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医院集中医学隔离下对新型冠状病毒肺炎密切接触血液透析患者实施以患者为中心的人文关怀:简要研究报告

The Implementation of Patient-Centered Humanistic Care for COVID-19 Closely Contacted Hemodialysis Patients Under the Hospital-Based Group Medical Quarantine: A Brief Research Report.

作者信息

Zhang He, Gan Liangying, Li Xiaodan, Shao Xiaofeng, Zuo Li, Gao Jie, Huang Xiaobo, Jia Xiaojun, Liang Junqing, Hou Zhihua, Wang Yanhua, Wang Lei, Gao Zhancheng, Wang Jianliu, Chen Hongsong

机构信息

Administration Office, Peking University People's Hospital, Beijing, China.

School of International Studies, Renmin University of China, Beijing, China.

出版信息

Front Psychol. 2021 Oct 8;12:553234. doi: 10.3389/fpsyg.2021.553234. eCollection 2021.

Abstract

In February 2020, an inpatient in Peking University People's Hospital (PKUPH), China, was confirmed positive for the novel coronavirus. In this case, 143 hemodialysis patients were labeled as close contacts and required to be placed under the hospital-based group medical quarantine (HB-GMQ) for 2 weeks by the authorities. After the case was reported, false or misleading information about the case flourished on social media platforms, which led to infodemic. Under this context, PKUPH adopted patient-centered humanistic care to implement the HB-GMQ, through the synergy of administrative, healthcare, logistical, and other measures under the model of patient-centered care of the Massachusetts Medical Society (MMS). As a result, all the patients tided over the HB-GMQ with no COVID-19 infection and no unanticipated adverse events, and all met the criteria for lifting the HB-GMQ. According to the questionnaires taken during the HB-GMQ, a high level of satisfaction was found among the quarantined and no symptomatic increase of anxiety and depression in the patients before and during the HB-GMQ, by comparing the Zung self-rating anxiety scale (SAS) and self-rating depression scale (SDS) conducted in December 2019 and on the 12th day of the HB-GMQ. This article is to brief on PKUPH's experience in implementing patient-centered humanistic care tailored to hemodialysis patients under the HB-GMQ, and to validate the hypothesis that patient-centered humanistic care is effective and helpful to help them tide over the HB-GMQ, so as to shed light on how to implement the HB-GMQ and cope with the HB-GMQ-induced problems in other hospitals.

摘要

2020年2月,中国北京大学人民医院(PKUPH)的一名住院患者新型冠状病毒检测呈阳性。在此病例中,143名血液透析患者被列为密切接触者,当局要求他们在医院进行为期2周的集体医学隔离(HB-GMQ)。该病例报告后,社交媒体平台上出现了关于该病例的虚假或误导性信息,引发了信息疫情。在此背景下,PKUPH采用以患者为中心的人文关怀措施,在马萨诸塞州医学协会(MMS)以患者为中心的护理模式下,通过行政、医疗、后勤等措施的协同作用来实施HB-GMQ。结果,所有患者都顺利度过了HB-GMQ,没有感染COVID-19,也没有出现意外不良事件,均符合解除HB-GMQ的标准。根据HB-GMQ期间进行的问卷调查,通过比较2019年12月以及HB-GMQ第12天进行的zung自评焦虑量表(SAS)和自评抑郁量表(SDS)发现,被隔离患者的满意度较高,且在HB-GMQ之前和期间患者的焦虑和抑郁症状没有增加。本文旨在简要介绍PKUPH在HB-GMQ下针对血液透析患者实施以患者为中心的人文关怀的经验,并验证以患者为中心的人文关怀对帮助他们度过HB-GMQ有效且有益的假设,从而为其他医院如何实施HB-GMQ以及应对HB-GMQ引发的问题提供启示。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f0d/8531721/b742f9eae676/fpsyg-12-553234-g0001.jpg

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