联合救治模式下综合医院新型冠状病毒肺炎隔离病房的护理管理

Nursing management in isolation wards for coronavirus disease 2019 in a general hospital under a joint rescue model

目的探索联合救治模式下,综合医院新型冠状病毒肺炎隔离病房中应急护理管理的方式和效果。方法通过对病房环境、医疗条件、患者病情和护士结构现状进行评估后,对武汉市某新型冠状病毒肺炎定点医院的隔离病房采用联合救治模式进行护理管理。通过重构三级责任制护理管理,进行护士优势组合排班、多形式规范培训、"两手准备"保障物资供应、"双保险"供氧、落实网格化督导防控措施等方式对隔离病房实施应急护理管理。结果在医护人员的紧密合作下,联合救治模式开展顺利。2020年1月27日—3月15日,病房共治疗新型冠状病毒肺炎患者97例,治愈出院84例(86.59%),病死1例(1.03%)。无院内感染和医护人员交叉感染发生。结论通过开展联合救治,实现对新型冠状病毒肺炎定点医院的人力资源、医疗物资和专业技术支援,为患者成功救治赢得时间,同时有效避免医护人员院内感染的发生。

Objective To explore modes and effects of emergency nursing management in isolation wards for coronavirus disease 2019(COVID-19)in a general hospital under a joint rescue model.Methods A joint rescue model was carried out in fever wards at a COVID-19 designated hospital in Wuhan after evaluating the wards environment,medical situation,patients’conditions and the structure of nursing staff.By restructuring the three-level responsibility system of nursing management,COVID-19 wards were reorganized by rapid screening and isolation of suspected patients;advantageous complementarities in nursing schedule,multi-mode standardized training,double insurance of oxygen supplier for patients during oxygen therapy,seamless supervision on hospital infection prevention,emphasis on physical and mental health of nursing staff were conducted.Results With the close cooperation of medical staff,the joint rescue and support model has been carried out smoothly.97 cases with COVID-19 were treated in wards from January 27 to March 15th,2020;84 cases(86.59%)were cured and discharged;1 patient died(1.03%).There was no nosocomial infection and cross infection among medical staff.Conclusion Amid the COVID-19 epidemic,the number of confirmed cases has risen sharply,while nurses of respiratory and critical care specialty were in shortage in reorganized hospitals.The implementation of the joint rescue model can achieve human resources support and professional technical support,improve the hospital conditions and deficiency of oxygen,increase the cure rate,avoid nosocomial infection,and promote physical and mental health of nursing staff.