甲型H1N1流感重症患者在ICU的管理模式探讨

Management mode of patients with severe influenza A H1N1 in ICU

目的探讨重症甲型H1N1流感患者在ICU的管理。方法控制传染病流行的三个环节,控制传染源:将患者安置负压病房,物品专用,专人护理,全面评估,制订护理计划,实施护理措施,落实优质护理内涵;控制传播途径:分泌物、排泄物落实《医院感染及消毒隔离技术规范》《医疗废物管理条例》的规定;保护易感人群:医护人员进入病房时戴N95口罩,穿隔离衣,接触患者的分泌物、排泄物时戴手套。做好患者家属的健康知识宣教及探视时的防护监督管理。结果医护人员克服对疾病的恐惧心理,保证患者得到最佳的治疗及护理,几年中医护人员零感染。结论每个病人都需要优质的护理及治疗,传染病不可怕,做好消毒隔离,落实防护措施,积极救治每一个生命。

OBJECTIVE To investigate the effects of severe influenza A H1N1 in the management of ICU. METHODS The three links were used to control the spread of infectious diseases： including control of the sources of infection： placing the patients in negative pressure wards, special items, special care, comprehensive assess- ment of the implementation of the plan of care, nursing measures, and implementation of high quality nursing con- notation; control of transmission pathway： implementation of ＂hospital infection and disinfection technology stand- ard＂ and ＂medical waste management regulations＂ provisions for secretion and excreta; protection of vulnerable groups： wearing N95 masks and gowns in the ward, and wearing gloves when contacting secretions and excretions of patients for health care workers. We should do health knowledge education of the family members of patients well and safety supervision and management when visiting. RESULTS The medical staff overcame the psychologi- cal fear of the disease, ensured the best treatment and nursing care of patients with medical personnel, and zero in- fection was occurred in a few years. CONCLUSION All of the patients need high-quality nursing and treatment. In- fectious diseases are not terrible, and it should do disinfection and isolation, and the implementation of protective measures, for active treatment of every life.