Objective To investigate the current status of the capacity against infectious disease emergencies in nursing staff of blood purification centers in the 14 hospitals in Jiangsu province, and to analyze its influencing factors. Methods A cross-sectional survey on nursing staff of blood purification centers in the 14 hospitals of different classes in Jiangsu province was conducted using the questionnaire of infectious disease emergency response ability. Results ①The mean score of the ability against infectious disease emergencies was 3.63±0.64 in a total of 331 hemodialysis nursing staff. ②Univariate analysis showed that rescue experience (t=-3.396, P=0.001), number of emergency exercises (F=8.509, P<0.001), number of theoretical trainings (F=8.905, P<0.001), type of working unit (F=3.278, P=0.021), job title (F=2.748, P=0.043), working years (F=6.205, P=0.002) were related to the ability against infectious disease emergencies in nursing staff. ③Multivariate linear regression showed that rescue experience (β=0.132, P=0.013), emergency response exercises (β=0.128, P=0.042), theoretical trainings (β=0.132, P=0.037), type of working unit (β=-0.119, P=0.022), and working years (β=0.131, P=0.017) were the influencing factors for the ability against infectious disease emergencies in nursing staff. Conclusion The ability against infectious disease emergencies in nursing staff of blood purification centers is insufficient and only at a medium level. The training of infectious disease related knowledge for nursing staff of blood purification centers must be emphasized in the administration of hospitals to enhance their ability to the emergencies.
[1]中华人民共和国国务院.突发公共卫生事件应急条例[EB/OL].(2011-01-08)[2023-02-13].https://flk.npc.gov.cn/detail2.html?ZmY4MDgwODEZjNjYmIzYzAxNmY00MGQ2ZmQzYzA2YTA.
[2]李兰娟,任红..传染病学(第9版)[M][J].北京:人民卫生出版社, 2018, 1:-
[3]姚建义,金雅玲,汤晓勇,等..突发公共卫生事件智慧应急发展探讨[J].[J].中国工程科学, 2021, 23(1?7.):-
[4]张钟,孙红敏,卞增惠,等.年南京市突发公共卫生事件流行特征分析[J].现代预防医学, 2023, 50(7):1176-1180
[5]贾鹏本,陈莉,姜涛,等.海南省—年传染病类突发公共卫生事件现状与趋势分析[J].中国热带医学, 2023, 23(8):828-833
[6]蔡文锋,刘远,李美霞,等.年广州市学校突发公共卫生事件流行病学分析[J].热带医学杂志, 2021, 21(10):1353-1355
[7]Branch - Elliman W,Safdar N,Nelson R.Economic considerations in infectious diseases emergency response preparedness:It’s all about the point of view[J].Clin Infect Dis, 2021, 72(1):148-152
[8]Burkle FM Jr.Challenges of global public health emergencies:Development of a health - crisis managemen
[9]Ma Y, Diao B, Lv X, et al.2019 novel coronavirus disease in hemodialysis (HD) patients: Report from one HD center in Wuhan, China[J]. MedRxiv, 2020: 2020.02. 24.20027201.
[10]Goicoechea M, Cámara L A S, Macías N, et al.COVID-19: clinical course and outcomes of 36 hemodialysis patients in Spain[J].Kidney international, 2020, 98(1):27-34
[11]Zou R, Chen F, Chen D, et al.Clinical characteristics and outcome of hemodialysis patients with COVID-19: a large cohort study in a single Chinese center[J].Renal failure, 2020, 42(1):950-957
[12]Daugirdas J T, Depner T A, Inrig J, et al.KDOQI clinical practice guideline for hemodialysis adequacy: 2015 update[J].American Journal of Kidney Diseases, 2015, 66(5):884-930
[13]国家肾病专业医疗质量控制中心.国家肾病专业医疗质量控制中心关于发布《新冠疫情期间血液透析室防控建议》.[2022-04-01]. http://www.cnrds.net/Static/file/.
[14]Yau K, Muller M P, Lin M, et al.COVID-19 outbreak in an urban hemodialysis unit[J].American Journal of Kidney Diseases, 2020, 76(5):690-695
[15]中华医学会肾脏病学分会, 中国研究型医院学会肾脏病学专业委员会.特殊血液净化技术应用于重症新型冠状病毒肺炎的专家共识[J].[J]., 2020, 59(11): 847-853
[16]Gray S, Clough T, Mcgee Y, et al.Increased risk of COVID-19 in haemodialysis healthcare workers in a tertiary centre in the North West of England[J].Journal of Hospital Infection, 2020, 106(2):390-391
[17]Shemies R S, Nagy E, Younis D, et al.Renal replacement therapy for critically ill patients with COVID‐19‐associated acute kidney injury: A review of current knowledge[J].Therapeutic Apheresis and Dialysis, 2022, 26(1):15-23
[18]阚庭.医护人员传染病突发事件应对能力培训项目的开发与评价[D].上海:中国人民解放军海军军医大学,2018.
[19]王冬叶,张万里,项少梅,等.温州市社区护士突发公共卫生事件应急能力调查分析[J][J].护理学杂志, 2016, 31(4): 82-84
[20]徐龙华, 褚志平, 张力等.江苏省三级综合医院护士新发传染病应对能力现状及影响因素[J].护理实践与研究, 2022, 19(02):170-174
[21]孔德华, 冯霞, 马茹兰等.综合性医院医护人员传染病突发事件应对能力的现状分析[J].解放军预防医学杂志, 2020, 38(10):9-12
[22]刘娟, 向家艮, 于文琦等.中医医院护士传染病突发事件应对能力现状及影响因素[J].护理学杂志, 2021, 36(09):51-53
[23]余天燕,方学文,陈绍芬..三甲医院急诊护理人员应急救援能力分析[J][J].中国卫生产业, 2016, 13(19):65-67
[24]Shaikh R A, Solangi S, Rathi S K, et al.Frequency of acute complications during haemodialysis[J].J Liaquat Uni Med Health Sci, 2013, 12(2):94-7
[25]刘娟, 向家艮, 于文琦等.中医医院护士传染病突发事件应对能力现状及影响因素[J].护理学杂志, 2021, 36(09):51-53
[26]邢娟、桂斯卿.医护人员手卫生研究进展 [J].护理学杂志, 2010, :-
[27]马志芳, 向晶.血液净化中心医院感染防控护理管理指南[M].北 京.人民卫生出版社, 2016, 63-70.
[28]刘玲玉, 张宝珍, 杨珍, 等.医务人员重大传染病疫情核心应急能力调查研究[J].护理学杂志, 2019, 34(5):75-77
[29]孔德华, 冯霞淤, 马茹兰, 等.综合性医院医护人员传染病突发事件应对能力的现状分析[J].解放军预防医学杂志, 2020, 38(10):9-12
[30]赵文文, 戎珊, 朱丽娜, 等.山东省医护人员 - 疫情核心应急能力现状及其影响因素[J].济宁医学院学报, 2020, 43(6):406-410
[31]Yao, L.; Zhang, Y.; Zhao, C.; Zhao, F.; Bai, S. The PRISMA 2020 Statement: A System Review of Hospital Preparedness for Bioterrorism Events. Int. J. Environ. Res. Public Health 2022, 19, 16257.
[32]Toyokawa, T.; Hori, N.; Kato, Y. Preparedness at Japan’s Hospitals Designated for Patients with Highly Infectious Diseases. Health Secur. 2017, 15, 97–103. [Google Scholar] [CrossRef]
[33]李红, 古满平, 杨旭红.综合医院护士重大传染病疫情应急能力及影响因素调查分析[J].护理学杂志, 2021, 36(04):58-61
[34]张智霞, 郭淑明, 杨静等.首批援鄂一线护士公共卫生事件应急能力的调查研究[J].中华护理杂志, 2020, 55(S1):692-694
[35]Skryabina E, Reedy G, Amlot R, et al.What is the value of health emergency preparedness exercises? A scoping review study[J]. International journal of disaster risk reduction, 2017, 21: 274-283.
[36]Song S, Li X, Bell S A, et al.Emergency response: a cross-sectional study of core competencies for nurses regarding major infectious disease outbreaks[J].Journal of Emergency Nursing, 2021, 47(6):902-913
[37]Bemah P, Baller A, Cooper C, et al.Strengthening healthcare workforce capacity during and post Ebola outbreaks in Liberia: an innovative and effective approach to epidemic preparedness and response[J]. The Pan African Medical Journal, 2019, 33(Suppl 2).
[38]Guilamo-Ramos V, Thimm-Kaiser M, Benzekri A, et al.Nurses at the frontline of public health emergency preparedness and response: lessons learned from the HIVAIDS pandemic and emerging infectious disease outbreaks[J].The Lancet Infectious Diseases, 2021, 21(10):e326-e333
[39]刘华玲,赵惠芬,曾奕明,等.护士综合应急能力培训体系的构建和实践[J].中华护理杂志, 2019, 54(8):1137-
[40]刘慧娟, 邵艳玲, 杨滢等.北京地区非传染科医务人员传染病突发事件应对能力的调查[J].解放军护理杂志, 2020, 37(11):1-4