Consensus of Chinese experts on pre-examination and triage in outpatient departments of dermatology at the stage of prevention and control of 2019 novel coronavirus infection.

The 2019 novel coronavirus infection has brought big challenges to prevention and control of the national epidemic in China. During the fight against the epidemic, how to properly carry out pre-examination and triage for patients with skin lesions and fever has been a practical problem encountered in dermatology hospitals of all grades and in general hospitals with a large number of dermatological outpatient visits. The Chinese Society of Dermatology organized experts to formulate the principles and procedures for pre-examination and triage in outpatient departments of dermatology at the stage of prevention and control of the 2019 novel coronavirus infection epidemic, so as to guide the current fight against the epidemic.Copyright © 2020 by the Chinese Medical Association.

Consensus on Pre-examination and Triage in Clinic of Dermatology During Outbreak of COVID-19 From Chinese Experts.

The 2019 novel coronavirus infection has brought a great challenge in prevention and control of the national epidemic of coronavirus disease 2019 (COVID-19) in China. During the fight against the epidemic of COVID-19, properly carrying out pre-examination and triage for patients with skin lesions and fever has been a practical problem encountered in hospitals for skin diseases as well as clinics of dermatology in general hospitals. Considering that certain skin diseases may have symptom of fever, and some of the carriers of 2019 novel coronavirus and patients with COVID-19 at their early stage may do not present any symptoms of COVID-19, to properly deal with the visitors to clinics of dermatology, the Chinese Society of Dermatology organized experts to formulate the principles and procedures for pre-examination and triage of visitors to clinics of dermatology during the epidemic of COVID-19.

The effect of a short-term Balint group on the communication ability and self-efficacy of pre-examination and triage nurses during COVID-19.

AIMS AND OBJECTIVES: To investigate the effect of a short-term Balint group on the improvement in communication ability and self-efficacy of pre-examination and triage nurses during coronavirus disease 2019 (COVID-19). BACKGROUND: Working on the front lines of COVID-19 has brought unprecedented psychological stress on pre-examination and triage nurses. Nurse-patient communication ability and the level of self-efficacy are both significant for nurses' psychosomatic health and work input. However, limited empirical evidence exists regarding nurse-patient communication and self-efficacy and specific psychological intervention effects. DESIGN: Cross-sectional research fulfilling the completed checklist of items that should be included in reports of cross-sectional studies (Appendix S1). METHODS: Nurses (n = 41) in the first layer of pre-examination and triage were engaged in a Balint group activity twice a week for two weeks. They were assessed with the General Self-Efficacy Scale (GSES) pre- and postintervention, and a nurse-patient communication survey form was developed for further postintervention evaluation. The sample was recruited from a class A third-grade hospital in Sichuan, China. RESULTS: Most of the subjects reported improvement in nurse-patient communication, increased cooperation between patients and their families, and a decreased missed examination rate after the intervention. Moreover, the total mean score of the GSES of nurses after the intervention was increased, but the difference was not statistically significant. The scores of all items in the GSES were improved, and the scores increase for item 4 (I am confident that I can effectively deal with any unexpected event) was statistically significant. CONCLUSIONS: During the COVID-19 pandemic, a short-term Balint group activity can improve the communication ability and self-efficacy level of front-line nurses to some extent. RELEVANCE TO CLINICAL PRACTICE: This information may provide some theoretical support for the development of early psychological interventions during major epidemic situations.

The application of WeChat applet and integrity propaganda and education in outpatient pre-examination during the prevalence of COVID-19 / 医学研究生学报

ObjectiveDuring the prevention and control of COVID-19, it is a difficult problem to obtain the individual epidemiological status of outpatients efficiently and accurately in a large comprehensive third-grade class-A hospital. To discuss the application and effect of WeChat applet and integrity propaganda and education in outpatient pre-examination during the prevention and control of COVID-19.MethodsFirstly, the outpatients were treated with integrity propaganda and education (like informing the law and regulations, recording the personal credit) at the outpatient pre-examination office. Secondly, let them take real-name authentication in the hospital self-developed WeChat applet. Thirdly, the outpatients filled in the epidemiological questionnaire related to COVID-19 by WeChat. The differences between before using the application (8,186 patients) and after using (7,361 patients) were compared in pre-examination time and concealing the incidence of an individual's epidemiological history.ResultsAfter the application of WeChat applet and integrity propaganda and education, the pre-examination time after using application [(1.07±0.23)min] was shorter than that before using[(2.15±0.37) min] (P<0.05). The concealment rate of epidemiological history was 0.05% before using application and zero after using.ConclusionWeChat applet and integrity propaganda and education can shorten the pre-examination time of covid-19 and reduce the occurrence of concealing personal epidemiological history.

Consensus of Chinese experts on pre-examination and triage in outpatient departments of dermatology at the stage of prevention and control of 2019 novel coronavirus infection / 中华皮肤科杂志

The 2019 novel coronavirus infection has brought big challenges to prevention and control of the national epidemic in China. During the fight against the epidemic, how to properly carry out pre-examination and triage for patients with skin lesions and fever has been a practical problem encountered in dermatology hospitals of all grades and in general hospitals with a large number of dermatological outpatient visits. The Chinese Society of Dermatology organized experts to formulate the principles and procedures for pre-examination and triage in outpatient departments of dermatology at the stage of prevention and control of the 2019 novel coronavirus infection epidemic, so as to guide the current fight against the epidemic.