论文部分内容阅读
目的:调查北京某综合三级甲等医院发热门诊护士的应急能力和心理状况，旨在为应对突发公共卫生事件的人力资源策略提供参考和依据。方法:采用整群抽样方法于2020年2月10日—3月20日选取在北京市某综合三级甲等医院发热门诊工作的25名护士作为研究对象，采用自制改良突发公共卫生事件护理应急能力评估表和症状自评量表（SCL-90）进行横断面调查研究，综合评估护士的应急护理能力和心理状况，调查方式采用线上方式，回收率为100%。结果:25名发热门诊护士的突发公共卫生事件防控应急能力评估总分为（85.62±4.47）分、SCL-90总分为（157.60±55.95）分；不同岗位层级的护士应对突发公共卫生事件护理应急能力总分比较，差异有统计学意义（n P<0.05）；本组发热门诊护士SCL-90中强迫、躯体化、焦虑、精神病性和恐怖因子得分均高于常模，差异均有统计学意义（n P<0.05）。n 结论:本研究中发热门诊护士应对突发公共卫生事件护理应急能力较好，但存在一定的心理健康隐患。建议医院管理者进行磁性管理和正向引导，疏解护士的心理压力，同时通过多途径、多渠道地对护士进行全面培训及严格考核，以提高其应急护理能力。“,”Objective:To investigate the emergency response ability and psychological status of nurses in fever clinic of a ClassⅢ Grade A hospital in Beijing, so as to provide reference and basis for human resource strategies in response to public health emergencies.Methods:From February 10 to March 20, 2020, 25 nurses working in the fever clinic of a ClassⅢ Grade A hospital in Beijing were recruited as the research subjects by cluster sampling method. A cross-sectional study was conducted to evaluate the emergency nursing ability and psychological status of nurses by using the self-made improved Evaluation Form for Emergency Response Ability of Nursing for Public Health Emergencies and the Symptom Checklist-90 (SCL-90) . The online survey method was adopted, and the recovery rate was 100%.Results:The total score of the Emergency Response Ability for Public Health Emergencies of the 25 nurses was (85.62±4.47) , and the total score of SCL-90 was (157.60±55.95) . There was statistical significance in the difference of the total score of nursing emergency response ability among nurses at different post levels (n P<0.05) . The scores of fever clinic nurses on obsessive-compulsive, somatization, anxiety, psychoticism and phobia in SCL-90 were higher than those of the norm, and the differences were statistically significant (n P<0.05) .n Conclusions:In this study, the fever clinic nurses have better ability to deal with public health emergencies, but there are some mental health risks. It is suggested that the hospital managers should carry out magnetic management and positive guidance, relieve the psychological pressure of nurses, and conduct comprehensive training and strict assessment for nurses through multiple channels to improve their emergency nursing ability.