重庆市乡镇卫生院突发公共卫生事件应急能力现状及影响因素分析  

Status quo of response ability for township hospitals in Chongqing to deal with sudden public health emergency and its influence factors analysis

作　　者：梁潇[1] 黄和玲[2] 杨毅 黄家君[4] 贾运涛[5] 田杰[6] 杨杰[1] 洪咏梅 何琴[1] LIANG Xiao;HUANG Heling;YANG Yi;HUANG Jiajun;JIA Yuntao;TIAN Jie;YANG Jie;HONG Yongmei;HE Qin(Department of Hepatobiliary Surgery,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;Department of Traditional Chinese&Western Medicine,Traditional Chinese Medicine,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;Health Center of Fengjie County Xinglong Town,Chongqing 404604,China;College of Pharmacy,Chongqing Medical University,Chongqing 400016,China;Department of Pharmacy,Children’s Hospital of Chongqing Medical University,Chongqing 400015,China;Library,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院肝胆外科,400016 [2]重庆医科大学附属第一医院中西医结合科,400016 [3]奉节县兴隆镇中心卫生院,404604 [4]重庆医科大学药学院,400016 [5]重庆医科大学附属儿童医院药学部,400015 [6]重庆医科大学附属第一医院图书馆,400016

出　　处：《重庆医学》2023年第2期297-302,共6页Chongqing medicine

基　　金：重医一院2020年度院内护理科研基金项目(HLJJ2020-03)。

摘　　要：目的 分析重庆市乡镇卫生院突发公共卫生事件应急能力现状及影响因素。方法 采用整群抽样法对重庆市10个区县、95个乡镇卫生院1 407名工作人员展开调查。结果 重庆市乡镇卫生院工作人员应急能力得分为(2.08±0.83)分,其中应急知识维度为(2.17±0.86)分,急救能力维度为(2.05±0.85)分,综合能力维度为(2.05±0.81)分。应急知识、急救能力、综合能力、总体能力与知晓本单位在突发公共卫生事件中所能提供的医疗卫生服务、知晓自身在各类突发事件中担任的角色、知晓自身在应急救援中的职责、知晓本单位突发公共卫生事件的相关应急预案呈正相关(P<0.05),与工作年限无关(P>0.05)。多重线性回归分析显示,知晓本单位突发公共卫生事件的相关应急预案、参加过突发公共卫生事件灾害救援活动、单位常规备有专门用于突发公共卫生事件的设备、设施(如隔离病房、高级转运车、防护服等)、参加过突发公共卫生事件应急演练、知晓本单位在突发公共卫生事件中所能提供的医疗卫生服务、知晓自身在应急救援中的职责、所在单位有各类突发公共卫生事件相应的应急预案对总体应急能力有明显影响(P<0.05)。结论 重庆市乡镇卫生院突发公共卫生事件应急能力总体偏低,应采取针对性的措施,全面提升乡镇卫生院突发公共卫生事件应急能力。Objective To analyze the response ability status quo for township hospitals in Chongqing to deal with sudden public health emergency and its influence factors.Methods The cluster sampling method was used to investigate the 1407 staff members in 95 township health centers in 10 districts and counties of Chongqing City.Results The score of the emergency response ability of the staff members in the township health centers of Chongqing City was(2.08±0.83) points.Among them, the score of emergency knowledge dimension was(2.17±0.86) points, the score of first aid ability dimension was(2.05±0.85) points, and the comprehensive ability dimension was(2.05±0.81) points.The emergency knowledge, first-aid ability, comprehensive ability and overall ability were positively correlated with knowing the medical and health services that the unit could provide in public health emergencies, knowing its role in all kinds of emergencies, knowing its responsibilities in emergency rescue, and knowing the relevant emergency plans of the unit in public health emergencies(P<0.05),but were not correlated with the working years(P<0.05).The multiple linear regression analysis showed that knowing well the public health emergencies contingency plans of hospital, participating in a public health emergency disaster relief activities, the unit usually having the equipment and facilities specially used for public health emergencies(such as isolation wards, advanced transport vehicles, protective suits, etc.),participating in the emergency drills for public health emergencies, knowing the medical and health services in public health emergencies provided by the unit, knowing their responsibilities in emergency rescue, and the unit having the corresponding emergency response for all kinds of public health emergencies preplan had significant effects on the overall emergency response ability(P<0.05).Conclusion The emergency response capacity of the township health centers in Chongqing City is generally low, and it is necessary to take the correspondi

关 键 词：乡镇卫生院 突发公共卫生事件 能力现状 影响因素 

分 类 号：R471[医药卫生—护理学]