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中华临床医师杂志(电子版) ›› 2023, Vol. 17 ›› Issue (04) : 375 -380. doi: 10.3877/cma.j.issn.1674-0785.2023.04.002

临床研究

基层医务人员卫生应急素养现状及培训需求调查
曹群群, 陈卫东(), 杨秀木, 蒋召彬   
  1. 233030 安徽蚌埠,蚌埠医学院;233030 安徽蚌埠,蚌埠医学院第一附属医院
    233030 安徽蚌埠,蚌埠医学院
  • 收稿日期:2022-12-31 出版日期:2023-04-15
  • 通信作者: 陈卫东
  • 基金资助:
    蚌埠医学院人文社科攀登计划(2020bypd206sk); 蚌埠市社科规划项目(BB22W003)

Investigation on current status and training needs of health emergency literacy in primary healthcare workers

Qunqun Cao, Weidong Chen(), Xiumu Yang, Zhaobin Jiang   

  1. Bengbu Medical College, Bengbu 233030, China; The First Affiliated Hospital of Bengbu Medical College, Bengbu 233030, China
    Bengbu Medical College, Bengbu 233030, China
  • Received:2022-12-31 Published:2023-04-15
  • Corresponding author: Weidong Chen
引用本文:

曹群群, 陈卫东, 杨秀木, 蒋召彬. 基层医务人员卫生应急素养现状及培训需求调查[J]. 中华临床医师杂志(电子版), 2023, 17(04): 375-380.

Qunqun Cao, Weidong Chen, Xiumu Yang, Zhaobin Jiang. Investigation on current status and training needs of health emergency literacy in primary healthcare workers[J]. Chinese Journal of Clinicians(Electronic Edition), 2023, 17(04): 375-380.

目的

了解基层医疗机构医务人员卫生应急素养现状、影响因素及培训需求,为提升基层卫生应急服务能力提供科学依据。

方法

利用便利抽样法,选取2020年11月~2021年6月蚌埠市禹会区、淮上区11家社区卫生服务机构/乡镇卫生院的270名基层医疗机构医务人员作为研究对象,采用卫生应急素养问卷进行调查,调查结果进行统计学分析。

结果

基层医疗机构医务人员卫生应急素养处于中等水平,总分均分(53.94±9.46)分,得分率72.89%。既往卫生应急培训情况(β=0.43)是基层医务人员卫生应急素养水平的主要影响因素(P<0.01)。75.2%的基层医务人员认为卫生应急知识来源于单位培训。急救常规、风险管理知识、自我防护知识、突发公共卫生事件流行病学调查的培训需求较高。实战演练、模拟训练是最合适的培训方式。

结论

基层医疗机构医务人员卫生应急素养处于中等水平,有待加强。急救常规、风险管理知识、自我防护知识、突发公共卫生事件流行病学调查应作为重点培训内容。可以通过单位以实战演练、模拟训练形式组织相关培训,满足基层医务人员卫生应急知识的培训需求。

Objective

To investigate the current status, influencing factors, and training needs of health emergency literacy in primary healthcare workers, in order to provide a scientific basis for improving the quality of primary health emergency services.

Methods

Two hundred and seventy primary healthcare workers from 11 community health service institutions/township health centers in Yuhui District and Huaishang District, Bengbu were randomly selected by convenience sampling as study subjects. A health emergency literacy questionnaire was used to conduct the survey, and the results were statistically analyzed.

Results

The health emergency literacy level among primary healthcare workers was medium,with an average score of (53.94±9.46) and a score rate of 72.89%. Previous health emergency training experience (β=0.43) was the major factor affecting health emergency literacy of primary healthcare workers (P<0.01). Approximately 75.2% of primary healthcare workers believed that their health emergency knowledge came from institution training. There was a high demand for training in first aid routine, risk management, self-protection, and epidemiological investigation of public health emergencies. Actual combat drills and simulation training were the most appropriate training forms.

Conclusion

The health emergency literacy level among primary healthcare workers is medium and needs to be strengthened. The knowledge of first aid routine, risk management, self-protection, and epidemiological investigation of public health emergencies should be taken as key training contents. Relevant training can be organized by healthcare institutions in the form of actual combat drills and simulation training to meet the training needs for health emergency knowledge of primary healthcare workers.

表1 基层医务人员卫生应急素养各维度得分(n=270)
表2 不同特征基层医务人员卫生应急素养总分比较(n=270)
表3 基层医务人员卫生应急素养影响因素的多元线性回归分析(n=270)
表4 基层医务人员卫生应急培训需求(n=270)
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