中医药研究论丛

23S.4 中医基层诊所因应严重特殊传染性肺炎(COVID-19)感染管制措施指引

 TJ TCM.23(S) : 57-66, 2020

中医基层诊所因应严重特殊传染性肺炎
(COVID-19)感染管制措施指引
Guideline on Infection Management and
Control for COVID-19 (Wuhan Pneumonia) in
Primary Care Clinics of Traditional Medicine
王翊錞1 卢景裕1 张胜钧2 王明凤3 陈晓钧4 林恭仪1*
1 颂赞中医诊所,台北,台湾
2 鍼鼎善中医诊所,台北,台湾
3 美和科技大学社会工作系,谘商辅导中心暨资源教室,屏东,台湾
4 悦展中医诊所,台北,台湾
【摘要】
背景:中医基层诊所为新冠肺炎防疫第一线重要成员。
目的:藉由中医专家学者会议完成重要感控指引。
研究方法:本研究采用修正式德菲法修正中央公告基层诊所感染管制措施指引,藉由修正式德菲法与李氏五分度量表,增删重要内容。
研究结果:因应台湾中医诊所防疫环境脉络,本指引建议中医诊所应在优先规划病人分流、建构员工健康监测、强化常规医疗照护感染管制、提升防护装备、贯彻手部卫生、留意仪器设备使用、加强环境清消、与接触者匡列原则等八项分类。
结论:为落实新冠肺炎防疫期间中医诊所防疫品质与病人照护安全,建立基层中医感控重要临床指引,以维持中医第一线医疗安全,符合国家防疫重要策略。
【关键词】中医、基层诊所、感染控制、指引、严重特殊传染性肺炎
Yi-Chun Wang1Ching-Yu Lu1Sheng-Chun Chang2Ming-Feng Wang3
Hsiao-Chun Chen4Justin Kung Yi Lin1*
1Singing Praises TCM Clinic, Taipei, Taiwan
2Zen Ding Shan Chinese Medicine Clinic, Taipei, Taiwan
3Mei-Ho University, Pingtung, Taiwan
4Yueh-Tsan TCM Clinic, Taipei, Taiwan
【Summary】
Background: he primary care clinics of traditional medicine are crucial
indispensable to the frontline of Wuhan pneumonia.
Objective: To complete the guideline on infection management and Control
for COVID-19 by the various conferences with traditional medical experts and
scholars.
Methods: In this study, we used modified Delphi method to revise the contexture
of guideline in primary care viewpoints by selecting the important content with
Likert scale.
Results: All contents were divided into eight categories, including prioritizing
patient diversion, constructing and monitoring employee health, strengthening
routine infection control, enhancing protective equipment, implementing
hand hygiene, paying attention to the use of equipment, and strengthening
environmental clearance.
Conclusions: To implement the quality of epidemic prevention and medical care
of patient in Taiwan traditional clinics during the period of epidemic of COVID-19
establishing the clinical practice guideline of traditional primary care to keep the
safety of medical staffs was so to firmly important to the national strategies of
epidemic prevention.
【Keywords】TCM, primary care clinic, infection control, guideline, COVID-19