督导护士在救治埃博拉病毒病患者的医护人员自身防护安全中的作用

The role of a supervising-nurse in self-protection of medical staffs involved in Ebola treatment in Liberia

目的探讨设置督导护士在救治埃博拉病毒病患者的临床一线医务人员个人防护中发挥的重要作用和意义。方法根据个人防护标准流程,设计中英文双语《援利医疗队穿PPE督查表》及《援利医疗队脱PPE督查表》。由督导护士对进出留观、治疗病房每位工作人员进行全程防护流程执行情况的督导提示和心理积极暗示,记录、归纳、总结杜绝的问题和心理状况,并对督导效果进行评价。结果 2015年1月16日至2015年3月19日期间共对进出中国埃博拉诊疗中心的留观、治疗病房临床一线的中国和利比里亚医务人员约3 000人次进行了督导,督导内容约126 000项,督导护士杜绝发生潜在问题共计1 532项。结论设置督导护士能有效确保救治埃博拉病毒病患者的临床一线医务人员的自身防护安全,确保实现医务人员"零感染"的目标。

Objective To investigate the role of supervising-nurse in self-protection of medical staffs treating patients with Ebola virus disease in Liberia.Methods Based on the Standard Procedure of Personal Protection,we designed a ChineseEnglish bilingual Inspection Table for putting on personal protective equipment（PPE）for Chinese People＇s Liberation Army medical team to Liberia and another one for takingoff PPE.The supervising-nurse gave supervising tips and psychologically positive implications to all medical staffs working in the observing room and treatment ward.Nurses also recorded and summarized the problems and mental status which have been prevented and stopped,and the efficacy of the supervision was evaluated.Results From Jan.16,2015 to Mar.19,2015,about 3 000person-times and 126 000 supervision items for the Chinese and Liberia staffs working in the observing room and treatment ward were involved.A total of 1 532 potential problems were prevented by supervising-nurse.Conclusion A supervising-nurse can effectively ensure the self-protection of medical staffs involved in the frontline treatment of patients with Ebola virus disease,guaranteeing the＂zero infection＂of medical staffs.