Current Situation and Influencing Factors of Nurses'Ability to Respond to Public Health Emergencies in Yunnan Province / 昆明医科大学学报

Objective To explore the current situation of nurses'emergency response ability of public health emergencies and analyze its influencing factors in Yunnan province,so as to provide empirical basis for the construction of emergency response ability training system in the future.Methods A total of 4821 clinical nurses from 43 hospitals in Yunnan province were selected by convenience sampling.A cross-sectional survey was conducted using the general information questionnaire,Nurses'Public Health Emergency response Capacity Scale and Nurses'Emergency attitude scale.The influencing factors were analyzed by stepwise multiple linear regression.Results The total score of public health emergency response ability of clinical nurses in Yunnan Province was(70.35±14.08),and the total score of public health emergency response attitude was(42.26±6.14).Gender,department,hospital level,working years,whether to participate in public health emergency training,whether to experience rescue activities in public health emergencies,and attitude towards public health emergencies were the influencing factors of nurses'public health emergency response ability(P<0.05),which explained 29.0%of the total variation.Conclusions The ability of clinical nurses to respond to public health emergencies in Yunnan Province is generally above the medium level,but there is still a significant shortage in emergency knowledge.Targeted training is needed.Nursing management should build targeted layered training programs combined with influencing factors to enhance nurses'ability to respond to public health emergencies.

An application research on the emergency response capacity of large public hospitals to adapt to the development needs of the new times / 现代医院

On the background of high-quality development of public hospitals,the prevention and control of infectious diseases and various public health emergencies have become normal,which puts higher requirements on the emergency handling and management capacity of public hospitals.Large Grade three A hospitals should establish and improve the emergency com-mand system,improve the emergency plan system,strengthen training and drills,and improve the ability to deal with various public health emergencies and disasters,so as to protect people's health.This paper expounds the specific practice process,a-chievements and thinking of the special work of improving hospital emergency ability,summarizes and puts forward the methods of improving hospital emergency ability,in order to provide reference for emergency management of other hospitals.

Construction of the index system of nurses′ability to cope with new infectious diseases based on ability-based education theory / 中国实用护理杂志

Objective:To construct a scientific and feasible index system for nurses′ ability to cope with new infectious diseases based on ability-based education theory, so as to provide reference for the training of nurses′ ability to cope with new infectious diseases.Methods:After consulting domestic and foreign literaturesuch as China National Knowledge Internet, Wanfang, VIP, PubMed, Web of Science, etc. from the establishment of the database to October 2020, based on the theory of "ability-based education", taking the action framework of the theory of "life cycle of emergency" and "sudden infectious disease events proposed" by WHO as the structural framework, the index items were preliminarily constructed, and the Delphi expert consultation method was used to conduct two rounds of expert consultation for 15 experts, so as to finally establish the index system of nurses′ ability to cope with new infectious diseases.Results:The effective recovery rate of the two rounds of expert consultation questionnaires was 100.00%, and the authority coefficient was 0.930. Kendall′s concordance coefficients of two rounds of consultation experts in the tertiary indicators were 0.363, 0.304 and 0.269, respectively, with statistically significant differences (all P<0.01), and the coefficient of variation of each index was 0.000-0.167. The index system of nurses′ ability to cope with new infectious diseases included 3 primary indicators, 12 secondary indicators and 44 tertiary indicators. Conclusions:The index system of nurses′ ability to cope with new infectious diseases based on ability-based education theory is scientific, reliable and practical, which can provide reference for the training and assessment of new infectious diseases coping ability of nurses.

The situation and responses of emerging infectious diseases in China / 中华疾病控制杂志

Since the 1990s, emerging infectious diseases have been found in the world. After SARS in 2003, there have been several domestic and imported emerging infectious diseases in China, indicating a not optimistic situation. The associated and driven factors of occurrence or spreading of emerging infectious diseases come from biological, natural and social fields. Therefore, the world health organization and the international community focus on the establishment of effective regional and international monitoring and response systems. Although the emerging infectious diseases response capacity in China has been systematically improved since the SARS epidemic in 2003, there still has deficiencies on mechanism and system. Considering the current emerging infectious diseases situation and challenge, the key area or pathogens and the tasks of capacity building on surveillance, early warning and response need to be clarified and strengthened in China.

A strategy action from the Cievs/Pernambuco in response to the emergency on Congenital Syndrome associated to Zika virus infection: an integrative action / Estratégia de atuação do Cievs/Pernambuco na resposta à emergência da Síndrome Congênita associada à infecção pelo vírus Zika: uma ação integrativa

Abstract Objectives: to describe the strategy action from the Centro de Informações Estratégicas de Vigilância em Saúde (Cievs/PE) (Strategic Information on Health Surveillance Center) in response to the emergency on Congenital Syndrome associated to Zika virus infection (CSZ) in Pernambuco State between 2015 and 2016. Methods: description performed on the strategies and activities developed by Cievs/PE during the important international public health emergency related to CSZ. Results: participated in detecting suspected CSZ cases; participated in elaborating clinical epidemiological protocols; developed electronic forms to notify CSZ cases and pregnant women with exanthema rashes; prepared epidemiological reports; developed a website about the emergency on the Cievs/PE website; insert the occurrence in the Comitê de Avaliação e Monitoramento de Eventos (CAME) (Committee to Assess and Monitor Occurrence); resolution of demands during readiness; technical visits from National and International institutions. The actions developed by the Cievs/PE were fundamental in detecting and following-up on 2,073 CSZ cases. 390 cases were confirmed (18.1%) and 1,413 were discarded (65.6%), and 4,467 pregnant women had exanthema rash. Conclusions: the action from the Cievs/PE allowed to employ timely strategies on preparation and response in a qualified and cooperative way to face public health emergency on CSZ's

Resumo Objetivos: descrever a estratégia de atuação do Centro de Informações Estratégicas de Vigilância em Saúde (Cievs/PE) na resposta à emergência da Síndrome Congênita associada à infecção pelo vírus Zika (SCZ) no estado de Pernambuco, entre 2015 e 2016. Métodos: realizada descrição das estratégias e atividades desenvolvidas pelo Cievs/PE durante a emergência em saúde pública de importância internacional relacionada a SCZ. Resultados: participação na detecção dos casos suspeitos da SCZ; participação na elaboração dos protocolos clínico epidemiológicos; construção de formulários eletrônicos para notificação dos casos da SCZ e gestante com exantema; elaboração de informes epidemiológicos; construção de página eletrônica sobre a emergência no site do Cievs/PE; inserção do evento no Comitê de Avaliação e Monitoramento de Eventos (CAME); resolução de demandas durante a prontidão; visita técnica de instituições nacionais e internacionais. As ações desenvolvidas pelo Cievs/PE foram fundamentais para a detecção e acompanhamento de 2.073 casos da SCZ, com a confirmação 390 (18,1%) e descarte de 1.413 (65,6%) casos, e 4.467 gestantes com exantema. Conclusões: a atuação do Cievs/PE permitiu o emprego de estratégias de preparação e resposta em tempo oportuno, de forma qualificada e cooperativa no enfrentamento a emergência em saúde pública da SCZ.

Analysis of the current health emergency response capacity in Tianjin / 中华医院管理杂志

Objective To learn the current capacity building of emergency response teams in Tianjin for the purpose of goals setting.Methods Health Emergency Capacity Questionnaire was issued to 89 secondary and above medical institutions and 19 CDCs in Tianjin.The form covered such items as basic institutional information, workforce makeup, emergency preparations, detection and early warning, emergency response, and summary/assessment.Data collected in the questionnaire were subject to descriptive and correlation analysis.Results Tianjin has scored an initial success in emergency medicine as evidenced in its emergency response mechanisms in place, elevated capacity in emergency medical rescue and disposal, and enhanced competence of emergency teams.Rooms of improvement however include insufficient professionalism and independence of health emergency, inadequate emergency commanding and decision making system functions, insufficient laboratory test capacity at district/county levels, and insufficient social involvement in health emergency.Conclusions Top-down design should be emphasized, health emergency response should be enhanced in terms of management and response planning system, while capacity building of the teams and long-term primary care emergency mechanism deserve higher attention.

A study about the prenatal comprehensive intervention models for child-birth respond capacity and birth outcomes for the primiparous mothers / 中国现代医生

Objective To investigate the influence of prenatal integrated intervention model for the childbirth respond and birth outcomes of primiparous mothers. Methods A total of 417 cases patients were the objects for the study, which were treated in our hospital from Jan 2012 to Feb 2014, all the patients were divided into control group (203 cases) and intervention group (214 cases). After 28 weeks pregnant, the control group received regular check-ups and care, while the intervention group received comprehensive intervention contrary to the four paths of the sources of self-efficacy. Results After intervention, the score of OE-16 scores and EE-16 score of control group with only a small increase, while the intervention group was increased obviously, and the difference between the two groups was statistically signifi-cant(P<0.05). The degree of childbirth pain of intervention group was more slight than control group, and the difference between the two groups was statistically significant (P<0.05). In addition, except the scores of 1 min Apgar was no dif-ference between two groups, the childbirth time and the cesarean section rate of intervention group was improved com-pared with control group, and the difference was statistically significant (P<0.05). Conclusion The prenatal comprehen-sive intervention is benefit to improve the childbirth early self-efficacy levels and reduce the cesarean section rate, worthy of further promoting in clinical obstetrics.

Trastorno somatomorfo: resolutividad en la atención primaria / Somatoform disorder: response capacity in primary care

El presente artículo, tiene como propósito conocer la capacidad resolutiva de la atención primaria, frente a las necesidades que tienen los pacientes con Trastornos Somatomorfos. Conocer también, la percepción que estos pacientes tienen acerca de la atención recibida. La muestra, está constituida por 25 pacientes pertenecientes a tres Centros de Atención Primaria de la comuna de Chillán. De acuerdo a los resultados, los pacientes perciben que sus demandas de salud sólo "a veces" son resueltas en su centro de atención primaria, pese a los notables costos en recurso humano, farmacológico y exámenes. Los resultados se discuten en relación a las limitaciones presentadas y a las proyecciones.

This paper aims to describe the response capacity of primary care to meet the needs that patients with somatoform disorders. Knowing the type of care delivered and the perception that these patients have about the care provided. The sample consists of 25 patients from three primary care centers in the commune of Chillán. Patients perceive that their health claims are resolved only sometimes in the primary care center, despite considerable human resource costs, and drug tests. The results are discussed in relation to the limitations presented and projections.

Assessment of immunity response capacity of B hepatitis vaccine in seaman in Hai Phong city

110 seaman in Hai Phong were infected Engerise B vaccine Good immune response through antibody responsivity effect was reached. For the first injectiong, the responsivity in 72,73% of cases, GMT altained to 135,5 mIU/ml; for the 2nd and the 3 rd injections, the respective values were 81,82%, 94,55% and 327,2 mIU/ml, 680,5 mIU/ml, with p>0,05 and p< 0,001. Topic and systemic side effect rates were very low.