摘要
目的调研新型冠状病毒方舱医院新型冠状病毒患者志愿者与护士团队协作情况,以期为解决方舱医院医护短缺问题提供对策。方法采用横断面研究设计,以整群抽样法抽取2022年4月7日至5月17日国家会展中心(上海)方舱医院4.1馆所有患者志愿者及护士,使用自制问卷对患者志愿者与护士的一般资料与实际协助情况(包括工作基础、宣教评估、工作内容、共事情况等)进行调查。结果共获得112名患者志愿者、50名护士的有效问卷。患者志愿者中男性占75.91%,年龄集中在18~45岁(77.68%)。护士中女性占78.00%,年龄集中在18~45岁(92.00%)。工作基础方面:志愿者中主动报名参加的占88.39%,对新冠病毒相关知识有一般以上程度了解的占93.75%。宣教评估方面:>70%的患者志愿者和护士都认为工作流程交代清楚、注意事项说明详尽;对于身体能力评估,认为评估粗略的护士占比更大(42.00%vs 5.20%,χ^(2)=13.908,P=0.001)。工作内容方面:>50%的患者志愿者及护士都认为,日常5项工作是必要且容易的;但认为新人流调(26.00%vs 12.50%,χ^(2)=4.536,P=0.041)及核酸采样(44.00%vs 24.11%,χ^(2)=6.484,P=0.016)不需要患者志愿者参与的护士占比更大,且认为三餐发放(40.00%vs 8.04%,χ^(2)=24.032,P<0.001)及核酸采样(38.00%vs 14.29%,χ^(2)=11.478,P=0.001)对于患者志愿者来说较为困难的护士占比更大。共事情况方面:患者志愿者与护士除了对志愿者工作是否过量过载看法存在差异外(Fisher=22.257,P<0.001),其余如“困难协调及时”“工作相处融洽”“共事状态良好”等项目看法一致。结论患者志愿者与护士团队协作状态总体良好,有效解决了方舱医院医护短缺的问题。
Objective To investigate the team collaboration between volunteers with COVID-19 and nurses in makeshift hospital and provide strategies for the shortage of medical care in makeshift hospital.Methods A cross-sectional study was conducted in all volunteers and nurses of unit 4.1 in makeshift hospital built in Shanghai National Exhibition and Convention Center from April 7 to May 17 of 2022 via cluster sampling.The basic situation of volunteers and nurses and their team cooperation in actual work(including work foundation,publicity and education evaluation,work content and smoothness of working together)were investigated with a self-made questionnaire.Results Questionnaires of 112 volunteers and 50 nurses were valid.Among volunteers,men accounted for 75.91%of all volunteers,mainly aged 18~45 years(77.68%).Among nurses,women account for the 78.00%of all volunteers,mainly aged 18~45 years(92.00%).88.39%of the volunteers joined the volunteer service based on their own wills,and 93.75%had a general knowledge of COVID-19 before being officially elected.More than 70%of volunteers and nurses believed that the pre-work education was detailed.For the pre-work evaluation,a larger proportion of nurses felt that the evaluation was relatively rough.More than 50%of volunteers and nurses believed that the daily tasks were necessary and easy.However,a larger proportion of nurses believed that volunteers were not required to participate in the epidemiological investigation(26.00%vs 12.50%,Chi-square=4.536,P=0.041)and nucleic acid sampling of new patients(44.00%vs 24.11%,Chi-square=6.484,P=0.016),and that it was more difficult for volunteers to deliver three meals(40.00%vs 8.04%,Chi-square=24.032,P<0.001)and nucleic acid sampling(38.00%vs 14.29%,Chi-square=11.478,P=0.001).For the situation of working together,there was significant difference between volunteers and nurses in the item of whether the volunteers had extra and over workload or not(Fisher=22.257,P<0.001).For other items,both volunteers and nurses believed that it was prompt to solve problems and get along well in work.Conclusion The team collaboration between volunteers and nurses in makeshift hospital is generally good,which effectively solves the problem of shortage of medical care.
作者
肖禾
何晚珍
周小萍
李玲
XIAO He;HE Wanzhen;ZHOU Xiaoping;LI Ling(Department of Dermatology,First Affiliated Hospital,Army Medical University(Third Military Medical University),Chongqing,400038,China;Department of Rehabilitation,First Affiliated Hospital,Army Medical University(Third Military Medical University),Chongqing,400038,China)
出处
《陆军军医大学学报》
CAS
CSCD
北大核心
2023年第10期1092-1097,共6页
Journal of Army Medical University
