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2024年苏丹武装冲突期间医疗保健专业人员的灾害防范意识、知识和技能:横断面研究

Perceived disaster preparedness, knowledge, and skills among Sudanese healthcare professionals during the armed conflict: cross-sectional study, 2024.

作者信息

Ayyad Fatima A, Abdalsalam Roaa, Abdalla Eltayeb, Hamza Salih B, Alshareif Baha Aldeen, Ayyad Alaa A, Salih Alaa, Hassan Rana, Mamdouh Noura, Emad Elmustafa, Adil Mihad, Abdelgader Mohamed, Mohammed Hussamaldin, Adam Maha, Salahaldin Almiqdad, Shiekh Faisal, Tageldin Afrah, Mamoun Walaa, Alamir Anfal, Hassan Mohi Eldin

机构信息

National Emergency Care and Ambulance Agency, Federal Ministry of Health, Khartoum, Sudan.

School of Medicine, Ahfad University for Women, Khartoum, Sudan.

出版信息

BMC Emerg Med. 2025 May 15;25(1):79. doi: 10.1186/s12873-025-01238-4.

DOI:10.1186/s12873-025-01238-4
PMID:40375111
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12080131/
Abstract

BACKGROUND

Disaster preparedness is a critical component of healthcare, especially in regions prone to crisis. Sudan has faced significant challenges, including armed conflict, the displacement of millions, and outbreaks of diseases such as COVID-19, acute watery diarrhoea, and dengue fever. This study evaluated the perceived preparedness, knowledge, and skills of Sudanese healthcare professionals (HCPs) in disaster management.

METHODS

A descriptive cross-sectional study was conducted among 1,505 HCPs via an online self-administered questionnaire. The classical Arabic version of the Disaster Preparedness Evaluation Tool (DPET) was utilised. The data were analysed via SPSS v28, with univariate and multivariate analyses performed to identify predictors of disaster preparedness, knowledge, and skills.

RESULTS

Participants perceived themselves as moderately prepared (mean 4.15 ± 1.1), knowledgeable (mean 4.01 ± 1.1), and skilled (mean 3.72 ± 1.3) in disaster management. Nurses reported higher knowledge scores than physicians, whereas male participants and those with prior disaster exposure presented higher levels of perceived preparedness, knowledge, and skills (p < 0.001). Previous experience in disaster management was a significant predictor of disaster management competency (p < 0.001). Despite moderate perceptions overall, gaps were identified in specific areas, such as familiarity with local emergency systems and disaster triage.

CONCLUSION

Sudanese HCPs face notable gaps in disaster preparedness, knowledge, and skills, exacerbated by limited training and practical experience. Addressing these deficiencies through targeted education, disaster drills, and integrating disaster medicine into curricula is imperative to build a resilient healthcare workforce capable of managing crises effectively.

CLINICAL TRIAL REGISTRATION NUMBER

Not applicable.

摘要

背景

备灾是医疗保健的关键组成部分,尤其是在容易发生危机的地区。苏丹面临着重大挑战,包括武装冲突、数百万人流离失所,以及新冠疫情、急性水样腹泻和登革热等疾病的爆发。本研究评估了苏丹医疗保健专业人员(HCPs)在灾害管理方面的感知准备情况、知识和技能。

方法

通过在线自填问卷对1505名HCPs进行了描述性横断面研究。使用了灾害准备评估工具(DPET)的经典阿拉伯语版本。数据通过SPSS v28进行分析,进行单变量和多变量分析以确定灾害准备、知识和技能的预测因素。

结果

参与者认为自己在灾害管理方面准备程度中等(平均4.15±1.1)、知识水平中等(平均4.01±1.1)、技能水平中等(平均3.72±1.3)。护士报告的知识得分高于医生,而男性参与者和有过灾害经历的人在感知准备、知识和技能方面表现出更高水平(p<0.001)。以前的灾害管理经验是灾害管理能力的一个重要预测因素(p<0.001)。尽管总体感知中等,但在特定领域仍存在差距,例如对当地应急系统和灾害分诊的熟悉程度。

结论

苏丹的HCPs在灾害准备、知识和技能方面存在显著差距,培训和实践经验有限使这些差距更加突出。通过有针对性的教育、灾害演练以及将灾害医学纳入课程来解决这些不足,对于建立一支能够有效应对危机的有韧性的医疗保健队伍至关重要。

临床试验注册号

不适用。

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