DOI:
江苏卫生事业管理:2021,Vol.>>Issue(4):544-547
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省际对口支援新冠肺炎医疗队感染防控模式效果评价△
陈亚男,李小民,刘 菁*
(连云港市第一人民医院感染管理科,江苏援湖北黄石市医疗队;急诊医学科,江苏援湖北黄石市医疗队)
Effectiveness Evaluation on the Mode of Infection Prevention and Control of Novel Coronavirus Pneumonia Medical Team Supported by Provincial Counterpart△
CHEN Yanan,LI Xiaoming,LIU Jing*
(Infection Management Department,The First People’s Hospital Of Lianyungang,Jiangsu supports the medical team of Huangshi City;Emergency Medicine Department,Jiangsu supports the medical team of Huangshi City)
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中文摘要: 目的:探索针对省际对口支援新冠肺炎医疗队建立科学、规范、有效的感染防控模式,确保实现疫情救治及队员防护安全。方法:建立三级感控管理体系,优化医疗队感控工作制度与流程,采用线下与线上相结合的方式强化感控知识培训,特别是个人防护穿脱操作,明确隔离病区及驻地感染控制要点,设立专人督导,开展焦虑调查并有针对性开展减压沙龙等。结果:医疗队共310人,集中培训后,队员对新冠肺炎防控知识掌握由(18.24±1.81)分提高至(23.45±1.75)分,差异有统计学意义(P<0.05),其中个人防护知识掌握程度好于流行病学知识;截止3月11日,累计治愈新冠肺炎患者 917例,治愈率由前期的10.98%提高到90.34%,而医疗队队员未发生一人感染。情绪方面,队员普遍面临焦虑问题(80.13%),主要集中在防护不到位(76.42%)、工作量大(49.59%)、患者病情较重(40.65%)、驻地安全性(22.35%)等方面,随着各项减压措施的开展,焦虑均显著下降,但思念家人情绪则随着支援时间的增加而增加。结论:应充分结合省际对口支援新冠肺炎医疗队自身特点,提前谋划、推进感染防控措施的制定与落实,特别是对于感控组织建设、感控知识培训、驻地感控管理以及心理疏导等方面应予以重视。
中文关键词: 新冠肺炎  医疗队  感染防控
Abstract:Objective:To explore for provincial counterpart support new coronavirus pneumonia medical team to establish scientific,standardized and effective infection control mode in order to ensure the disease treatment and safety protection. Method:We established three levels of infection control management system and optimized the working system and processof the medical team’s sensory control work. We used offline and online methods to strengthen knowledge training of infection control. Especially personal protective clothing operation,and identified the key points of isolation and resident infection control beside appointed special person to supervise,carry out anxiety investigation and carry out stress reduction salon and so on. Results:There are 310 people in medical team. After intensive training,the knowledge of prevention and control of COVID-19 increased from(18.24 ± 1.81)to(23.45 ± 1.75),with statistically significant difference(P < 0.05). The knowledge of personal protection is better than that of epidemiology. By March 11,a total of 917 COVID 19 patients had been cured. The cure rate increased from 10.98% to 90.34%,and no one member of the medical team was infected. Anxiety problems were common among team member(80.13%),mainly in inadequate protection(76.42%),heavy workload(49.59%),heavy patients(40.65%),home security(22.35%).With the implementation of various stress reduction measures,anxiety has decreased significantly. In addition,the mood of missing family increased with the increase of support time. Conclusion:It is important for combining with the characteristic of Novel coronavirus pneumonia medical team supported by provincial counterpart. Infection prevention and control measure should be Planned and implementated ahead of time,especially in the construction of infection control organization,knowledge training,Infection control management of home and psychological counseling.
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基金项目:2020年度连云港市应用研究重大课题(SLYZ204068);连云港市卫生计生科技项目(201712 2020年度连云港市应用研究重大课题(SLYZ204068);连云港市卫生计生科技项目(201712
引用文本:
陈亚男,李小民,刘 菁*.省际对口支援新冠肺炎医疗队感染防控模式效果评价△[J].江苏卫生事业管理,2021,32(4):544-547.
CHEN Yanan,LI Xiaoming,LIU Jing*.Effectiveness Evaluation on the Mode of Infection Prevention and Control of Novel Coronavirus Pneumonia Medical Team Supported by Provincial Counterpart△[J].Jiangsu Health System Management,2021,32(4):544-547.

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