中国全科医学 ›› 2026, Vol. 29 ›› Issue (05): 559-567.DOI: 10.12114/j.issn.1007-9572.2024.0135

所属专题: 社区卫生服务最新研究合辑

• 中国全科医疗/社区卫生服务工作研究 • 上一篇    下一篇

社区医护人员呼吸道传染病卫生应急能力调查研究

靳惠子1, 许鑫2, 李智婧1, 高冰3, 麻永怀2,*(), 纪颖1,*()   

  1. 1.100191 北京市,北京大学医学部公共卫生学院
    2.100072 北京市丰台中西医结合医院
    3.100871 北京市,北京大学医院
  • 收稿日期:2024-07-15 修回日期:2024-12-05 出版日期:2026-02-15 发布日期:2026-01-05
  • 通讯作者: 麻永怀, 纪颖

  • 作者贡献:

    靳惠子负责研究的实施,统计学处理,图、表的绘制与展示,撰写论文;许鑫、李智婧、高冰进行数据的收集与整理、论文的修订;麻永怀、纪颖负责研究的构思与设计,文章的质量控制与审查,对文章整体负责,监督管理。

  • 基金资助:
    首都卫生发展科研专项项目(首发2022-1G-7051)

Assessment of Emergency Health Capabilities for Respiratory Infectious Diseases among Community Medical Staff

JIN Huizi1, XU Xin2, LI Zhijing1, GAO Bing3, MA Yonghuai2,*(), JI Ying1,*()   

  1. 1. School of Public Health, Peking University Health Science Center, Beijing 100191, China
    2. Beijing Fengtai Hospital of Integrated Traditional Chinese and Western Medicine, Beijing 100072, China
    3. Peking University Hospital, Beijing 100871, China
  • Received:2024-07-15 Revised:2024-12-05 Published:2026-02-15 Online:2026-01-05
  • Contact: MA Yonghuai, JI Ying

摘要: 背景 近年来,新型呼吸道传染病为我国带来了严重的疾病与经济负担。社区卫生服务中心在呼吸道传染病的防控中逐渐受到重视,因此社区卫生服务中心的医护人员需要具备一定的呼吸道传染病卫生应急能力以应对增多的呼吸道传染病防控工作。但目前针对社区医护人员呼吸道传染病的应急能力及其相关因素的研究较少。 目的 调查并分析社区医护人员不同维度的呼吸道传染病卫生应急能力,探究其相关因素,为社区医护人员呼吸道传染病卫生应急能力评价与培训提供依据。 方法 2023年11月采用分阶段方便抽样法,从北京市的中心城区、城区和近郊区中抽取西城区、丰台区、大兴区3个区,每个区抽取3个社区卫生服务中心,每个社区卫生服务中心招募50名左右的医护人员作为调查对象。本研究采用课题组自行开发的社区医护人员呼吸道传染病卫生应急能力调查问卷进行调查。 结果 本研究共调查509名社区医护人员,剔除工作科室为非业务科室,以及工作科室为业务科室但工作内容与科室业务无关的2份问卷后,得到有效问卷507份。本研究中社区医护人员应急能力平均得分为(0.598±0.136)分。2个一级指标中,医护人员的应对能力平均得分情况为(0.602±0.152)分,知识准备的平均得分情况为(0.590±0.173)分。多元线性回归分析结果显示:医生(β=0.322,P<0.001)、正高级职称(β=0.118,P=0.012)、过去1年参与呼吸道传染病培训与应急演练次数6次及以上(β=0.225,P<0.001)的人员呼吸道传染病卫生应急能力得分较高;临床医学背景(β=-0.210,P=0.015)的医护人员应急能力得分较低。 结论 北京市社区医护人员呼吸道传染病卫生应急能力有待提升。应针对"法律法规及标准""监测预警""报告"等得分较低的能力对社区医护人员加强培训,同时关注职业为护士、医技与药师、职称较低、参与培训与应急演练次数较少的人员。

关键词: 呼吸道感染, 传染病, 社区卫生服务中心, 医护人员, 卫生应急能力, 相关因素分析

Abstract:

Background

Recent years have seen novel respiratory infectious diseases impose significant health and economic burdens in China. Community health service centers play a crucial role in managing and preventing these diseases. As such, it is imperative that medical staff at these centers develop specific emergency health capabilities to handle the increasing challenges posed by respiratory disease prevention and control. Yet, research into the emergency capabilities of community medical staff for respiratory diseases and their influencing factors remains limited.

Objective

To explore and analyze the different dimensions of the emergency response capacities of community medical staff in respiratory infectious diseases, and to explore the related factors, so as to provide a basis for the evaluation and training of the health emergency response capacities of community medical staff in respiratory infectious diseases.

Methods

In November 2023, a staged convenience sampling method was used to select three districts, Xicheng District, Fengtai District, and Daxing District from the central, urban, and suburban regions of Beijing, and three community health service centers from each district, with about 50 medical staff recruited from each of the community health service centers as the survey respondents. A self-designed questionnaire on health emergency capacities of community medical staff for respiratory infectious diseases was used for this survey.

Results

A total of 509 community medical staff were surveyed in this study, and 507 valid questionnaires were obtained after excluding 2 questionnaires in which the survey respondents' department was a non-operational department or these content of the work was not related to the department's business. The results of the survey showed that the average score of the health emergency response capacities of health care workers in community health service centers in Beijing was (0.598±0.136). Of the 2 primary indicators, the healthcare workers scored (0.602±0.152) for response capabilities and (0.590±0.173) for knowledge preparation. The results of multiple linear regression analyses showed that doctors (β=0.322, P<0.001), senior titles (β=0.118, P=0.012), and those who had participated in 6 or more relevant trainings and emergency response drills in the past year (β=0.225, P<0.001) had a higher emergency response capability scores. Medical staff with a clinical medicine background (β=-0.210, P=0.015) had lower emergency response capability scores among medical staff.

Conclusion

The emergency health capacities of community medical staff in Beijing require enhancement. There is a need for intensified training in deficient areas such as "Legal, Regulations and Standards""Monitoring and Early Warning", and "Reporting". Further attention should be directed towards nurses, medical technicians, pharmacists, staff with lower professional titles, and staff less frequently involved in training and emergency drills.

Key words: Respiratory tract infections, Communicable diseases, Community health service centers, Medical staff, Emergency health capabilities, Related factor analysis

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