摘要
目的分析整建制接管新型冠状病毒肺炎(以下简称"新冠肺炎")重症病区的护士核心应急能力现状及其影响因素。方法采取方便抽样方法,选择某三级甲等医院整建制接管武汉市某新冠肺炎重症病区的100名护士为研究对象,采用自行设计的《护士新冠肺炎核心应急能力调查问卷》对其新冠肺炎核心应急能力现状进行调查。结果研究对象核心应急能力总分平均为(133.1±18.1)分,得分率为80.7%,处于高等水平;各维度得分率从高到低依次为预防能力、救援能力和准备能力,得分率依次为85.2%、81.7%、71.0%。广义线性回归分析结果显示,工作科室为呼吸科、感染科、重症医学科、门诊和急诊科等高危科室的护士核心应急能力水平高于非高危科室者[偏回归系数(β)=11.18,P<0.01];已婚、在发热门诊上过班、是国家卫生应急救援队队员者核心应急能力水平均相对较高(β分别为8.28、24.34、10.89,P<0.05)。结论整建制接管武汉新冠肺炎重症病区护士核心应急能力整体处于较高水平;其核心应急能力受到个人工作经历、婚姻状况、应急工作经历与演练等因素的影响。
Objective To analyze the current status of core emergency response capability of nurses for systematically managing coronavirus disease(COVID-19) in intensive care units and to explore the related influencing factors. Methods A total of 100 nurses who systematically manage COVID-19 in the intensive care units from a class 3 grade A hospital in Wuhan City were selected as study subjects by convenience sampling method. The self-designed COVID-19 Core Emergency Response Capability Questionnaire for Nurses was used to investigate the status of COVID-19 core emergency response capability. Results The total score of the core emergency capability of the nurses averaged 133.1±18.1, and the scoring rate was 80.7%, which was at a high level. The scoring rates of each dimension from high to low were prevention ability, rescue ability and preparation ability, with the score rate of 85.2%, 81.7% and 71.0% respectively. The results of generalized linear regression analysis showed that the level of core emergency response capability of nurses was higher in high-risk departments such as respiratory department, infectious department, intensive care unit, outpatient department and emergency department than that of low-risk departments [partial regression coefficient(β) =11.18, P<0.01]. The levels of core emergency response capability of nurses who were married, once worked in the fever clinic, and were members of the National Health Emergency Rescue Team was higher(β were 8.28, 24.34 and 10.89, respectively, P<0.05). Conclusion The core emergency response capability of nurses who systematically manage COVID-19 in the critical care units in Wuhan City is at a high level. Their core emergency response capability is affected by factors such as personal work experience, marital status, emergency work experience and trainings.
作者
申小侠
张艳
张秀梅
张泓
李成聪
李婧
韩江英
SHEN Xiaoxia;ZHANG Yan;ZHANG Xiumei;ZHANG Hong;LI Chengcong;LI Jing;HAN Jiangying(Department of nursing,High tech branch of the First Affiliated Hospital of Anhui Medical University,Anhui,Hefei 230088,China)
出处
《中国职业医学》
CAS
北大核心
2020年第5期543-547,共5页
China Occupational Medicine
基金
安徽医科大学医学人文研究中心新冠肺炎疫情防控研究应急项目(YJSK202012)
安徽省高等学校省级教学研究项目(2018jyxm1294)。
关键词
新型冠状病毒肺炎
重症病区
护士
应急能力
影响因素
COVID-19
Critical care units
Nursing
Emergency response capability
Influencing factor
