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新型冠状病毒感染疫情下急诊内科病区全员应急能力培训方案的构建和实践

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  • 上海交通大学医学院附属瑞金医院急诊科,上海 200025

收稿日期: 2022-05-11

  网络出版日期: 2022-04-25

基金资助

国家社会科学基金项目(19BGL245)

Construction and practice of emergency response capability training program for all staff in emergency medical ward under COVID-19:Emergency response strategy

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  • Department of Emergency, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China

Received date: 2022-05-11

  Online published: 2022-04-25

摘要

目的:构建一套新型冠状病毒(新冠)感染疫情(新冠疫情)下的急诊内科病区全员应急能力培训方案,并评价其临床应用效果。方法:采用文献回顾和线上会议研讨形式,构建急诊内科病区全员应急能力培训方案。方案包括培训制度、培训计划、培训大纲、培训课程、教学团队、培训教材、教学评价7个模块。针对医护人员、其他工作人员(护工、工勤、保洁)、患者和家属不同类别人员分别设计进阶版、基础版、科普版3个板块课程,培训内容紧密贴合不同人群防疫知识和技能需求。2022年4月5日至5月10日期间,运用该培训方案,通过调查问卷、口头提问、操作考核、现场巡查方式来评价比较培训前、后人员的应急能力情况和培训满意度,监测临床实际感染病例发生率。结果:培训后,医护人员对传染病突发事件的应对能力得分[(161.27±14.13)分]高于培训前[(143.38±23.10)分],差异均有统计学意义(P<0.05)。护工、保洁和工勤的“手卫生”和“隔离衣穿脱”合格率由培训前的62.5%提高至培训后的100.0%,口头提问回答合格率由培训前的50.0%提高至培训后的87.5%。患者和家属口罩正确佩戴率由培训前的66.1%提高至培训后的89.3%,手卫生规范率由培训前75.0%提高至培训后的92.0%。全员满意度测评得分为(16.36±2.03)分;病区自实施培训方案以来,无新冠感染病例。结论:本研究提出疫情期间整体动员的管理概念,构建的全员应急能力培训方案设置合理、可行,能有效提升新冠疫情时的急诊应急能力,实现全员参与医院感染防控,是保障病区疫情常态管控的有效措施,值得推广。

本文引用格式

蒋琰, 陈婷, 黄晨, 潘培倩, 景峰 . 新型冠状病毒感染疫情下急诊内科病区全员应急能力培训方案的构建和实践[J]. 诊断学理论与实践, 2022 , 21(02) : 189 -195 . DOI: 10.16150/j.1671-2870.2022.02.017

Abstract

Objective: To construct a training program on emergency response ability for all staff in emergency medical wards under COVID-19 epidemic, and to evaluate its clinical effect. Methods: A targeted training program for emergency response ability of all staff in the emergency medical ward was established through literature review, brain storming and online conference discussion. The scheme includes seven modules: training system, training plan, training outline, training course, teaching team, training materials and teaching evaluation. For medical staff, other staff (nursing workers, work attendance, cleaning), patients and family members of different categories of personnel, advanced version, basic version and popular science version are designed respectively, and the training content closely fitted the needs of epidemic prevention and skills required in different groups. During the period from April 5 to May 10, 2022, the training program was conducted to train the emergency response ability in all staff,and effect was evaluated using questionnaires invstigation before and after training, oral questions, operation assessment and on-site inspection, and the incidence of clinical actual infection was monitered. Results: The score after traning on response ability to infectious disease emergencies in medical staff( 161.27±14.13) was higher than before the training (143.38±23.10) (P<0.05). After the training, the qualified rate of "hand hygiene" and "wearing and taking off isolation clothes" in nursing workers, cleaning workers and work attendance increased from 62.5% (before the training) to 100.0%, and the qualified rate of oral question answering increased from 50.0% (before the training) to 87.5%. The correct wearing rate of masks for patients and their families increased from 66.1% to 89.3%, and the standard rate of hand hygiene increased from 75.0% to 92.0%. The score on satisfaction was (16.36±2.03), which indicates that all staff had a good experience of participating in the training process. There were no case of novel coronavirus infection. Conclusions: Under the background of COVID-19 epidemic, the whole staff-emergency capacity training program established in this study is reasonable and feasible, which can effectively improve the emergency capacity of personnel, urge everyone to participate in nosocomial infection prevention and control, and ensure the normal epidemic control in the ward.

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