分时段预约、分区管理模式在新冠病毒核酸采样中的应用效果  

Application Effect of Time-interval Appointment and Partition Management Mode in Nucleic Acid Sampling of Novel Coronavirus

作　　者：肖万玲[1] 操静 张淑琴 袁利君 钟燕琴 肖兵[1] 刘利平[1] 张艳兰[1] 张燕 XIAO Wan-ling;CAO Jing;ZHANG Shu-qin;YUAN Li-jun;ZHONG Yan-qin;XIAO Bing;LIU Li-ping;ZHANG Yan-lan;ZHANG Yan(The Third People's Hospital of Shenzhen,Guangdong Shenzhen 518112)

机构地区：[1]深圳市第三人民医院,广东深圳518112

出　　处：《深圳中西医结合杂志》2022年第3期130-133,共4页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:探讨分时段预约、分区管理模式在新冠肺炎定点收治医院综合门诊病毒核酸采样中的应用效果。方法:选取2020年4月11日至4月24日在深圳市第三人民医院综合门诊预约挂号就诊并进行病毒核酸采样的患者1773例作为观察对象,4月11日至17日未执行分时段预约、分区管理模式,设为“执行前”,4月18日至24日执行了分时段预约、分区管理模式,设为“执行后”,比较执行前后的采样人数及人员聚集情况。并采用简单随机抽样法,以自制问卷调查表调查200例患者的流行病学资料及焦虑、抑郁心理状态,对不同性别患者的焦虑、抑郁心理状态进行比较。结果:分时段预约、分区管理执行前,有780例患者进行了采样;执行后,有993例患者进行了采样,较执行前更多;执行后,采样1区共采集标本774例,采样2区采集标本219例,差异具有统计学意义(P<0.05)。分时段预约执行后的7 d中,8:00~9:00与9:00~11:00时间段的平均采样人数均多于执行前7 d,差异均具有统计学意义(P<0.05);在抽样调查的200例患者中,有焦虑、抑郁心理者占62.00%,其中明显感到“紧张不安”的比例达到47.00%。男性中有焦虑、抑郁心理者的占比为65.91%,高于女性的54.41%,差异具有统计学意义(P<0.05)。结论:在新冠肺炎病毒核酸采样中采取分时段预约、分区管理模式,可以有效减少患者及家属聚集现象,防止交叉感染。同时护士有针对性地对焦虑患者进行心理疏导,能有效缓解患者的心理压力及焦虑抑郁负面情绪。Objective To explore the application effect of time-interval appointment and partition management mode in virus nucleic acid sampling in general outpatient clinics of designated hospitals for COVID-19.Methods A total of 1773 patients with viral nucleic acid sampling who make an appointment to the general outpatient department of the Third People's Hospital of Shenzhen from April 11 to April 24,2020 were selected as the observation objects.The time-segment appointment and zoning management mode was not implemented from April 11 to 17,which was set as"before implementation".The time-segment reservation and partition management mode was implemented from April 18 to 24,which was set as"after implementation"to compare the number of samples and the situation of personnel gathering before and after implementation.The epidemiological data and psychological state of anxiety and depression of 200 patients were investigated by using simple random sampling method and self-made questionnaire,and the psychological state of anxiety and depression of different genders were compared.Results 780 patients were sampled before the implementation of time-segment appointment and partition management;After execution,993 patients were sampled,more than before;After execution,774 samples were collected from sampling area 1 and 219 samples were collected from sampling area 2,the differences were statistically significant(P<0.05).In the 7 days after the time-segment reservation,the average number of samples from 8:00 to 9:00 and from 9:00 to 11:00 were more than those from the first 7 days,the differences were statistically significant(P<0.05).In the sample survey of 200 patients,anxiety and depression accounted for 62.00%,and the proportion of obvious feeling"nervous"reached 47.00%.The proportion of anxiety and depression in male was 65.91%,higher than 54.41%in the female,the differences were statistically significant(P<0.05).Conclusion In the nucleic acid sampling of COVID-19 virus,the management mode of time-segment appointment and parti

关 键 词：新冠肺炎 病毒核酸采样 分时段预约 分区管理 

分 类 号：R183.3[医药卫生—流行病学] R197.32[医药卫生—公共卫生与预防医学]