Xi Huijun, Cao Jie, Liu Jingjing, Li Zhaoshen, Kong Xiangyu, Wang Yonghua, Chen Jing, Ma Su, Zhang Lingjuan
Department of Digestive Endoscopy Center, Changhai Hospital, Shanghai, China.
Department of Nursing, Changhai Hospital, Shanghai, China.
Am J Infect Control. 2016 Aug 1;44(8):922-4. doi: 10.1016/j.ajic.2016.02.015. Epub 2016 Apr 22.
The purpose of this study was to investigate the importance of supervision through video surveillance in improving the quality of personal protection in preparing health care workers working in Ebola treatment units.
Wardens supervise, remind, and guide health care workers' behavior through onsite voice and video systems when they are in the suspected patient observation ward and in the patient diagnosed ward of the Ebola treatment center. The observation results were recorded, and timely feedback was given to the health care workers.
After 2 months of supervision, 1,797 cases of incorrect personal protection behaviors were identified and corrected. The error rate continuously declined. The declined rate of the first 2 weeks was statistically different from other time periods. Through reminding and supervising, nonstandard personal protective behaviors can be discovered and corrected, which can help health care workers standardize personal protection. The timely feedback from video surveillance can also offer psychologic support and encouragement promptly to ease psychologic pressure. Finally, this can ensure health care workers stay at a zero infection rate during patient treatment.
Personal protective equipment protocol supervised by wardens through a video monitoring process can be used as an effective complement to conventional mutual supervision methods and can help health care workers avoid Ebola infection during treatment.
本研究旨在探讨通过视频监控进行监督在提高埃博拉治疗单位医护人员个人防护质量方面的重要性。
在埃博拉治疗中心的疑似患者观察病房和确诊患者病房中，监管人员通过现场语音和视频系统对医护人员的行为进行监督、提醒和指导。记录观察结果，并及时向医护人员反馈。
经过2个月的监督，共发现并纠正了1797例个人防护行为不正确的情况。错误率持续下降。前2周的下降率与其他时间段在统计学上存在差异。通过提醒和监督，可以发现并纠正不规范的个人防护行为，有助于医护人员规范个人防护。视频监控的及时反馈还能及时提供心理支持和鼓励，缓解心理压力。最终，这可确保医护人员在患者治疗期间保持零感染率。
由监管人员通过视频监控过程监督个人防护装备规程，可作为传统相互监督方法的有效补充，有助于医护人员在治疗期间避免感染埃博拉病毒。
