Yang Bo, Gao Yang, Kang Kai, Li Jing, Wang Lei, Wang Hui, Bi Ying, Dai Qing-Qing, Zhao Ming-Yan, Yu Kai-Jiang
Department of Critical Care Medicine, The First Affiliated Hospital of Harbin Medical University, Harbin 150001, Heilongjiang Province, China.
Department of Critical Care Medicine, The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, Heilongjiang Province, China.
World J Clin Cases. 2020 Nov 26;8(22):5513-5517. doi: 10.12998/wjcc.v8.i22.5513.
The rapid global outbreak of coronavirus disease 2019 (COVID-19) and the surge of infected patients have led to the verge of exhaustion of critical care medicine resources worldwide, especially with regard to critical care staff. A holistic care model on time-sharing management for severe and critical COVID-19 patients is proposed, which includes formulation of individualized care objectives and plans, identification of care tasks in each shift and making detailed checklist, and management of quality of care. This study was conducted in the COVID-19 treatment center of Harbin, Heilongjiang Province. The data collected from the treatment center were recorded and analyzed. From the results we can deduce that it is especially suitable for non-intensive care unit (non-ICU) nurses to adapt care management mode of ICU as soon as possible and ensure the quality and efficiency of care during the epidemic. The holistic care model on time-sharing management for severe and critical cases with COVID-19 proposed based on our daily work experiences can assist in improving the quality and efficiency of care, thus reducing the mortality rate of patients in ICU.
2019年冠状病毒病（COVID-19）在全球迅速爆发，感染患者激增，导致全球危重症医学资源濒临枯竭，尤其是重症护理人员方面。本文提出了一种针对重症和危重症COVID-19患者的分时管理整体护理模式，包括制定个性化护理目标和计划、明确各班次护理任务并制作详细清单，以及护理质量管理。本研究在黑龙江省哈尔滨市的COVID-19治疗中心开展。对从该治疗中心收集的数据进行记录和分析。从结果可以推断，非重症监护病房（非ICU）护士尽快适应ICU护理管理模式并确保疫情期间护理质量和效率尤为合适。基于日常工作经验提出的针对COVID-19重症和危重症病例的分时管理整体护理模式，有助于提高护理质量和效率，从而降低ICU患者死亡率。
