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

摘要：

目的 总结新型冠状病毒肺炎流行期间山东省某三级甲等综合医院住院患者陪护人员的管理措施。 方法 对住院患者陪护人员从数量控制、风险筛查、疫情调查告知、身份证和陪护证双证管理、辅助检查陪检服务、医保预审核等方面进行综合管理,并通过时点稽查法评价措施落实效果,用信息化手段反馈结果促进质量持续改进。 结果 2020年1月28日 —3月2日,综合管理实施前1周及实施后第1周,患者与陪护人员比值为1 ∶ 1.083和1 ∶ 1.002;实施后第2~4周,患者与陪护人员比值分别为1 ∶ 0.988、0.932、0.918。3次时点稽查结果显示,实行门禁管理、陪护人员签署告知书、每日2次常规体温监测并登记、无外出就餐等多个项目管理质量得到持续改进,差异具有统计学意义（P<0.05）。陪护人员电梯入口处双证管理落实率为23%~46%,在医院入口、电梯入口口罩佩戴规范率较高（91%~100%）,但住院病区内口罩佩戴规范率较低,3次稽查结果分别为58.76%、61.54%、77.69%。结论 住院患者陪护人员综合管理措施落实有效,电梯入口双证管理落实率、住院病区内口罩佩戴规范率较低,需要进一步改进。

关键词: 新型冠状病毒肺炎, 护理管理, 住院患者, 陪护