某省基层部队医务人员突发公共卫生事件应对能力及其影响因素

目的]了解某省基层部队医务人员突发公共卫生事件应对能力,并探讨其影响因素,为提高基层部队卫勤机构突发公共卫生事件应对能力提供科学依据。方法]按该省基层部队等级不同采用多阶段分层整群抽样方法,抽取卫勤机构医务人员作为研究对象,进行突发公共卫生事件应对能力问卷调查,并对影响应对能力的相关因素进行logistic回归分析。结果]共发放636份问卷,收回有效问卷606份,有效回收率95.3%。基层部队医务人员对突发公共卫生事件相关问题知晓率为98.3%,仅74.9%能够准确判断突发公共卫生事件,应对能力合格率为38.4%。应对能力的可能影响因素主要为：突发公共卫生事件危机意识（OR=3.741,95%CI：2.844~4.921）;参加救助培训（OR=2.427,95%CI：1.597~3.690）;参加应急演练（OR=1.822,95%CI：1.207~2.751）;年龄（OR=1.465,95%CI：1.165~1.843）;学历（OR=1.423,95%CI：1.085~1.867）。结论]该省基层部队医务人员突发公共卫生事件整体应对能力不能满足实际需要;须加强人才培养,开展应急演练和专业技术培训,提高危机风险意识,提升应对突发事件整体实力。

Response Ability to Cope with Public Health Emergencies and Infl uencing Factors among Medics from Grassroots Troops Stationed in a Province

Objective] To investigate the capacity of public health emergency response among the medics from grassroots troops stationed in a province and explore related influencing factors, so as to provide scientific evidence for improving the ability to deal with public health emergencies in healthcare departments in grassroots troops. Methods] Medics were selected by multistage stratified cluster sampling method stratified by troop levels and surveyed with questionnaires on abilities to cope with public health emergencies. Logistic regression analysis was employed to examine potential influencing factors. Results] A total of 636 questionnaires were distributed, and 606 questionnaires were valid（95.3%）. Though 98.3% of the respondents knew public health emergencies, only 74.9% of them could tell emergent events accurately. The qualified rate of emergency response capacity was 38.4%. Main influencing factors included sense of crisis（OR=3.741, 95%CI： 2.844-4.921）, participation in emergency rescue training（OR=2.427, 95%CI： 1.597-3.690）, participation in emergency drills（OR=1.822, 95%CI： 1.207-2.751）, age（OR=1.465, 95%CI： 1.165-1.843）, and education（OR=1.423, 95%CI： 1.085-1.867）. Conclusion] The current capacity of public health emergency response among the medics from grassroots troops stationed in the province could not meet actual needs on public health emergencies, and it can be promoted by strengthening talents cultivation, conducting emergency drills and training, and raising sense of crisis.