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医务人员在突发公共卫生事件中的应急救援知识、态度、行为及相关需求调查

Investigation of the knowledge, attitude and behavior of medical personnel and related needs for emergency rescue in public health emergencies.

作者信息

Yao Li, Wang Tingrui, Feng Anli, Shen Taotao, Yu Lihong, Li Yaling, Wang Yinhua

机构信息

Department of Respiratory and Critical Care Medicine, The Affiliated Hospital of Guizhou Medical University, Guiyang, PR China.

School of Nursing, Guizhou Medical University, Guiyang, PR China.

出版信息

Int Emerg Nurs. 2024 Dec;77:101531. doi: 10.1016/j.ienj.2024.101531. Epub 2024 Nov 5.

Abstract

BACKGROUND

The frequent occurrence of Public Health Emergencies (PHEs) presents a significant challenge to global health security. As the primary responders in PHE situations, the comprehensive capabilities of medical personnel to address these emergencies are of global concern.

AIM

This study aims to evaluate the knowledge, attitudes, and behaviors of medical personnel regarding emergency rescue in public health emergencies in Guizhou Province, China. Additionally, it seeks to explore their related needs to inform the development of intervention strategies, ultimately enhancing the ability of medical personnel to manage public health emergencies.

METHODS

A descriptive cross-sectional design was employed to assess the knowledge, attitudes, and behaviors of medical personnel concerning emergency rescue and the related needs of PHEs. Data collection involved a questionnaire evaluating the knowledge, attitudes, and behaviors of medical personnel regarding the emergency rescue of PHEs, along with a self-designed questionnaire assessing the needs of medical personnel in responding to PHEs. Univariate analysis and multiple linear regression were utilized to analyze the factors influencing medical personnel's knowledge, attitudes, and behaviors in response to PHEs.

RESULTS

A total of 4,074 medical personnel were surveyed. The results indicated that the knowledge, attitudes, and behaviors of medical personnel regarding PHEs were at a high level. Additionally, the related needs of medical personnel for PHEs included training, psychological support, and behavioral support. Differences were observed in the scores of emergency rescue knowledge among medical personnel based on age, years of experience, educational background, and positions (P < 0.05). Furthermore, variations in scores related to emergency rescue were noted across different age groups, years of experience, educational backgrounds, and professional titles (P < 0.05). Significant differences were also found in the scores of medical staff based on years of experience and hospital grades in their responses to PHEs (P < 0.05). Emergency rescue knowledge was influenced by factors such as anxiety and fear, years of experience, and professional titles when confronted with PHEs. Similarly, anxiety and fear, years of experience, and professional titles were identified as influencing factors for emergency rescue attitudes. Lastly, the grade of the hospital where the medical staff were employed emerged as a significant factor affecting emergency rescue behavior.

CONCLUSION

Medical personnel play a vital role in the emergency rescue of PHEs however, there are notable differences in their knowledge, attitudes, and behaviors. It is recommended that targeted training, psychological support, and behavioral incentives be strengthened to enhance their capacity for effective response.

摘要

背景

突发公共卫生事件(PHEs)的频繁发生对全球卫生安全构成了重大挑战。作为突发公共卫生事件情况下的主要应对者,医务人员应对这些紧急情况的综合能力受到全球关注。

目的

本研究旨在评估中国贵州省医务人员在公共卫生紧急事件中的应急救援知识、态度和行为。此外,它还试图探索他们的相关需求,以为干预策略的制定提供信息,最终提高医务人员应对公共卫生紧急事件的能力。

方法

采用描述性横断面设计来评估医务人员在应急救援方面的知识、态度和行为以及突发公共卫生事件的相关需求。数据收集包括一份评估医务人员在突发公共卫生事件应急救援方面的知识、态度和行为的问卷,以及一份自行设计的评估医务人员应对突发公共卫生事件需求的问卷。单因素分析和多元线性回归用于分析影响医务人员应对突发公共卫生事件的知识、态度和行为的因素。

结果

共对4074名医务人员进行了调查。结果表明,医务人员在突发公共卫生事件方面的知识、态度和行为处于较高水平。此外,医务人员对突发公共卫生事件的相关需求包括培训、心理支持和行为支持。基于年龄、工作年限、教育背景和职位,医务人员在应急救援知识得分上存在差异(P < 0.05)。此外,不同年龄组、工作年限、教育背景和职称在应急救援相关得分上也存在差异(P < 0.05)。基于工作年限和医院等级,医务人员在应对突发公共卫生事件的得分上也存在显著差异(P < 0.05)。面对突发公共卫生事件时,焦虑和恐惧、工作年限和职称等因素会影响应急救援知识。同样,焦虑和恐惧、工作年限和职称被确定为应急救援态度的影响因素。最后,医务人员所在医院的等级成为影响应急救援行为的一个重要因素。

结论

医务人员在突发公共卫生事件的应急救援中发挥着至关重要的作用,然而,他们的知识、态度和行为存在显著差异。建议加强针对性培训、心理支持和行为激励,以提高他们的有效应对能力。

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