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构建与应用基层医务人员应急韧性能力评估量表及模型:来自中国广州的一项横断面研究。

Construction and application of the emergency resilience capability evaluation scale and model for grassroots medical workers: a cross-sectional study in Guangzhou, China.

机构信息

Longgang District Central Hospital of Shenzhen, Shenzhen, China.

Guangdong University of Petrochemical Technology, Maoming, China.

出版信息

Front Public Health. 2024 Nov 4;12:1431237. doi: 10.3389/fpubh.2024.1431237. eCollection 2024.

Abstract

OBJECTIVE

Public health emergencies pose a serious challenge to the ability of medical personnel to respond. We aimed to establish a scientific and effective resilience capability assessment scale for grassroots medical workers and explore the way to improve resilience.

RESEARCH DESIGN

Developed a resilience ability assessment scale and applied it on the medical personnel who worked in community health service centers for more than 1 year. Related indicators were identified through literature review and the Delphi method. The established scale was given weight using the attribute analytic hierarchy process, and the evaluation model was built through the grey correlation analysis.

PRINCIPAL FINDINGS

A three-level indicator scale was established, which included three first-level indicators [professional quality (weight 0.346), psychological capital (weight 0.614), and emergency attitude (weight 0.040)]. The second-level indicators had 13 contents and were further subdivided into 46 three-level indicators. The overall resilience ability assessment score of 347 medical workers in Guangzhou was only 0.787. However, steady scientific-exercise habits and relative training can help improve their public health emergency resilience ability ( < 0.05).

CONCLUSION

The establishment of the scale can provide a strategic basis for improving the resilience strength of grass-roots medical personnel. We should encourage this group to form a good habit of exercise, strengthen their crisis awareness by actively organizing theoretical training and practical exercises on public health emergencies, and improve their psychological capital level.

PATIENT OR PUBLIC CONTRIBUTION

In this study, 347 medical workers from 6 basic medical institutions in Guangzhou participated in the questionnaire.

摘要

目的

公共卫生突发事件对医务人员的应对能力构成严重挑战。本研究旨在建立基层医务人员科学有效的韧性能力评估量表,并探索提高韧性的方法。

研究设计

开发了一种韧性能力评估量表,并对在社区卫生服务中心工作 1 年以上的医务人员进行了应用。通过文献回顾和德尔菲法确定了相关指标。采用属性层次分析法对建立的量表进行赋权,通过灰色关联分析构建评价模型。

主要发现

建立了一个三级指标量表,包括三个一级指标[专业素质(权重 0.346)、心理资本(权重 0.614)和应急态度(权重 0.040)]。二级指标有 13 项内容,进一步细分为 46 项三级指标。广州 347 名医务人员的整体韧性能力评估得分为 0.787。然而,稳定的科学锻炼习惯和相对训练可以帮助提高他们应对公共卫生突发事件的韧性能力(<0.05)。

结论

该量表的建立为提高基层医务人员的韧性实力提供了战略基础。我们应该鼓励这一群体形成良好的锻炼习惯,通过积极组织公共卫生突发事件的理论培训和实践演练,增强他们的危机意识,并提高他们的心理资本水平。

患者或公众贡献

在这项研究中,来自广州 6 家基层医疗机构的 347 名医务人员参与了问卷调查。

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本文引用的文献

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Musculoskeletal exercise: Its role in promoting health and longevity.肌肉骨骼运动:促进健康和长寿的作用。
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Exercise sustains the hallmarks of health.运动维持健康的特征。
J Sport Health Sci. 2023 Jan;12(1):8-35. doi: 10.1016/j.jshs.2022.10.003. Epub 2022 Oct 29.
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Are emergency care staff prepared for disaster?
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Public health nursing competencies for public health surge events.突发公共卫生事件中的公共卫生护理能力
Public Health Nurs. 2008 Mar-Apr;25(2):159-65. doi: 10.1111/j.1525-1446.2008.00692.x.

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