关键词: 新型冠状病毒肺炎, 护理管理, 住院患者, 陪护

Abstract:

Objective To summarize the management measures for caregivers of inpatients in a tertiary hospital in China during the coronavirus disease 2019（COVID-19） epidemic. Methods The comprehensive management was carried out in caregivers of inpatients from the aspects of quantity control,risk screening,epidemic investigation and notification,double card management of “ID card and companion card”,auxiliary inspection and accompany inspection service,pre-examination and verification of medical insurance,etc. The time point inspection was implemented to evaluate the effects,and the results were fed back by information means to promote the continuous improvement of quality. Results From January 28,2020 to March 2,2020,the ratio of patients and caregivers was 1 ∶ 1.083 and 1 ∶ 1.002 at a week before and after the implementation of the comprehensive management,and the ratios were 1 ∶ 0.988,0.932 and 0.918 at the second to fourth weeks after the implementation. The results of 3 time points inspections showed that the management quality of many items,including the implementation of the access control management,the accompanying staff signing the notice,the routine temperature monitoring twice a day,and no dining out,had been improved continuously（P<0.05）. The implementation rate of the double card management at entrances of elevators was 23%~46%. The accuracy rate of masks wearing at entrances of hospital and elevators was high（91%~100%）,but the accuracy rates of masks wearing in inpatient wards were low with 58.76%,61.54% and 77.69%,respectively at 3 time points inspections. Conclusion It is effective to implement the whole process management measures for the caregivers of inpatients from pre-hospital,in-hospital to post-hospital. The implementation rate of double card management at elevator entrances,the accuracy rate of mask wearing in inpatient wards were relatively lower,which need further improvement.

Key words: Coronavirus Disease 2019, Nursing Management, Inpatients, Caregivers