分时段预约、分区管理模式在新冠病毒 核酸采样中的应用效果
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(深圳市第三人民医院,广东 深圳 518112)

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肖万玲,女,主任护师,主要从事护理管理及内科护理工作。

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R 183.3;R 197.32

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Application Effect of Time-interval Appointment and Partition Management Mode in Nucleic Acid Sampling of Novel Coronavirus
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(The Third People's Hospital of Shenzhen, Guangdong Shenzhen 518112)

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    摘要:

    〔摘 要〕 目的:探讨分时段预约、分区管理模式在新冠肺炎定点收治医院综合门诊病毒核酸采样中的应用效果。 方法:选取 2020 年 4 月 11 日至 4 月 24 日在深圳市第三人民医院综合门诊预约挂号就诊并进行病毒核酸采样的患者 1773 例作为观察对象,4 月 11 日至 17 日未执行分时段预约、分区管理模式,设为 “ 执行前 ”,4 月 18 日至 24 日执 行了分时段预约、分区管理模式,设为 “ 执行后 ”,比较执行前后的采样人数及人员聚集情况。并采用简单随机抽样法, 以自制问卷调查表调查 200 例患者的流行病学资料及焦虑、抑郁心理状态,对不同性别患者的焦虑、抑郁心理状态进 行比较。结果:分时段预约、分区管理执行前,有 780 例患者进行了采样;执行后,有 993 例患者进行了采样,较执 行前更多;执行后,采样 1 区共采集标本 774 例,采样 2 区采集标本 219 例,差异具有统计学意义(P < 0.05)。分 时段预约执行后的 7 d 中,8:00 ~ 9:00 与 9:00 ~ 11:00 时间段的平均采样人数均多于执行前 7 d,差异均具有统计学 意义(P < 0.05);在抽样调查的 200 例患者中,有焦虑、抑郁心理者占 62.00 %,其中明显感到 “ 紧张不安 ” 的比例 达到 47.00 %。男性中有焦虑、抑郁心理者的占比为 65.91 %,高于女性的 54.41 %,差异具有统计学意义(P < 0.05)。 结论:在新冠肺炎病毒核酸采样中采取分时段预约、分区管理模式,可以有效减少患者及家属聚集现象,防止交叉感 染。同时护士有针对性地对焦虑患者进行心理疏导,能有效缓解患者的心理压力及焦虑抑郁负面情绪。

    Abstract:

    〔Abstract〕Objective To explore the application effect of time-interval appointment and partition management mode in virus nucleic acid sampling in general outpatient clinics of designated hospitals for COVID-19. Methods A total of 1773 patients with viral nucleic acid sampling who make an appointment to the general outpatient department of the Third People's Hospital of Shenzhen from April 11 to April 24, 2020 were selected as the observation objects. The time-segment appointment and zoning management mode was not implemented from April 11 to 17, which was set as "before implementation". The time-segment reservation and partition management mode was implemented from April 18 to 24, which was set as "after implementation" to compare the number of samples and the situation of personnel gathering before and after implementation. The epidemiological data and psychological state of anxiety and depression of 200 patients were investigated by using simple random sampling method and self-made questionnaire, and the psychological state of anxiety and depression of different genders were compared. Results 780 patients were sampled before the implementation of time-segment appointment and partition management; After execution, 993 patients were sampled, more than before; After execution, 774 samples were collected from sampling area 1 and 219 samples were collected from sampling area 2, the differences were statistically significant (P < 0.05). In the 7 days after the time-segment reservation, the average number of samples from 8:00 to 9:00 and from 9:00 to 11:00 were more than those from the first 7 days, the differences were statistically significant (P < 0.05). In the sample survey of 200 patients, anxiety and depression accounted for 62.00 %, and the proportion of obvious feeling "nervous" reached 47.00 %. The proportion of anxiety and depression in male was 65.91%, higher than 54.41% in the female, the differences were statistically significant (P < 0.05). Conclusion In the nucleic acid sampling of COVID-19 virus, the management mode of time-segment appointment and partition can effectively reduce the clustering of patients and their families and prevent crossinfection. At the same time, nurses have targeted psychological counseling for patients with anxiety, which can effectively relieve patients' psychological pressure and negative emotions of anxiety and depression.

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  • 收稿日期:2021-11-08
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  • 在线发布日期: 2022-05-24
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