灾难后大规模伤亡事件的管理:斯里兰卡一家医疗保健机构医生的个人水平能力

R. M. N. U. Rajapaksha, A. Balasuriya, C. Abeysena, M. S. D. Wijesinghe, Suranga Manilgama, Tom Thomas, Y. Assefa
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引用次数: 0

摘要

灾害管理的首要关切是尽量减少人类的痛苦,在这方面卫生部门必须发挥关键作用。医生在患者管理中作为决策者和第一反应者直接参与,发挥着重要作用。该研究旨在评估斯里兰卡主要医疗保健机构的医生在灾后大规模伤亡事件管理方面的个人能力。在2016年3月至2017年1月期间,对所有长期在该机构工作的医生进行了一项基于机构的描述性横断面调查,使用了一份自我管理的、预先测试的、有效的问卷。有效率为89.9% (n=346)。其中,28.9% (n=100)、27.5% (n=95)、38.2% (n=132)、25.7% (n=89)、6.9% (n=24)的人有良好的知识、态度、经验、正规培训和参加过模拟。此外,46.8% (n=162)的受访者对大规模伤亡事件的管理有预期目标。第一应答单位的学生比其他单位的学生有更多的知识(p<0.05)。那些有理想目标的人更有可能拥有良好的知识、良好的态度和先前的大规模伤亡事件管理培训(p<0.001)。显然需要通过开展提高认识项目来提高能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Management of Mass Casualty Incidents Following Disasters: Individual Level Capacity of the Doctors in a Curative Healthcare Institution, Sri Lanka
The foremost concern of disaster management is to minimize human suffering, where the health sector has to play a critical role. Doctors play a major role by getting directly involved as the decision-makers and first responders in patient management. The study aimed to assess the individual level capacity of the doctors for the management of mass casualty incidents following disasters in the major curative healthcare provider in Sri Lanka. An institution-based descriptive cross-sectional survey was carried out among all doctors who were permanently attached to the institution, using a self-administered, pre-tested, validated questionnaire from March 2016 to January 2017. Response rate was 89.9% (n=346). Among them, 28.9 % (n=100), 27.5% (n=95), 38.2% (n=132), 25.7% (n=89), 6.9% (n=24) had good knowledge, attitudes, experience, formal training, and participated in simulations, respectively. Further, 46.8% (n=162) had the desired goal for the management of mass casualty incidents. Those at first respondent units were more likely to have good knowledge than those at other units (p<0.05). Those who had desired goals were significantly more likely to have good knowledge, good attitudes, and prior training in the management of mass casualty incidents (p<0.001). There is a clear need for improvement in the capacity by conducting awareness programs.
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