摘要
公共卫生紧急事件响应中,一线护理人员由于贴近临床和患者、穿戴防护装备时间长、护理工作量负荷大、感染风险高等原因,容易引起紧张、焦虑等心理问题,对护理服务的质量和可持续性产生重大影响。从公共卫生应急管理的角度,对新型冠状病毒肺炎疫情中443位援鄂护理人员进行问卷调查,分析其焦虑水平及影响因素。研究结果表明:援鄂护理人员焦虑水平得分(5.61±4.32)高于我国医疗卫生工作者平均得分(4.66±3.79);其中,近半数护理人员处于较高焦虑水平(48.3%,214/443)。研究发现:四个影响因素与一线护理人员高焦虑水平显著相关,分别为感染风险感知极高(OR=4.735,95%CI:2.734~8.202,P<0.01)、不合理的排班模式(OR=2.311,95%CI:1.333~4.008,P<0.01)、工作设备和环境管理水平较差(OR=2.540,95%CI:1.057~6.102,P<0.05)、护理工作流程较为混乱(OR=1.868,95%CI:1.137~3.064,P<0.05)。据此,建议公共卫生应急管理中,需要设置合理的排班模式以确保一线护理人员有充足休息时间;保障应急物资和个人防护用品的供应;提升医院对公共卫生紧急事件的应急管理水平,特别是医院建筑功能设计、设备及系统等硬件环境管理和工作流程的有效规划;重视一线护理人员心理危机干预,以降低焦虑情绪发生,提高工作效率和质量。
In response to public health emergencies,front-line nurses are likely to suffer stress,anxiety and other psychological problems because of their close proximity to the clinic patients,long-time wearing protective equipment,heavy nursing workload,and high risk of infection;all these will impose effect on the quality and sustainability of nursing services.To provide empirical evidence from the perspective of emergency management efficiency and effectiveness for targeted psychological crisis intervention to front-line nurses sent to aid the epidemic control in Hubei Province during the COVID-19 epidemic,443 nurses of different medical aid teams to Hubei were surveyed by mobile questionnaire to investigate and analyze their anxiety level and its associating factors concerning public health emergency.The result showed that the score(5.61±4.32)of the 443 nurses was higher than that(4.66±3.79)of the norm score of medical and health workers in China.Nearly half of the subjects had a high level of anxiety(48.3%,214/443).Four factors were significantly correlated with high anxiety level of front-line nursing staffs.The four factors were high infection risk perception(OR=4.735,95%CI:2.734~8.202,P<0.01),unreasonable scheduling mode(OR=2.311,95%CI:1.333~4.008,P<0.01),poor equipment and environmental management level(OR=2.540,95%CI:1.057~6.102,P<0.05),and chaotic nursing work process(OR=1.868,95%CI:1.137~3.064,P<0.05).In public health emergency response management,they are necessary to set a reasonable scheduling model to ensure that front-line nurses have sufficient time to rest,to ensure the supply of emergency supplies and personal protective equipment,to improve the hospital’s emergency response management level for public health emergencies,especially hospital building function design,equipment and system hardware environment management and effective planning of work processes.Greater importance should be attached to psychological crisis intervention of front-line nurses to reduce the occurrence of anxiety and to impr
作者
张旭东
王晗琳
卢婉
蒋军军
张桂蕾
ZHANG Xudong;WANG Hanlin;LU Wan;JIANG Junjun;ZHANG Guilei(Faculty of Management and Economics,Kunming University of Science and Technology,Kunming 650093,Yunnan,China;Chongqing Cancer Hospital,Chongqing 400030,Chongqing,China;The First Hospital of China Medical University,Shenyang 110001,Liaoning,China)
出处
《昆明理工大学学报（社会科学版）》
2020年第5期29-36,共8页
Journal of Kunming University of Science and Technology(Social Sciences)
基金
云南大学民族学一流学科新型冠状病毒感染肺炎疫情社会科学调查研究应急项目“叙事医学视角下抗击新冠病毒肺炎援鄂医护人员的抗逆力研究”(YNUXG-011)
关键词
新型冠状病毒肺炎
公共卫生紧急事件
援鄂护士
焦虑水平
应急管理
COVID-19
public health emergency
aiding COVID-19 epidemic control in Hubei Province
nurses
anxiety level
emergency response management
