目的了解军队医院文职护士、聘用护士和地方医院聘用护士三类人员的战备能力和培训现状，探讨可能影响战备能力的因素，为制订不同护士的培训方案提供参考，为地方医院开展同类研究提供基线数据。 方法 2022年8-9月，采用便利抽样法，运用一般情况问卷和战备评估与部署能力指数量表，在五个战区分别抽取各区域内的2~3所军、地医院护士进行问卷调查。 结果 3422名护士参与了调查，军队文职护士战备能力得分为(3.66±0.66)分，高于军、地聘用制护士的(3.28±0.79)分和(3.21±0.79)分(均P＜0.01)。除个人事务/身体素质/心理社会准备维度外，军队文职护士其余5个维度的得分均高于军、地医院聘用护士(均P＜0.01)。37个条目中，三类护士得分排名前五的条目完全一致，均为战备认同感维度的条目；排名后五的条目中有3个完全一致，均为军事行动护理能力；三类护士个人特征及轮科培训、脱产驻训、执行任务等经历差异有统计学意义(P＜0.01)。 结论三类护士战备能力处于中等水平，军队文职护士得分高于聘用护士，军队聘用护士高于地方聘用护士。通过分析不同护士战备能力各维度与各条目得分差异，为构建针对性的战备能力培训方案提供了参考，有关护士个人特征、不同培训经历与任务类型是否影响战备能力，值得进一步研究。

Objective To understand the combat readiness and training status among civilian nurses and employed nurses in military hospitals，and employed nurses in civil hospitals，and explore the influencing factors of combat readiness，so as to provide references for developing training programs for different nurses，as well as basic data for similar research in civil hospitals. Methods Convenient sampling was used to select nurses for investigation from 2 to 3 military or civil hospitals in each of the five Theatre Commands from August to September，2022.The general information questionnaire and the readiness estimate and deploy ability index (READI) were adopted. Results A total of 3,422 nurses were recruited for the survey.The score of combat readiness among military civilian nurses was (3.66±0.66)，higher than those among military and civil employed nurses (3.28±0.79，3.21±0.79，both P＜0.01).Except the dimensions of personal affairs，physical fitness，and psychosocial readiness，the scores of the other five dimensions among military civilian nurses were higher than those among military and civil employed nurses (all P＜0.01).Among the 37 items，the top five items in scoring among the three categories of nurses were completely consistent，which all belonged to the dimension of combat readiness identity.Three of the last five items were the same，belonging to nursing competence in military operations.There were statistical differences in the personal characteristics，and the experiences of training rotation，off-duty resident training and task execution among the three categories of nurses (P＜0.01). Conclusions The combat readiness among the three categories of nurses is at a moderate level.Military civilian nurses report higher scores than employed nurses，and military employed nurses score higher than civil employed nurses.Analysis on the differences in the dimension and item scores of combat readiness among different nurses can provide references for constructing targeted training programs for combat readiness.It is worthy of further research on whether nurses’ personal characteristics，different training experiences and tasks may affect their combat readiness.

R826；R472.2

军事医学创新工程专项(18CXZ041) ；2022年度军队护理创新与培育专项(2021HL051)