Shakya Y R, Patel J N, Shrestha R, Shakya Shrestha S, Dangal R, Pradhan B, Pandya J, Basnet S
Department of GI and General Surgery, Dhulikhel Hospital, Kathmandu University Hospital, Kathmandu University School of Medical Science, Dhulikhel, Kavre, Nepal.
Priyapratyu Health Concern Plt. Ltd, Imadol, Lalitpur.
Kathmandu Univ Med J (KUMJ). 2024 Jul-Sep;22(87):290-295.
Background Disasters are serious disruptions to a community's functioning that exceed its capacity to cope using its resources. Natural, man-made, technological hazards and other factors may cause disasters and influence a community's exposure and vulnerability. Objective To assess the knowledge, practice, and attitude of healthcare workers in Nepal regarding disaster preparedness and management for emergencies. Method A retrospective study was conducted among healthcare workers in Nepal registered for the 1st World Academic Council of Emergency Medicine- Table-top Exercise and Communication in Disaster Medicine conference as participants or faculty. Information was collected using total enumeration sampling and a questionnaire developed from a literature review and the questionnaire was adapted from the Emergency Preparedness Information Questionnaire (EPIQ). Percentages, means, and medians were calculated for socio-demographic data, knowledge, practices, and attitudes toward emergency preparedness. A chi-square test assessed associations between socio-demographic characteristics, emergency procedures, and familiarity scores on the preparedness questionnaire. Result A total of 118 participants took part in the study, most with over six months of emergency department experience. There was a significant association between work experience and emergency procedure status ((ꭓ2=6.982, p=0.008), and between education level and familiarity with disaster management (ꭓ2=5.507, p=0.019). However, there was a low correlation (r=0.140, p=0.129) between emergency procedure status and disaster management familiarity. Conclusion Emergency preparedness is crucial for life-saving in disasters. The availability of emergency services and skills related to emergency preparedness and disaster management are crucial for saving lives in emergency conditions. The hospital should provide emergency preparedness and disaster management training to all healthcare workers. In addition, the hospital authority should perform disaster exercises/tabletop simulation exercises or drills periodically.
灾害是对社区功能的严重破坏，超出了其利用自身资源应对的能力。自然、人为、技术危害及其他因素可能导致灾害，并影响社区的暴露程度和脆弱性。目的：评估尼泊尔医护人员在应急灾害准备和管理方面的知识、实践和态度。方法：对作为参与者或教员注册参加第一届世界急诊医学学术理事会——灾害医学桌面演练与交流会议的尼泊尔医护人员进行回顾性研究。采用全面枚举抽样法收集信息，并使用从文献综述中开发的问卷，该问卷改编自应急准备信息问卷（EPIQ）。计算社会人口统计学数据、知识、实践以及对应急准备态度的百分比、均值和中位数。采用卡方检验评估社会人口统计学特征、应急程序与准备问卷熟悉度得分之间的关联。结果：共有118名参与者参加了该研究，大多数人有超过六个月的急诊科工作经验。工作经验与应急程序状态之间存在显著关联（（卡方=6.982，p=0.008），教育水平与灾害管理熟悉度之间也存在显著关联（卡方=5.507，p=0.019）。然而，应急程序状态与灾害管理熟悉度之间的相关性较低（r=0.140，p=0.129）。结论：应急准备对于灾害中的救生至关重要。应急服务的可用性以及与应急准备和灾害管理相关的技能对于在紧急情况下挽救生命至关重要。医院应为所有医护人员提供应急准备和灾害管理培训。此外，医院管理部门应定期进行灾害演练/桌面模拟演练或演习。
