精神科住院部新型冠状病毒肺炎疫情防控期间的护理管理

doi:10.16460/j.issn1008-9969.2020.14.054

摘要/Abstract

摘要： 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。

关键词: 新型冠状病毒肺炎, 公共卫生事件, 精神科, 护理管理

Abstract: Objective To summarize the nursing experience of psychiatric inpatient department in response to COVID-19 epidemic prevention and control. Methods From January 21th 2020 to February 29th 2020, we summarize the nursing experience in psychiatric inpatient department during the outbreak of COVID - 19. During this public health emergency, the admission indications of patients and accompanying visits were strictly controlled to prevent unnecessary gathering; temperature monitoring and epidemiological history survey were conducted to prevent epidemic input; the inpatients were treated in different areas and protected in different levels to prevent in-hospital cross infection; dynamic epidemic prevention and control was carried out through formulating the process of epidemic screening in psychiatric department and the first and daily screening; prevention and control measures including adjusting the work flow of in-patient transport, special treatment and medication, rehabilitation management inside and outside the hospital were implemented; various forms of health education and psychological support for epidemic prevention and control were provided to enhance the awareness and compliance of inpatients. At the same time of epidemic prevention and control, we strictly implemented the core nursing systems including psychiatric nursing risk management, patrol system and hierarchical nursing to ensure the safety of patients. Results There were 421 inpatients per day in inpatient psychiatric department and a total of 16,840 cases were screened for COVID-19 for the first time and daily screening, with a screening rate of 100%. There were 506 cases of patients transported; no suspected or confirmed COVID-19 cases were found and no nosocomial cross-infection occurred. There were no nursing safety incidents such as suicide, accidents or leaving hospital without authorization. Conclusion Nursing management in inpatient psychiatric department in response to COVID-19 epidemic prevention and control are effective and practicable.

Key words: COVID-19, public health event, psychiatry department, nursing management

中图分类号:

王玉秀, 张瑞珂. 精神科住院部新型冠状病毒肺炎疫情防控期间的护理管理[J]. 护理学报, 2020, 27(14): 54-58.

WANG Yu-xiu, ZHANG Rui-ke. Nursing Management in Psychiatric Inpatient Department in Prevention and Control of COVID-19[J]. Journal of Nursing, 2020, 27(14): 54-58.

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