Wu Xiulian, Wang Xin, Guo Huimin, Zhang Lili, Wu Guangjiang
Department of Nursing, Beijing Youan Hospital, Capital Medical University, Beijing, People's Republic of China.
J Multidiscip Healthc. 2023 Mar 27;16:819-826. doi: 10.2147/JMDH.S391737. eCollection 2023.
To explore the application effect of the (software factors, hardware factors, environmental factors, parties and other factors, SHEL) model in respiratory tract exposure protection of staff in temporary COVID-19 hospitals.
207 Staff members working in the isolation units of Fangcang shelter hospitals between 20 May 2022 and 5 June 2022 were selected as research subjects. The SHEL model was used to protect and manage the respiratory exposure of the isolation unit staff to the novel coronavirus. The incidence of respiratory exposure among the staff in the isolation units was compared before the SHEL model's implementation (20 May 2022-28 May 2022) and afterwards the SHEL model's implementation (29 May 2022-5 June 2022).
Before the implementation of the SHEL model, a total of nine cases (4.35%) from 207 workers had respiratory exposure. Occurrence location: six cases in the isolation room (one-out room, level-one protection zone) and three cases in the drop-off area for patients outside the ward. After implementation, a total of two cases (0.97%) of respiratory tract exposure occurred among the 207 staff members; both occurred in the unprotected zone (two-out room, level-two protection zone), and the difference was statistically significant before and after the implementation ( < 0.05).
New coronary pneumonia Fangcang shelter hospitals should use the SHEL model to manage the respiratory exposure of their isolation unit staff to reduce the respiratory exposure risk to staff in isolation units.
探讨（软件因素、硬件因素、环境因素、人员及其他因素，SHEL）模型在新型冠状病毒肺炎临时医院工作人员呼吸道暴露防护中的应用效果。
选取2022年5月20日至2022年6月5日在方舱医院隔离病房工作的207名工作人员作为研究对象。采用SHEL模型对隔离病房工作人员新型冠状病毒呼吸道暴露进行防护与管理。比较SHEL模型实施前（2022年5月20日至2022年5月28日）和实施后（2022年5月29日至2022年6月5日）隔离病房工作人员呼吸道暴露发生率。
SHEL模型实施前，207名工作人员中共有9例（4.35%）发生呼吸道暴露。发生地点：隔离病房（一脱间，一级防护区）6例，病房外患者交接处3例。实施后，207名工作人员中共有2例（0.97%）发生呼吸道暴露；均发生在未防护区域（二脱间，二级防护区），实施前后差异有统计学意义（<0.05）。
新型冠状病毒肺炎方舱医院应采用SHEL模型对隔离病房工作人员呼吸道暴露进行管理，以降低隔离病房工作人员呼吸道暴露风险。
