新型冠状病毒肺炎疫情期间医院应对情况调查

Hospital response during the epidemic of COVID-19: an online survey

目的了解全国各级医院对新型冠状病毒肺炎(以下简称新冠肺炎)疫情的应对现状,规范急诊科及发热门诊对未来突发疫情的接诊流程、干预策略与评价体系.方法使用问卷星APP于2020年2月25日至3月4日对我国904所二级及三级医院的医务人员进行问卷调查,主要包括:一般情况、新冠肺炎基础知识、患者急诊就诊流程、疑似患者转运、个人防护措施、发热门诊建设6个维度,后统计分析.调查期间,问卷浏览量10823次,共收到反馈问卷2816份,剔除无效问卷,共收到有效问卷2633份,问卷有效率为93.50%.结果参与调查的医务人员对新冠肺炎的基础知识、患者急诊就诊流程及疑似患者转运较为熟悉(得分率>70%),对发热门诊建设的内容熟悉程度次之(得分率50%~70%),个人防护措施熟悉程度最低(得分率<50%).二级医院在个人防护措施、发热门诊建设方面较三级医院差,二级医院在疑似患者转运方面优于三级医院(P<0.05).新冠肺炎患者定点收治医院总得分评级较非定点医院高(χ^2=44.405,P<0.001).42%医务人员希望能够保证物资供应,以便加强个人防护;10%医务人员希望加强发热门诊建设;7%医务人员希望增加新冠肺炎定点收治医院数量.结论我国应进一步做好疫情期间医务人员的个人防护措施,加强发热门诊等薄弱环节的建设,从远期防控的角度着眼提升各级医院对未来突发疫情的紧急处置能力.

Objective To investigate the current status of coronavirus disease 2019(COVID-19)in hospitals at all levels in the country and to standardize the admission processes,intervention strategies and evaluation systems for future outbreaks in emergency departments and fever elinics.Methods The WJX APP was used to conduct a qucstionnaire survey on medical staff in 904 sccondary and tertiary hospitals in China from February 25 to March 4,2020.Six dimensions mainly including general information,basic knowledge of COVID-19,patient emergency treatment procedures,the transfer of suspected patients,personal protective measures,and fever clinic construction were analyzed statistically.During the investigation,the questionnaire was viewed 10823 times;2816 questionnaires were collected,including 2633 valid ones after eliminating invalid ones.The questionnaire validity rate was 93.50%。Results The medical staff participating in the survey were familiar with the basic knowledge of COVID-19,the emergency treatment process of patients,and the transfer of suspected patients(score rate>70%).They were the second most familiar with the content of fever clinic construction(score rate 50%~70%)。They were the least familiar with personal protection measures(score rate<50%).The second-level hospitals were inferior to the third-level hospitals in terms of personal protection measures and the construction of fever clinie.The second-level hospitals were superior to the third-level hospitals in the transfer of suspected patients(P<0.05).The rating of the total scores of designated hospitals for patients with COVID-19 were higher than those of non-designated hospitals,and the diference was staistically signifcant(χ^2=44.405,P<0.001).42%of medical personnel hoped to ensure the supply of materials in order to strengthen personal protection;10%hoped to strengthen the construction of fever clinics;7%hoped to increase the number of COVID-19 designated hospitals.Conclusion China should further improve personal protection measures during the epidemic,strengthen the construetion of fever clinics and improve the emergency treatment capabilities of hospitals at all levels in the light of long-term prevention and control.