新型冠状病毒肺炎定点医院非发热诊区疫情防控的应急管理策略

Contingency Strategies of Nursing Management in Prevention and Control of Coronavirus Disease 2019 Epidemic in Non-Febrile Areas of Hospital

目的总结新型冠状病毒肺炎定点医院非发热诊区疫情防控管理的应急策略,为进一步做好疫情防控提供借鉴.方法基于各区域特征,制订新型冠状病毒肺炎疫情的防控标准和应急管理策略,专人分区进行专项督查,根据数据反馈促进各项防控措施的质量改进.结果院内员工无新型冠状病毒感染发生;医院入口处人员口罩佩戴率为100%,住院患者家属口罩佩戴率为94.62%;各入口体温检测率均为100%;流行病学史筛查率:医院入口为95.93%,门诊、病房入口均为100%;工作人员手卫生执行率为96.14%,手卫生执行正确率为84.78%;患者和家属新冠肺炎防范措施知晓率为95.38%,护工为95.92%;医疗用品、环境消毒率为100%.结论制订的医院非发热诊区新型冠状病毒感染的应急管理策略切实有效.后期医院入口流行病学史筛查率、住院患者家属口罩佩戴率以及各级人员手卫生和防控知识培训仍须进一步加强.

Objective To summarize the emergency strategy of the epidemic prevention and control management in non-febrile areas of the designated hospital for coronavirus disease 2019(COVID-19),so as to provide a reference for further epidemic prevention and control.Methods The epidemic prevention and control standard as well as the emergency strategy for COVID-19 were formulated based on regional characteristics.Specialized supervision was conducted in different areas by specific persons,and quality improvement of each prevention and control measure was promoted according to the data feedback.Results The rate of wearing face masks at the entrance of hospital was 100%,and 94.62%among the inpatients’families.The rate of temperature taking at each entrance was 100%.The screening rate of epidemiological history was 95.93%at the entrance of hospital,and 100%at the entrance of outpatient and hospitalized departments.The implementation rate of hand hygiene was 96.14%,and the rate of execution accuracy was 84.78%.The awareness rate of preventive measures about COVID-19 among patients and families was 95.38%,which was 95.92%among the nursing workers.The disinfection rate of medical supplies and environment was 100%.Conclusions The emergency management strategy for COVID-19 in non-febrile areas is effective.The screening rate of hospital entrance epidemiological history,the wearing rate of masks for the family members of inpatients,and the training of hand hygiene and prevention and control knowledge for personnel at all levels still need to be further strengthened.