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标准化突发公共卫生事件创伤应激干预措施对急诊急救人员应对效率的提升效果

Construction of standardized traumatic stress interventions for public health emergencies to improve the response efficiency of emergency responders
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摘要 目的 探讨构建标准化突发公共卫生事件创伤应激干预措施对提升急诊急救人员应对效率的研究。方法 选取2023年4月至2024年4月35例医护人员作为研究对象纳入研究,按照是否进行创伤应激干预措施进行分组,2023年4月至2023年10月未进行干预为对照组,2023年10月至2024年4月同批医护人员进行干预为观察组,每组35例。对2组的处理时间、职业倦怠、应急能力、评估病情能力和管理能力、科室综合评分、投诉发生率进行比较分析。结果 对于处理时间,观察组疾病诊断、疾病检查、院内接诊时间,相较与对照组的时间较短,2组差异有统计学意义(t=8.481,4.353,7.107,P<0.05)。观察组低成就感评分高于对照组,去个性化倾向、消耗情感评分低于对照组,2组差异有统计学意义(t=6.489,4.766,4.310,P<0.05)。对于应急能力,观察组救援能力、准备能力、预防能力评分均高于对照组,2组差异有统计学意义(t=2.628,6.918,8.391,P<0.05)。对于评估病情能力和管理能力,观察组评分均高于对照组,差异有统计学意义(t=24.405,15.316,P<0.05)。对于科室综合评分,医德医风、公共卫生、医护质量评分,观察组均高于对照组,2组差异有统计学意义(t=7.227,8.913,10.025,P<0.05)。观察组投诉发生率为0,低于对照组11.43%,2组差异有统计学意义(χ^(2)=4.242,P<0.05)。结论 构建标准化突发公共卫生事件创伤应激干预措施有利于提升急诊急救人员应对效率,在综合性医院突发公共卫生事件中有较好的应用效果,有利于更加高效圆满地处理突发的公共卫生事件。 Objective To explore the effect of constructing standardized traumatic stress interventions in public health emergencies on improving the response efficiency of emergency responders.Methods From April 2023 to April 2024,35 medical staff were included in the study.They were divided into the control group and observation group according to whether they had received traumatic stress intervention or not,with 35 cases per group.From April 2023 to October 2023,no intervention was performed in the control group,and from October 2023 to April 2024,standardized traumatic stress interventions were conducted in the observation group.Handling time,job burnout,emergency response ability,disease assessment and management abilities,department comprehensive score,and complaint incidence were compared between the two groups.Results For the treatment time,patients in the observation group graded significantly shorter duration of disease diagnosis,disease examination,and in-hospital reception time than the control group(t=8.481,4.353,and 7.107,respectively;P<0.05).Patients in the observation group graded significantly higher in the low sense of accomplishment,but lower in the depersonalization tendency and emotional consumption scores than the control group(t=6.489,4.766,and 4.310,respectively;P<0.05).For emergency response capabilities,patients in the observation group graded significantly higher in the rescue ability,preparation ability and prevention ability than the control group(t=2.628,6.918,and 8.391,respectively;P<0.05).Disease assessment(t=24.405)and management abilities(t=15.316)were significantly higher in the observation group than the control group(P<0.05).For the comprehensive scores of departments,patients in the observation group graded significantly higher in the medical ethics,public health,and medical care quality than the control group(t=7.227,8.913,and 10.025,respectively;P<0.05).The incidence of complaints in the observation group was significantly lower than the control group(0 vs 11.43%,2=4.242,P<0.05).Conclusion The construction of standardized traumatic stress interventions in public health emergencies is conducive to improving the response efficiency of emergency responders,and has a good application effect in public health emergencies in general hospitals.It is help to more efficiently and successfully manage public health emergencies.
作者 康志刚 郝浮春 李宇新 侯志岭 KANG Zhigang;HAO Fuchun;LI Yuxin(Hospital Office,Yangquan First People's Hospital,Shanxi,Yangquan 045000,China;不详)
出处 《河北医药》 2025年第8期1344-1347,共4页 Hebei Medical Journal
基金 阳泉市重点研发计划项目(编号:2022JH043)。
关键词 突发公共卫生事件 创伤应激干预 急诊急救人员 应对效率 public health emergency traumatic stress intervention emergency responders coping efficiency
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