新冠肺炎疫情期间住院患者陪护人员防护行为调查

 

目的 了解新型冠状病毒肺炎疫情期间住院患者陪护人员防护行为现状，以及陪护人员防护知识水平。方法 采用便利抽样法，选取2020年2月3-6日某三级甲等综合医院肿瘤科、呼吸科、血液科、骨科非确诊或疑似新型冠状病毒肺炎患者的陪护人员为研究对象。采用现象学研究法及自行设计的防控知识调查问卷进行调查。结果 共发放问卷208份，有效回收率为100%。研究人员直接观察结果显示，佩戴口罩执行率为84.62%（176/208），佩戴口罩正确率为50.57%（89/176）。手卫生执行率为75.00%（156/208），正确率为22.44%（35/156）。病房通风执行率达100%，90.38%的陪护人员能够做到每日2次病房通风。防护知识水平问卷调查显示，陪护人员对新型冠状病毒肺炎临床表现认识的正确率最高，达98.08%；仅50.48%的陪护人员认为75%乙醇可以杀灭新型冠状病毒；46.15%的陪护人员认为自己体温升高有必要告知医护人员；有8名被调查陪护人员认为可以和认识的亲朋好友聚众聊天。结论 陪护人员防护行为执行正确率较低，病区应重视对陪护人员进行新型冠状病毒肺炎防控知识与行为的教育，以提高其防护执行正确率，从而避免医院聚集性疫情发生。

Protection behavior of accompanying visitors of hospitalized patients during COVID-19 epidemic period

Objective To understand status of protection behavior and protection knowledge level of accompanying visitors of hospitalized patients during the epidemic period of coronavirus disease 2019 (COVID-19). Methods Convenient sampling method was adopted to select accompanying visitors of non-confirmed or suspected COVID-19 patients in departments of oncology, respiratory, hematology, and orthopedics of a tertiary first-class hospital from February 3 to February 6, 2020 as studied subjects. Phenomenological research method and self-designed questionnaire about prevention and control knowledge were used for survey. Results A total of 208 questionnaires were sent out, and effective respond rate was 100%. Direct observation of researchers showed that implementation rate and correct rate of wearing masks were 84.62% (176/208) and 50.57% (89/176) respectively. Implementation rate and correct rate of hand hygiene were 75.00% (156/208) and 22.44% (35/156) respectively. Implementation rate of ward ventilation was 100%, 90.38% of the accompanying visitors ventilated wards twice a day. Questionnaire of protection knowledge level showed that accompanying visitors had the highest correct rate in knowing clinical manifestations of COVID-19, which was 98.08%; only 50.48% of accompanying visitors thought that novel coronavirus (2019-nCoV) could be killed by 75% alcohol; 46.15% of accompanying visitors thought it was necessary to inform medical staff of their temperature rise; 8 accompanying visitors thought they could get together to chat with friends and relatives. Conclusion The correct implementation rate of protection behavior of accompanying visitors is low, education on COVID-19 prevention and control knowledge and behavior among accompanying visitors should be emphasized in ward area, so as to improve correct implementation rate of protection behavior, and avoid the occurrence of hospital clustering epidemic.