新冠疫情背景下社区医护人员公共卫生应急能力自我认知调查

目的 通过对新冠疫情背景下社区医护人员公共卫生应急能力的调查分析，并分析其主要影响因素，以期为政府卫生决策、医院管理决策等提供参考。方法 对广州市越秀区所有社区卫生服务中心的838名医护人员开展匿名问卷调查，被调查者根据自身实际情况进行公共卫生应急能力自评；对数据采用单因素方差分析和多元线性回归分析识别主要影响因素。结果 问卷有效回收率99.16%；全区医护人员平均得分为193.23±30.56，公共卫生应急能力整体较好，各维度中“预防能力”得分最低；多元回归分析结果显示“是否具有应急救援经历”是其最大影响因素(F=14.617, P＜0.001)，其次是“应急培训经历”和“综合性医院工作经验”(F=14.617, P＜0.001)。结论 后疫情时代应重点提升公共卫生应急预防能力，定期组织医护人员开展应急救援培训演习、经验交流；优化基层社区资源配置，落实医护人员人文关怀；多方配合共建防御壁垒，提高居民应急救援能力与意识。

Survey on self-perception of public health emergency response ability of community medical staff under the background of the COVID-19 epidemic

Objective To investigate and analyze the public health emergency response capability of community medical staff under the background of the coronavirus epidemic, and to analyze its main influencing factors in order to provide reference for government health decision-making and hospital management decision-making. Methods An anonymous questionnaire survey was carried out among 838 medical staff in all community health service centers in Yuexiu District, Guangzhou, and the respondents made a self-assessment of public health emergency response capacity according to their actual situation; one-way analysis of variance and multiple linear regression analysis were used to identify the main influencing factors. Results The effective recovery rate of the questionnaire was 99.16%; the average score of medical staff in the whole district was 193.23 ± 30.56, the public health emergency response capability was generally good, and the score of "prevention capability" in each dimension was the lowest; the results of multiple regression analysis showed that "whether you have emergency rescue experience" is the biggest influencing factor (F=14.617, P<0.001), followed by "emergency training experience" and "general hospital work experience" (F=14.617, P<0.001). Conclusion In the post-epidemic era, we should focus on improving the ability of public health emergency prevention and regularly organize medical staff to carry out emergency rescue training exercises and exchange experience; the allocation of community resources at the grass-roots level should be optimized, and the humanistic care for medical staff should be implemented; We are supposed to cooperate with various parties to build defense barriers and improve residents’ emergency rescue capabilities with awareness.