[1]李　炳　汪　欢　余　鹏　王羡科.新型冠状病毒肺炎期间神经外科医护人员职业暴露的相关因素分析[J].中国临床神经外科杂志,2020,(09):590-593.[doi:10.13798/j.issn.1009-153X.2020.09.005]
　LI Bing,WANG Huan,YU Peng,et al.Analysis of related factors of occupational exposure of medical staff in our department during COVID-19 epidemic based on DEMATEL method[J].,2020,(09):590-593.[doi:10.13798/j.issn.1009-153X.2020.09.005]
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新型冠状病毒肺炎期间神经外科医护人员职业暴露的相关因素分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2020年09期
页码:
590-593
栏目:
论著
出版日期:
2020-09-20

文章信息/Info

Title:
Analysis of related factors of occupational exposure of medical staff in our department during COVID-19 epidemic based on DEMATEL method
文章编号:
1009-153X（2020）09-0590-04
作者:
李　炳　汪　欢　余　鹏　王羡科
430022 武汉，华中科技大学同济医学院附属协和医院神经外科（李　炳、汪　欢、余　鹏、王羡科）
Author(s):
LI Bing;  WANG Huan;  YU Peng;  WANG Xian-ke.
Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong Univeristy of Science and Tecnology, Wuhan 430022, China
关键词:
新型冠状病毒肺炎; COVID-19; 医护人员; 职业暴露; 因素分析; DEMATEL法
Keywords:
Coronavirus disease 2019;  COVID-19;  Medical staff;  Occupational exposures;  Factor analysis;  DEMATEL method
分类号:
A
DOI:
10.13798/j.issn.1009-153X.2020.09.005
文献标志码:
R 651; Q 184.6
摘要:
目的 采用决策试用和评估实验室分析法（DEMATEL）分析我科医护人员在新型冠状病毒肺炎（COVID-19）诊疗过程中职业暴露影响因素，为减少医护人员职业暴露、有效预防和控制病毒传播提供参考。方法 对我科1例COVID-19病人导致11名医务人员感染的事件进行分析。以医院相关科室成立防护质量管理委员会，包括11名专家，以问卷调查的形式请11名专家评分，整理出相关因素25项，然后以DEMATEL相关软件MATLAB R2018b进行计算，得出25项因素之间的影响度（Tr）、被影响度（Tc）、中心度（Mi）、原因度（Ri）。结果 专家问卷回答率为100%，权威程度为0.93。25项影响因素Tr在0.36~3.63，Tc在0.07~2.45，Mi在1.27~5.49，Ri<0有12项，Ri>0有13项，其中人员因素Tr、Mi均最大（Tr=3.63，Mi=5.49）。结论 基于DEMATEL 法对此次感染事件的分析其主要因素是医护人员对COVID-19认知不足，交接班防护意识不强，对相关家属健康宣教不足，自身防护不足，区域划分不明显，其中以防护隔离意识不强为主要相关因素，护理管理者应强化护理人员防护意识，加强防护知识的培训
Abstract:
Objective To explore the influencing factors of the occupational exposure of medical staff in our department during the diagnosis and treatment of coronavirus disease 2019 (COVID-19) by the decision-making trial and evaluation laboratory analysis method (DEMATEL) in order to provide a reference for reducing the occupational exposure of medical staff and effectively preventing and controlling the spread of the virus. Methods A analysis was performed on the incident of 11 medical staff infected by a COVID-19 patient in our department. A protection quality management committee was set up in relevant departments of our hospital, including 11 experts. In the form of a questionnaire survey, 11 experts were invited to rate and sort out 25 relevant factors which were analyzed by DEMATEL software MATLAB R2018b to obtain the influence degree (Tr), the degree of influence (Tc), the degree of centrality (Mi) and the degree of cause (Ri). Results The response rate of the expert questionnaire was 100% and the degree of authority was 0.93. Tr ranged from 0.36 to 3.63, Tc ranged from 0.07 to 2.45, and Mi ranged from 1.27 to 5.49. There were 13 items with Ri>0, and 12 items with Ri<0. Of 25 relevant factors, the Tr and Mi of personnel factor were the largest (Tr=3.63, Mi=5.49). Conclusions Based on the analysis of this infection incident by the DEMATEL method, the main factors are the medical staff's insufficient awareness of COVID-19, poor awareness of ward handover protection, insufficient health education and education to related family members, insufficient self-protection, and unclear regional division. The lack of isolation awareness is the main factor. Nursing managers should strengthen the awareness of protection of nurses and strengthen the training of protection knowledge

参考文献/References:

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备注/Memo

备注/Memo:
（2020-04-14收稿，2020-05-12修回）
更新日期/Last Update: 2020-09-20