新疆公共卫生应急联盟护理人员灾害护理应急能力现状与影响因素调查  

Investigation on current status and influencing factors of disaster nursing emergency ability of nursing personnel in Xinjiang Public Health Emergency Alliance

作　　者：马萍[1] 韦娟[1] 高翠蓉 陈霞[3] 唐娟 盛建荣 MA Ping;WEI Juan;GAO Cuirong;CHEN Xia;TANG Juan;SHENG Jianrong(Department of Dermatology,The First Afiliated Hospital of Xinjiang Medical University,Urumqi,Xinjiang 830054,China;Department of Rheumatology and Immunology,The First Afiliated Hospital of Xinjiang Medical University,Urumqi,Xinjiang 830054,China;Department of Psychiatry,The First Afiliated Hospital of Xinjiang Medical University,Urumqi,Xinjiang 830054,China;Emergency Department,The First People's Hospital of Kashgar,Kashgar,Xinjiang 844000,China;Intensive Care Unit,Qitai Hospital of the Sixth Division of Xinjiang Production and Construction Corps,Qitai,Xinjiang 831800,China)

机构地区：[1]新疆医科大学第一附属医院皮肤科,新疆乌鲁木齐830054 [2]新疆医科大学第一附属医院风湿免疫科,新疆乌鲁木齐830054 [3]新疆医科大学第一附属医院精神科,新疆乌鲁木齐830054 [4]喀什地区第一人民医院急诊科,新疆喀什844000 [5]新疆生产建设兵团第六师奇台医院重症医学科,新疆奇台831800

出　　处：《职业与健康》2024年第20期2790-2794,共5页Occupation and Health

基　　金：新疆维吾尔自治区自然科学基金项目(2020D01C241)。

摘　　要：目的 通过对新疆公共卫生应急联盟护理人员灾害护理应急能力现状展开调查,分析影响因素,为提升护理人员灾害护理应急能力提供决策参考。方法 以2022年新疆公共卫生应急协同救治体系中7所三级医院、3所二级医院的496名护理人员为调查对象,采用在线匿名自评的形式填写一般资料调查表、灾害护理应急能力评价量表、心理弹性量表,分析灾害应急能力影响因素。结果 灾害护理应急能力总得分为(173.15±22.31)分,均分(3.13±0.52)分,得分处于中等水平。3个维度中,事前备灾防灾维度均分最高,为(3.33±0.27)分,事后恢复维度均分最低,为(2.75±0.13)分。心理弹性与灾害护理应急能力呈正相关(r=0.599~0.714,均P<0.01);医院级别、灾害演练经历、灾害救援经历、救援灾区性质均是新疆公共卫生应急联盟护理人员灾害护理应急能力的主要影响因素(均P<0.01)。结论 新疆公共卫生应急联盟护理人员核辐射、传染病防备能力较强,救援过程可能存在互通机制不健全和伦理冲突等问题。Objective To investigate the current status of disaster nursing emergency response ability of nursing staff in Xinjiang Public Health Emergency Alliance,analyze the influencing factors,and provide decision-making reference for improving the disaster nursing emergency response ability of nursing staff.Methods A total of 496 nurses from 7 tertiary hospitals and 3 secondary hospitals in Xinjiang public health emergency collaborative treatment system in 2022 were selected as the research objects.The general information questionnaire,disaster nursing emergency ability evaluation scale and psychological resilience scale were completed in the form of online anonymous self-evaluation,and the influencing factors of disaster emergency ability were analyzed.Result The total score of disaster nursing emergency response ability of nursing staff was(173.15±22.31)points,with an average of(3.13±0.52)points,which was at the medium level.Among the three dimensions,the average score of disaster preparedness and prevention dimension was the highest[(3.33±0.27)points],and the average score of post disaster recovery dimension was the lowest[(2.75±0.13)points].There was a positive correlation between psychological resilience and disaster nursing emergency response ability(r=0.599-0.714,all P<0.01).Hospital level,disaster drilling experience,disaster rescue experience,and the nature of the disaster area were the main influencing factors of disaster nursing emergency response ability of nurses in Xinjiang Public Health Emergency Alliance.Conclusion The nursing staff of the Xinjiang Public Health Emergency Alliance have strong capabilities in preventing nuclear radiation and infectious disease.However,there may be issues such as inadequate communication mechanisms and ethical conflicts during the rescue process.

关 键 词：公共卫生应急联盟 灾害护理应急能力 现状调查 因素分析 

分 类 号：R192.6[医药卫生—卫生事业管理]