某三甲医院新冠肺炎感染防控应急预案实施情况调查  

Investigation on the implementation of contingency plan for COVID-19 infection prevention and control in a tertiary level hospital

作　　者：左静[1] 刘晟[1] 陈雨[1] 徐丽[1] 郑婷婷 范慧[2] ZUO Jing;LIU Sheng;CHEN Yu;XU Li;ZHENG Tingting;FAN Hui(Department of Cardiology II,Renmin Hospital of Wuhan University,Wuhan,Hubei 430060,China;不详)

机构地区：[1]武汉大学人民医院心内Ⅱ科,湖北武汉430060 [2]武汉大学人民医院呼吸与危重医学科,湖北武汉430060

出　　处：《中国国境卫生检疫杂志》2023年第5期472-475,共4页Chinese Journal of Frontier Health and Quarantine

摘　　要：目的 调查某三甲医院职工对新冠病毒感染防控应急预案实施情况,分析实施效果。方法 采用便利抽样方法选取武汉大学人民医院参与新冠肺炎疫情防控的医院职工1 826名,采用问卷调查方式了解医院职工在应急预案实施前后对防控知识的掌握情况。结果 与实施前比较,应急预案实施后预检分诊评分(13.94±1.52 vs 18.46±1.34)、患者救治评分(15.26±1.35 vs 17.05±1.37)、院感控制评分[(13.46±1.04) vs (18.84±1.16)]、检测能力评分[(15.73±1.30) vs(18.64±1.02)]、后勤保障评分[(14.26±1.34) vs (18.72±1.23)]等防控质量评分均升高(P<0.05);实施前不同类别医院职工对新冠肺炎防控知识掌握程度评分无明显差异(P>0.05),实施后医院职工对新冠肺炎防控知识掌握程度评分均升高[(63.20±11.92) vs (84.18±15.03)],且医护人员、年龄≤45岁、工作在重点区域(发热门诊、急诊科、ICU)者对防控知识掌握程度评分分别高于后勤及其他人员、45岁以上、普通区域(普内科、普外科及其他区域),差异有统计意义(P<0.05)。结论 新型冠状病毒感染防控应急预案实施能有效提高医院职工对新冠肺炎防控知识的掌握程度,提高疫情防控质量。Objective To investigate the implementation of contingency planning for SARS-CoV-2 infection prevention and control in a tertiary level hospital,and to discuss the effectiveness of the implementation.Methods A convenient sampling method was used to enroll 1 826 hospital staff involved in the prevention and control of COVID-19epidemic in Renmin Hospital of Wuhan University.A questionnaire was distributed to find out the acquisition of knowledge for the infection prevention and control in hospital staff before and after the implementation of contingency planning.Results Compared with the pre-implementation period,there was an increase in the quality scores for COVID-19 prevention and control after implementation,such as pre-inspection and triage [(13.94±1.52) vs(18.46±1.34)],patient treatment [(15.26±1.35) vs(17.05±1.37)],nosocomial infection control [(13.46±1.04) vs(18.84±1.16)],testing capability [(15.73±1.30) vs(18.64±1.02)] and rear-service ensurance [(14.26±1.34) vs(18.72±1.23)],with statistical difference(P<0.05).The scores of knowledge acquisition for COVID-19 prevention and control had no statistical difference among staff in different departments before implementation(P 0.05),while an increase was observed in the knowledge acquisition scores on COVID-19 prevention and control among hospital staff after implementation [(63.20±11.92) vs(84.18±15.03)],furthermore,those of medical and nursing staff,age≤45 years old,and working in high-risk departments(fever clinic,emergency department,ICU) all scored higher than the staff of service ensurance and other departments,age45 years old,working in common departments(general medicine,general surgery and other departments),with statistically significant differences(P<0.05).Conclusion The implementation of contingency planning for COVID-19 infection prevention and control could effectively improve the knowledge acquisition in hospital staff and improve the quality of prevention and control.

关 键 词：新冠肺炎 感染防控 调查 应急预案 

分 类 号：R181.8[医药卫生—流行病学]