克州地区新冠肺炎流行期发热门诊管理模式探讨

Discussion on the management mode of fever clinic in COVID-19 epidemic period in Kezhou region

探究在新冠肺炎流行期克州人民医院发热门诊管理模式优化及效果。对1950例(2020年1—3月)在发热门诊就诊的患者,依据是否具有流行病学史分为对照组(无流行病学史)和观察组(有流行病学史),给予患者分区治疗,为所有患者行高质量的门诊管理服务工作,优化门诊管理模式并进行相关评价。结果显示,观察组患者发病年龄较低、候诊时间较短、发热患者数量较少,CT检查比例、CT检查显示病毒性肺炎比例、核酸检测比例、入院率等较高,与对照组比较差异均有统计学意义(P<0.05),且两组患者均未发生交叉感染;两组患者的管理质量评分、满意度等差异无统计学意义。门诊管理流程优化前后,门诊护理人员的护理技能水平、护理态度均有所提高,但相比于管理流程优化前,差异无统计学意义。在新冠肺炎疫情期间,发热门诊应不断调整运行模式,提升医务工作人员的专业技能以及突发事件应对能力,依据患者流行病学史实现患者的分区管理,进而加强患者分区预防管理力度,预防患者出现交叉感染。

To explore the optimization of the fever clinic management mode in COVID-19 epidemic period and its effect in Kezhou Peoples Hospital.1950 patients who visited the fever clinic between January to March 2020,were divided into the control group and the observation group according to whether they had epidemiological history.Patients were treated in different zones,and all patients were provided with high-quality outpatient management services to optimize the outpatient management mode.Results showed that in the observation group patients had lower onset age and shorter waiting time;the number of patients with fever was smaller;the ratio of CT examination,viral pneumonia revealed by CT examination,and nucleic acid detection was higher;and the admission rate was also higher.The differences in the value of those previously mentioned indicators between the observation and control group were all of statistical significance(P<0.05).No cross infection occurred in the two groups.There was no significant difference in the management quality score and satisfaction between the two groups.During the COVID-19 epidemic period,the fever clinic should constantly adjust its operation mode,improve professional skills and emergency response ability of medical staff,conduct zoning management of patients according to their epidemiological history,and then strengthen the zoning prevention management of patients to prevent cross infection.