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新冠病毒感染疫情期间全包制管理模式在血液透析中心的应用

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目的 探讨新冠病毒感染疫情期间全包式管理模式在血液透析中心应用效果.方法 通过建立应急防控体系、开展全员全程培训、调整优化工作流程,实行全包制管理模式,将所有透析患者按透析时间和使用机器以每8~10人划分为1个小组,每名责任护士承包1组.通过防护用品使用、诊疗流程、应急处置流程考核,观察透析周期内患者及陪伴人员疫情防控措施落实的依从性,调查透析患者和员工满意度,评价实施效果.结果 2020年2月1日—2022 年4月1日共完成血液透析65 520例次,未出现感染病例.实行全包制管理模式以来,各项考核合格率100%,疫情防控措施落实依从性明显提高(P<0.05);员工满意度由75.8%提高到97.0%,患者满意度由97.0%提高到99.6%(P<0.05).结论 实施全包制管理模式可有效提升医务人员新冠病毒感染疫情防范及应急处置能力.
Application of all-inclusive management mode in hemodialysis center during the epidemic of COVID-19
Objective To investigate the application effect of the all-inclusive management model in hemodialysis centers during the epidemic of COVID-19.Methods By establishing an emergency prevention and control system,carrying out full-course training for all staff,adjusting and optimizing the work process,and implementing an all-inclusive management model,all dialysis patients were divided into 8-10 groups according to dialysis time and machines.Each nurse contracted a group of patients.Assessment of the use of protective equipment,diagnosis and treatment procedures,and emergency response proceduresocess,implement of dialysis patients and companions for epidemic prevention and control measures,and the satisfaction of dialysis patients and employees were investigated to evaluate the implementation effect.Results From February 1,2020 to April 1,2022,a total of 65 520 hemodialysis cases were completed,and no infection cases occurred.Since the implementation of the all-inclusive management model,the qualification rate of various assessments was 100%,and the compliance with the implementation of epidemic prevention and control measures was significancant difference(P<0.05);employee satisfaction increased from 75.8%to 97.0%,and patient satisfaction increased from 97.0%to 99.6%(P<0.05).Conclusion The implementation of the all-inclusive management model can effectively improve the ability of medical staff to prevent and deal with COVID-19 epidemic.

COVID-19hemodialysismanagement mode

李彦、张启英、徐智渊、石丽君

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解放军第九六〇医院,山东济南 271000

泰安八十八医院

新冠病毒感染 血液透析 管理模式

2024

中国消毒学杂志
军事医学科学院疾病预防控制所,中华预防医学会

中国消毒学杂志

CSTPCD
影响因子:0.754
ISSN:1001-7658
年,卷(期):2024.41(2)
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