常态化新型冠状病毒感染疫情防控下综合医院缓冲病区收治患者的特点及管理实践  

Characteristics and management approaches of patients admitted to isolation ward in public general hospitals under regular epidemic prevention and control of coronavirus disease 2019

作　　者：郭春霞 王凤林[1] 翁雨雄[2] 王莉霞[2] 王华 李伟[1] 郑昕[1] 夏家红[3] Guo Chunxia;Wang Fenglin;Weng Yuxiong;Wang Lixia;Wang Hua;Li Wei;Zheng Xin;Xia Jiahong(Department of Infectious Diseases,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China;Medical Affairs Office,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China;President Office,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院感染性疾病科,武汉430022 [2]华中科技大学同济医学院附属协和医院医务办公室,武汉430022 [3]华中科技大学同济医学院附属协和医院院长办公室,武汉430022

出　　处：《中华传染病杂志》2023年第9期588-592,共5页Chinese Journal of Infectious Diseases

摘　　要：目的探讨常态化新型冠状病毒感染(COVID-19)疫情防控下综合医院缓冲病区收治患者的特点及管理经验模式。方法纳入2020年5月14日至2021年4月15日华中科技大学同济医学院附属协和医院缓冲病区收治的所有患者, 分析其一般资料、病情程度、初步诊断和转出科室情况。结果缓冲病区收治的2 292例患者中, 危重症患者787例(34.34%);外科系统患者1 835例(80.06%), 内科系统患者457例(19.94%);发热患者259例(11.30%)。所有2 292例患者均顺利完成排查, 未发现COVID-19患者。2 201例患者快速(平均0.55 d转出)分流至相关专科诊治;91例患者从缓冲病区出院, 平均住院日为1.27 d。缓冲病区的患者与医务人员均未出现新型冠状病毒交叉感染的情况。结论科学、高效地管理缓冲病区能确保患者得到及时、有效的救治, 同时实现医务人员和就诊患者零感染。Objective To investigate the characteristics and management approaches of patients admitted to the isolation wards in public general hospitals under regular epidemic prevention and control measures of coronavirus disease 2019(COVID-19).Methods All patients admitted to the isolation ward in Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,from May 14,2020 to April 15,2021 were enrolled,and the general information,illness severity,preliminary diagnosis and transfer department of the patients were analyzed.Results Out of the 2292 patients admitted to the isolation ward,critical patients accounted for 34.34%(787 cases),surgical system patients accounted for 80.06%(1835 cases)and internal medicine system patients accounted for 19.94%(457 cases),fever patients accounted for 11.30%(259 cases).All patients successfully completed COVID-19 screening,and no COVID-19 patients were detected.Among the total enrolled patients,2201 patients were promptly transferred to the corresponding departments for further treatment,with an average transfer time of 0.55 day.The remaining 91 patients were discharged from the isolation ward with an average hospitalization stay of 1.27 days.Notably,there were no COVID-19 cross-infection occurred between patients and medical staff in the isolation ward.Conclusions Scientific and efficient management of isolation wards ensure timely screening and effective treatment for patients,and simultaneously achieving"zero"infection for both medical staff and patients.

关 键 词：新型冠状病毒 常态化疫情防控 缓冲病区 管理策略 

分 类 号：R512.99[医药卫生—内科学]