新型冠状病毒肺炎市级定点收治医院防控诊疗及护理管理模式探讨

Coronavirus disease 2019:a management mode of prevention,control,diagnosis,treatment and nursing at a municipal designated hospital

目的探讨新型冠状病毒肺炎(简称新冠肺炎)市级定点收治医院防控、临床诊疗及护理管理模式,为建立有效的防控体系和提高临床诊治水平提供参考。方法参照国家卫生健康委员会颁发的新冠肺炎第1~5版的诊疗方案,结合该院的实际情况制定防控、临床诊疗及护理管理模式。结果2020-01-21~2020-03-02该院新冠肺炎专科发热门诊共接诊发热患者2330人次,其中疑似病例70例,收治确诊新冠肺炎病例58例,其中普通型51例,重型5例,危重型2例;已治愈出院56例,转院2例,院内治愈率为100%。防控、临床诊疗及护理管理模式运转流畅,各项工作有序开展,全院无医务人员被感染。结论科学、规范和行之有效的防控、临床诊疗及护理管理模式不仅有助于对新冠肺炎患者进行早识别、早分流、早隔离、早治疗,而且能有效地预防院内交叉感染,提高治愈率,降低病死率。

Objective To explore a management mode of prevention,control,diagnosis,treatment and nursing of coronavirus disease 2019(COVID-19)at a municipal designated hospital and to provide reference for establishing effective prevention and control system and improving clinical diagnosis and treatment level.Methods According to the Diagnosis and Treatment Program of COVID-19 version 1~5 issued by National Health Commission of the People’s Republic of China,a management mode of the prevention,control,clinical diagnosis,treatment and nursing of COVID-19 was formulated in combination with the actual situation of the Fourth Hospital of Nanning.Results From January 21,2020 to March 2,2020,a total of 2330 patients with fever were admitted to the fever clinic of the COVID-19 specialty,including 70 suspected cases,and 58 confirmed COVID-19 cases(51 common cases,5 severe cases and 2 critical cases).56 cases were cured and discharged.2 cases were transferred to another hospital,with a curative rate of 100%.The operation of the management mode of the prevention,control,clinical diagnosis,treatment and nursing of COVID-19 went smooth,and all the work was carried out in an orderly manner.There was no infection of medical staff in the hospital.Conclusion The scientific,standard and effective prevention,control,clinical diagnosis,treatment and nursing management mode is not only conducive to early identification,early shunt,early isolation and early treatment of COVID-19 patients,but can effectively prevent the hospital cross infection,improve the curative rate and reduce the mortality.