基于社会网络分析法的方舱医院感染防控风险问题识别及策略分析  

Risk and strategy analysis of makeshift hospital infection prevention and control based on social network analysis

作　　者：刘莹 宁宁[1] 王冰洁 张宁 LIU Ying;NING Ning;WANG Bingjie;ZHANG Ning(School of Health Administration,Harbin Medical University,Harbin Heilongjiang 150081,China)

机构地区：[1]哈尔滨医科大学卫生管理学院,黑龙江哈尔滨150081

出　　处：《中国急救复苏与灾害医学杂志》2024年第1期20-23,64,共5页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：国家自然科学基金(编号:71874044);黑龙江省自然科学基金(编号:LH2021G016)。

摘　　要：目的 筛选我国方舱医院感染防控实践存在的风险问题,为健全方舱医院感染防控体系提供参考。方法 以中国知网检索文献中提炼出29个方舱医院感染防控风险问题为依据,运用社会网络分析法对方舱医院感染防控风险问题网络从网络密度、点度中心度、中间中心度三个角度进行分析。结果 方舱医院感染防控风险问题网络交互度不高(0.393),社会网络点度中心度排名前3位的节点为缺乏可供参考的感染管理模式(23.00)、基于大型体育馆改建三区两通道设计不合规范(23.00)、第三方工作人员基本感染防控知识不足(23.00),中间中心度排名前3的节点为基于大型体育馆改建三区两通道设计不合规定(142.245)、专业化感染防控培训不足(51.625),第三方工作人员基本感染防控知识不足(49.595),主要位置节点重复表明未来该领域的研究趋向。结论 方舱医院感染防控受到多方面风险因素掣肘,强化方舱医院感染防控内部结构建设与感染防控运行质量,是方舱医院感染防控领域亟待解决的热点问题。Objective To screen the risk problems in the prevention and control practice of makeshift hospital infection in China,and to provide reference for improving the prevention and control system of makeshift hospital infection.Methods Based on 29 risk problems of infection prevention and control in makeshift hospitals extracted from the literature of CNKI,social network analysis was used to analyze the risk network of infection prevention and control in makeshift hospitals from three perspectives:network density,point degree centrality and middle centrality.Results The network interaction degree of infection prevention and control risk in makeshift hospitals was not high(0.393),the top three nodes in social network degree centrality were lack of infection management model for reference(23.00),non-standard design of three-zone and two-channel reconstruction based on large stadiums(23.00),and lack of basic knowledge of infection control by third-party staff(23.00).The top three nodes in the middle centrality ranking were the non-standard design of three zones and two channels based on the reconstruction of large stadiums(142.245),insufficient professional sensory control training(51.625),and insufficient basic sensory control knowledge of third-party staff(49.595).Repeated nodes in major locations indicated the research trend in this field in the future.Conclusion Infection prevention and control in makeshift hospitals is constrained by many risk factors.Strengthening the internal structure construction and operation quality of sensory control in makeshift hospitals is a hot issue in the field of infection prevention and control in makeshift hospitals.

关 键 词：方舱医院 感染防控 社会网络分析法 M-SHEL模型 

分 类 号：R19[医药卫生—卫生事业管理]