人感染H7N9禽流感疫情时期发热门诊护理管理体会

Experience in nursing management of fever outpatient during human infection with H7N9 avian influenza

目的探讨发热门诊护理在人感染H7N9禽流感时期管理体会。方法于2017年1～12月本院发热门诊实施发热门诊护理管理,并选取1749例患者作为研究对象,并于2016年1～12月收入1665例实施传统护理管理模式,加强对于发热门诊相关护理管理,包括对发热门诊护理布局,并严格按照落实相关感染防控措施实施,并加强各班职责以及工作流程修订、相关人员培训以及考核,组织相关应急预案演练,提高医护人员职业防护,严格执行标本采集以及运送程序,加强发热患者与患者以及家属相关健康宣教以及管理工作,严格控制管理以及质量控制。结果 2016年成人疑似感染例数5例,儿童疑似感染例数6例,2017年成人疑似感染例数3例,儿童疑似感染例数10例,护理管理前后成人、儿童疑似感染人数情况差异无统计学意义(P> 0.05),护理管理后患者传染源、传播途径、早期症状、预防措施分数均高于对照组,两组差异有统计学意义(P <0.05)。结论对发热门诊实施有效护理管理,能够有效控制疾病发生,减少禽流感发生,能够有效促进患者疾病恢复。

Objective To explore experience in nursing management of fever outpatient during human infection with H7N9 avian influenza. Methods From January 2017 to December 2017, nursing management of fever clinics was implemented in our hospital, and 1749 patients were selected as the study subjects. And from January 2016 to December 2016, 1665 patients were treated with traditional nursing management mode. Strengthen the related nursing management of fever clinic, including the nursing layout of fever clinic. And strictly follow the implementation of relevant infection prevention and control measures, and strengthen the duty of each class and workflow revision, training and assessment of relevant personnel, organize the relevant emergency plan drill, improve the occupational protection of medical staff, strictly implement the specimen collection and transportation procedures. Strengthen health education and management related to fever patients and patients and their families, strictly control management and quality control. Results In 2016, there were 5 cases of suspected infection in adults, 6 cases of suspected infection in children, 3 cases of suspected infection in adults and 10 cases of suspected infection in children in 2017. There was no significant difference in the number of suspected cases between adults and children before and after nursing management （P 〉0.05）. The scores of infectious source, transmission route, early symptoms and preventive measures of the patients after nursing management were higher than those of the control group （P 〈0.05）. Conclusion The effective nursing management of fever clinics can effectively control the occurrence of disease, reduce the incidence of avian influenza, and effectively promote the recovery of patients.