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中国方舱医院医护人员对工作需求认知的潜在类别分析

Latent class analysis of healthcare workers' perceptions of workers' job demands in mobile cabin hospitals in China.

作者信息

Yi Hongmei, Wei Sha, Song Jingyan, Xiao Mingzhao, Wang Li, Zhao Qinghua

机构信息

Department of Urology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

出版信息

Prev Med. 2023 Oct;175:107678. doi: 10.1016/j.ypmed.2023.107678. Epub 2023 Aug 22.

Abstract

BACKGROUND

Owing to the outbreak of the Omicron variant of SARS-CoV-2 in Shanghai, China, partitioned dynamic closure and control management plans were implemented on March 28, 2022. This created huge emergency pressure on Shanghai's medical and healthcare systems. However, the perceptions of job demands of healthcare workers (HCWs) and classification of frontline HCWs in mobile cabin hospitals are unknown.

METHODS

In this study, we investigated the job demands of 1223 frontline HCWs working in mobile cabin hospitals during the COVID-19 pandemic April 2022 to May 2022. We performed latent class analysis to identify classification features of job demands. A binary multivariate logistic regression model was used to explore the influencing factors of latent class.

RESULTS

The total mean job demand score was 132.26 (SD = 9.53), indicating a high level of job demand. A two-class model provided the best fit. The two classes were titled "middle-demand group" (17.66%) and "high-demand group" (82.34%). A regression analysis suggested that female HCWs, HCWs satisfied with the doctor/nurse-patient relationship, HCWs who believed that the risk of working in mobile cabin hospitals was high, and HCWs without physical discomfort during the pandemic were more likely to be in the "high-demand group".

CONCLUSION

Characteristics of the "high-demand group" subtype suggest that attention should be paid to the physical condition of frontline HCWs and the job demands of female HCWs. Managers should strengthen the training of HCWs in terms of their communication skills as well as their knowledge and technical skills to aid epidemic prevention and control.

摘要

背景

由于中国上海出现新冠病毒奥密克戎变异株疫情,2022年3月28日实施了分区动态封控管理方案。这给上海的医疗和卫生保健系统带来了巨大的应急压力。然而,医护人员对工作需求的认知以及方舱医院一线医护人员的分类情况尚不清楚。

方法

在本研究中,我们调查了2022年4月至2022年5月新冠疫情期间在方舱医院工作的1223名一线医护人员的工作需求。我们进行了潜在类别分析以确定工作需求的分类特征。采用二元多变量逻辑回归模型探讨潜在类别的影响因素。

结果

工作需求总平均分是132.26(标准差=9.53),表明工作需求水平较高。两类模型拟合效果最佳。这两类分别为“中等需求组”(17.66%)和“高需求组”(82.34%)。回归分析表明,女性医护人员、对医患关系满意的医护人员、认为在方舱医院工作风险高的医护人员以及在疫情期间无身体不适的医护人员更有可能属于“高需求组”。

结论

“高需求组”亚型的特征表明,应关注一线医护人员的身体状况以及女性医护人员的工作需求。管理者应加强医护人员沟通技巧以及知识和技术技能方面的培训,以助力疫情防控。

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