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目的 探索医院精神科住院部应对新型冠状病毒肺炎疫情防控的护理管理。方法 精神科住院部在2020年1月21日—2月29日新型冠状病毒肺炎疫情期间,采取严格掌握患者入院指征和严格执行陪护探视制度控制人员聚集;通过体温监测和流行病学筛查关卡设置防止疫情输入;对住院患者进行分区收治、分级防护防范院内交叉感染;制定精神科住院患者疫情排查处置流程、通过首次排查和每日排查进行动态疫情防控;调整住院患者外出转运带送、专科治疗用药、院内外康复管理等工作流程落实防控措施;采取多种形式的疫情防控健康教育和心理支持,严格执行精神科护理风险管理、巡视制度、分级护理等护理核心制度,确保患者安全。结果 精神科住院部日均在床住院患者421例,累计开展新入院及在院患者新型冠状病毒肺炎每日排查16 840例次,排查率为100%,带送患者外出转运506例次,未发现新型冠状病毒肺炎疑似和确诊病例、无院内交叉感染,未发生住院患者自杀自伤、肇事肇祸、擅自离院等护理安全事件。结论 精神科住院部应对新型冠状病毒肺炎疫情防控的护理管理成效明显,具有可操作性。 相似文献
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<正>新型冠状病毒严重危害全球公众健康。2019年12月发现多例新型冠状病毒肺炎(COVID-19)病例,此后疫情迅速蔓延至全球,造成大量的感染和死亡病例,对全球公共卫生安全造成巨大的威胁。COVID-19在全球范围内大流行,它以指数速率蔓延,目前尚无有效的药物治疗这种疾病,新型冠状病毒的疫苗对于遏制COVID-19的传播,改善全球健康至关重要。在中国新型冠状病毒传播的基本再生数(R0)为2.40,疫苗接种率达到83.3%可形成群体免疫。 相似文献
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新型冠状病毒肺炎流行期间,为满足非新冠肺炎患者就医需求,避免院内感染,我院主院区门诊设置了综合缓冲区。通过实施环境布局及设备管理、工作人员管理及患者管理等举措,在该区域对无发热拟入院患者及其陪护人员进行实验室及影像学排查,可疑患者留观区单间隔离排查。在门急诊和非新冠肺炎病区间建立了缓冲区域,进一步完善了院内防控屏障,保障了患者安全及医院平稳运行。 相似文献
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新型冠状病毒(SARS-CoV-2)引起的新型冠状病毒肺炎(COVID-19)对整个世界乃至人类健康体系造成了巨大影响,目前对SARS-CoV-2甚至冠状病毒的了解还不够充分。1流行病学冠状病毒是一类包膜RNA病毒,冠状病毒的系统分类为冠状病毒科,属于冠状病毒属。由于冠状病毒有广泛宿主特征,以及其自身的复杂基因组进化结构,在生物进化的过程中很容易发生重组和遗传变异,呈现出生物遗传上的多样性。新亚型和新的冠状病毒不断结合存在,使该冠状疾毒至少能够同时发生一种跨越亲属型的感染,预防和早期治疗困难较大[1]。 相似文献
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[目的]探讨初步构建一套科学、全面、客观的防控新型冠状病毒感染的护理质量指标体系。[方法]通过文献检索、国家政策指引等在三维质量结构理论基础上初步拟定护理质量指标,应用德尔菲专家函询法及层次分析法对指标进行初筛并确定指标权重,最终建立新型冠状病毒感染防控的护理质量指标体系。[结果]经过两轮函询,各级指标专家意见趋于一致,最终确定新型冠状病毒感染防控护理质量指标一级指标3项(结构指标、过程指标和结果指标),二级指标26项,三级指标102项。[结论]该指标体系的构建可规范管理新型冠状病毒感染防控各项工作,为各医疗机构评价新型冠状病毒感染防控护理工作提供客观、可量化依据。 相似文献
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[目的]探讨肿瘤内科应对新型冠状病毒肺炎疫情以"零感染"为目标的防控策略。[方法]根据新型冠状病毒肺炎流行病学特征及国家卫生健康委员会发布的诊疗方案结合医院防控工作实际,从就诊病人及工作人员2个方面制定,从疫情防控培训、病人分流、预检筛查、流程制定、病房管理、病人教育、人员调配等方面综合考虑。[结果]2020年1月21日—2月13日肿瘤内科病房工作人员全员参与院内疫情防控培训,疫情防控知识掌握达标率100.0%。病人的标准防护知识掌握率从最初的45.5%提高到100.0%。口罩选择知晓率由75.6%提高到100.0%。口罩佩戴使用正确率从80.6%提高至100.0%。工作人员及病人均未感染新型冠状病毒。[结论]肿瘤内科由于疾病的特殊性及病人的易感性,成为了新型型冠状病毒肺炎的高危科室,作为新型冠状病毒肺炎定点救治综合医院中的普通病房,合理有效的防控策略可以提高病区对突发传染性疾病的防控能力。 相似文献
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目的 通过回顾性分析不同类型新冠肺炎患者的临床资料,探讨新冠肺炎的临床病例特点。方法 收集我院119例非危重症新冠肺炎患者和30例危重症新冠肺炎患者基本人口学特征、基础疾病、临床表现,以及重要检验指标,对两组患者数据进行统计学分析。结果 两组之间不存在性别差异,危重症患者以高龄者居多,临床表现均以单个症状者较少,大多是数个症状共同或先后出现,但危重症患者程度更严重。新冠肺炎常伴有基础疾病,其中最多为高血压病,其次是冠心病及2型糖尿病,而51.3-63.3%的患者往往同时患有高血压病、冠心病及2型糖尿病等多种疾病。另外还发现,危重症患者淋巴细胞计数、淋巴细胞百分比明显低于非危重症患者,而白细胞计数、白细胞百分比、C反应蛋白、降钙素原,肌酸激酶、肌酸激酶同工酶、乳酸脱氢酶及α-羟丁酸脱氢酶等指标,危重症患者则明显高于非危重症患者。结论 和非危重症新冠肺炎患者相比,危重症新冠肺炎患者年龄更大,临床表现和基础疾病更多、程度更重,炎性反应更明显,对肺、心及肝等重要器官功能影响更显著。 相似文献
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Louis Larrouquere Manon Gabin Emmanuelle Poingt Amelle Mouffak Alex Hlavaty Marion Lepelley Charles Khouri Alexandre Bellier Joachim Alexandre Pierrick Bedouch Laurent Bertoletti Regis Bordet Béatrice Bouhanick Annie-Pierre Jonville-Bera Silvy Laporte Claire Le Jeunne Louis Letinier Joëlle Micallef Florian Naudet Matthieu Roustit Mathieu Molimard Vincent Richard Jean-Luc Cracowski 《Fundamental & clinical pharmacology》2020,34(3):389-396
On March 16, 2020, the French Society of Pharmacology and Therapeutics put online a national Question and Answer (Q&A) website, https://sfpt-fr.org/covid19 on the proper use of drugs during the COVID-19 pandemic. The working group ‘Drugs and COVID-19’ was composed of a scientific council, an editorial team, and experts in the field. The first questions were posted online during the first evening of home-confinement in France, March 17, 2020. Six weeks later, 140 Q&As have been posted. Questions on the controversial use of hydroxychloroquine and to a lesser extent concerning azithromycin have been the most consulted Q&As. Q&As have been consulted 226 014 times in 41 days. This large visibility was obtained through an early communication on Twitter, Facebook, traditional print, and web media. In addition, an early communication through the French Ministry of Health and the French National Agency for Medicines and Health Products Safety ANSM had a large impact in terms of daily number of views. There is a pressing need to sustain a public drug information service combining the expertise of scholarly pharmacology societies, pharmacovigilance network, and the Ministry of Health to quickly provide understandable, clear, expert answers to the general population’s concerns regarding COVID-19 and drug use and to counter fake news. 相似文献
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Masahide Hamaguchi Tetsuya Nojiri Takuro Okamura Yoshitaka Hashimoto Akiyoshi Hanai Shota Narisawa Emi Ushigome Naoko Nakanishi Michiaki Fukui 《Journal of Clinical Biochemistry and Nutrition》2021,69(3):305
The spread of coronavirus disease 2019 (COVID-19) has led to drastic changes in people’s lifestyles, including teleworking and restrictions on socializing. In the context of observing social distancing for preventing infection, the need to maintain fitness and health has attracted particular attention. We aimed to determine the relationship between the increase in the number of active users of online diet management applications and COVID-19 infection rates in Japan. A total of 1.5 million rows of log data was analyzed. The active number of users of online diet management applications increased with increase in the number of COVID-19 infections. The active user number in Kanagawa Prefecture, where the first cases of COVID-19 were reported in Japan, was particularly high. Moreover, there was a significant increase in the user number in prefectures under a state of emergency when compared to that in prefectures not under a state of emergency. The social anxiety caused by COVID-19 is expected to increase the demand for online health management applications further. The use of such programs can aid in achieving social distancing while enabling users to maintain healthy lifestyles. 相似文献
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《国际护理科学(英文)》2020,7(2):143-147
ObjectiveThis article summarizes the experience in the prevention and control of coronavirus disease 2019(COVID-19) epidemic in non-isolated areas in a general hospital.MethodsBased on refined management theory, we professionally developed the standards for prevention and control of COVID-19 in non-isolated areas, systematically implemented various prevention and control measures, performed gridding audits, effectively communicated among teams and between medical staff and patients assisted by information techniques, and reported results for quality improvement.ResultsThere was no hospital-acquired COVID-19 infections among staff in the hospital. The rates of mask-wearing, epidemiological history screening, and the medical supplies disinfection were all 100% in the hospital. The accuracy rate of mask-wearing of patients and their families was 73.79% and the compliance rate of their hand hygiene was 40.78%.ConclusionRefined management strategies for the prevention and control of COVID-19 infection in non-isolated areas of the general hospital are effective. The accuracy rate of mask-wearing and hand hygiene compliance of patients and their families need to be further improved. 相似文献
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以苏州市吴江区第四人民医院为研究对象,分析新型冠状病毒肺炎疫情下家庭医师团队在社区网格化防控中的优势及不足。笔者认为家庭医师团队在新型冠状病毒肺炎疫情社区网格化防控中有不可替代的作用,但仍需提高家庭医师团队综合能力,以利于突发公共卫生事件应急保障制度的不断完善。 相似文献
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在新型冠状病毒肺炎(简称新冠肺炎)疫情期间,我院基于智能移动办公系统平台构建重大疫情防控护理信息化管理新模式,实现重大疫情防控时护理人力资源管理、防控及心理知识培训、应急物资管理、质量管理、相关信息筛查的线上管理,构筑了抗击疫情的"堡垒",保障了医疗救治工作安全、有序、高效的开展,实现了医护工作者与患者零感染的目标。因此,本文对基于智能移动办公系统平台构建康复医院重大疫情防控的护理信息化管理新模式进行介绍,旨在为康复类医院重大疫情防控护理管理提供参考。 相似文献