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浙江大学学报(医学版)  2020, Vol. 49 Issue (5): 614-617    DOI: 10.3785/j.issn.1008-9292.2020.07.02
2019冠状病毒病     
实施标准化痰标本采集法可提高人群痰标本获取率
秦建芬(),潘红英*(),张熔熔,汤磊雯,毛霞文
浙江大学医学院附属邵逸夫医院护理部, 浙江 杭州 310016
Standardized sputum collection increases sputum sample collection rate for novel coronavirus nucleic acid detection
QIN Jianfen(),PAN Hongying*(),ZHANG Rongrong,TANG Leiwen,MAO Xiawen
Nursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, China
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摘要:

目的: 提高人群中2019冠状病毒病(COVID-19)核酸检测痰标本的获取率。方法: 以2020年2月3日至3月14日浙江大学医学院附属邵逸夫医院发热门诊及疑似隔离病房的227例患者,和上海地区5家企业307名返工人员为受试者,通过明确标准化痰标本采集的操作流程,制作图文/视频健康教育资料,规范医护人员的宣教内容、宣教流程,采取多样化的宣教方法对受试者进行宣教。受试者自行咳痰或在医护人员辅助下咳痰。记录受试者在标准化咳痰法实施前后的采样尝试次数、获痰次数,其中企业返工人群仅收集标准化咳痰法实施后的数据。结果: 227例患者共采集核酸检测样本378例次,标准化痰液采集法实施前后的取痰率分别为40.9%和58.4%,差异有统计学意义(P < 0.01)。307名企业返工人员共获痰304次,取痰率为99.0%。结论: 标准化痰标本采集法可有效提高人群取痰率,可操作性强,具有临床推广意义。

关键词: 2019冠状病毒病核酸检测痰液采集标准化健康教育    
Abstract:

Objective: To evaluate the effect of standardized health education on the sputum specimen collection rate for nucleic acid detection of coronavirus disease 2019 (COVID-19). Methods: Two hundred and twenty-seven patients in fever clinics and isolation wards of Sir Run Run Shaw Hospital of Zhejiang University and 307 migrant workers returning to 5 enterprises in Shanghai from February 3 to March 14, 2020 were enrolled in the study. Through clarifying the procedures of collecting sputum specimens, making graphic/video health education materials, standardizing the contents and methods of health education, we conducted education to the subjects. The subject expectorated spontaneously or with medical assistance. For patients, the number of sampling attempts and sputum acquisition times were documented before and after the implementation of the standardized expectoration method; for the returning migrant employees in the enterprises, only the number of collected samples after the implementation of the standardized expectoration method were recorded. Results: A total of 378 sputum samples were collected from 227 patients. The sputum sampling rates before and after the implementation of health education were 40.9%and 58.4%, respectively (P < 0.01). A total of 304 sputum samples were obtained from 307 enterprise returnees, with a sample collection rate of 99.0%. Conclusion: The education for standardized sputum sample collection method can effectively increase the sputum collection rate.

Key words: Coronavirus disease 2019    Nucleic acid detection    Sputum collection    Standardization    Health education
收稿日期: 2020-03-25 出版日期: 2020-11-19
:  R446  
基金资助: 浙江省医药卫生科技计划(2020PY052)
通讯作者: 潘红英     E-mail: 3193160@zju.edu.cn;3191016@zju.edu.cn
作者简介: 秦建芬(1974-), 女, 硕士, 副主任护师, 主要从事护理管理工作; E-mail:3193160@zju.edu.cn; https://orcid.org/0000-0002-6798-1355
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引用本文:

秦建芬,潘红英,张熔熔,汤磊雯,毛霞文. 实施标准化痰标本采集法可提高人群痰标本获取率[J]. 浙江大学学报(医学版), 2020, 49(5): 614-617.

QIN Jianfen,PAN Hongying,ZHANG Rongrong,TANG Leiwen,MAO Xiawen. Standardized sputum collection increases sputum sample collection rate for novel coronavirus nucleic acid detection. J Zhejiang Univ (Med Sci), 2020, 49(5): 614-617.

链接本文:

http://www.zjujournals.com/med/CN/10.3785/j.issn.1008-9292.2020.07.02        http://www.zjujournals.com/med/CN/Y2020/V49/I5/614

图 1  标准化痰标本采集操作流程
1 中华人民共和国国家卫生健康委员会办公室, 国家中医药管理局办公室.新型冠状病毒感染的肺炎诊疗方案(试行第六版)[EB/OL].国卫办医函〔2020〕145号.(2020-02-18)[2020-03-06]. http://www.nhc.gov.cn/yzygj/s7653p/202002/8334a8326dd94d329df351d7da8aefc2.shtml.
Office of the National Health Commission of the People's Republic of China, Office of the State Administration of Traditional Chinese Medicine. National recommendations for diagnosis and treatment of pneumonia caused by 2019-nCoV (6th trial ed) [EB/OL]. National Health Office Medical Letter 〔2020〕 No.145. (2020-02-18) [2020-03-06]. http://www.nhc.gov.cn/yzygj/s7653p/202002/8334a8326dd94d329df351d7da8aefc2.shtml. (in Chinese)
2 WANG W , XU Y , GAO R et al. Detection of SARS-CoV-2 in different types of clinical specimens[J]. JAMA, 2020,
doi: 10.1001/jama.2020.3786
3 陈彩敏, 刘瑛 . 护士标准化技术操作培训对护理质量的影响[J]. 临床医学研究与实践, 2018, 3 (9): 178- 179
CHEN Caimin , LIU Ying . Effect of nurse standard technical operation training on nursing quality[J]. Clincal Research and Practice, 2018, 3 (9): 178- 179
4 李小寒, 尚少梅 . 基础护理学[M]. 6版 北京: 人民卫生出版社: 2018: 265- 266
LI Xiaohan , SHANG Shaomei . Fundamental nursing[M]. 6th ed Beijing: People's Medical Publishing House, 2018: 265- 266
5 中国健康教育中心, 沪苏浙皖健康教育专业机构.预防呼吸道传染病健康行为守则[EB/OL].(2013-04-15) [2020-03-06].http://www.nhc.gov.cn/wjw/zsdw/201304/8f25525355be4c329ae23a305aa8a576.shtml.
Health Education Center of the People's Republic of China, Shanghai, Jiangsu, Zhejiang and Anhui Health Education Professional Institutions. Code for respiratory infectious diseases prevention[EB/OL]. (2013-04-15) [2020-03-06]. http://www.nhc.gov.cn/wjw/zsdw/201304/8f25525355be4c329ae23a305aa8a576.shtml. (in Chinese)
6 TAMURA-LIS W . Teach-Back for quality education and patient safety[J]. Urol Nurs, 2013, 33 (6): 267- 271, 298
7 钟朱炎 . 标准操作规范:SOP介绍(一)[J]. 中国护理管理, 2010, 10 (2): 79- 80
ZHONG Zhuyan . Standard operation procedure:introduction of SOP(1)[J]. Chinese Nursing Management, 2010, 10 (2): 79- 80
8 孙燕, 任怡, 黄淑敏 . 应用品管圈降低住院患者痰标本不合格率[J]. 天津护理, 2016, 24 (2): 163- 164
SUN Yan , REN Yi , HUANG Shumin . Applying the quality control ring to reduce the failure rate of sputum specimens in hospitalized patients[J]. Tianjing Nursing, 2016, 24 (2): 163- 164
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