常态化疫情防控机制下综合医院探视陪护管理

Management of visitors and inpatients attendants in general hospitals while carrying out regular COVID- 19 prevention and control

目的探讨常态化疫情防控机制下综合医院探视陪护管理小组的构建、运行及成效。方法护理部联合医院感染控制中心、信息网络中心等多部门共同组建探视陪护管理小组,开展制度制定、流程改进、培训督查,研发电子住院证、电子陪护证等。统计6个月运行效果。结果督查患者22147例次,一患一陪落实率99.34%,患者总体满意度与住院环境满意度显著提高(均P<0.01),电梯单程运行时间和乘坐人次显著减少(均P<0.01);电子住院证已在53个护理单元应用,累计使用76116例次;其余护理单元已经完成应用培训,拟分批应用。结论探视陪护管理小组的构建和运行符合常态化疫情防控要求,能使医患双方获益。

Objective To explore the effect of running a team for management of visitors and inpatients attendants in general hospitals while carrying out regular COVID-19 prevention and control.Methods A multi-disciplinary team was composed of personnel from the Departments of Nursing,Infection Control,and Network and Information Center,etc.,and was designated to manage visitors and inpatients attendants.The team members cooperated to formulate rules and regulations,improve process,conduct training and supervision,and design electronic identification(ID)card for inpatients and attendants.The effect was evaluated after 6 months of intervention.Results The total surveillance counts were 22147,and the implementation rate of"one patient having one attendant"was 99.34%.The overall patient satisfaction and satisfaction with the hospitalization environment were significantly enhanced,whereas the elevator single trip time and the number of passengers were significantly reduced(P<0.01 for all).The electronic ID cards were utilized in 53 nursing units,with the total usage counts of 76116.Training on how to use the electronic ID card was completed in the rest nursing units that would be scheduled to use it.Conclusion Running a team for management of visitors and inpatients attendants in general hospitals meets the requirements of COVID-19 prevention and control,which can benefit not only the medical staff but also the patient.