%的人报告说他们工作场所有N-95口罩。
这些发现表明,需要为一线临床医生提供更有效的教育和培训手段,以及在社区的医疗办公室、诊所和急救服务机构制定政策和程序。