中医药研究论丛

23S.5中医长照机构因应严重特殊传染性肺炎感染管制措施指引

TJ TCM.23(S) : 67-82, 2020

中医长照机构因应严重特殊传染性肺炎感染管制措施指引

Guidance on the Infection Control Measures for Severe Pneumonia with Novel Pathogens in Long-term Care Institutions of Traditional Medicine

林恭仪1 王明凤2 陈晓钧3 吴翠霞4 黄建荣4*

1颂赞中医诊所,台北,台湾

2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

3悦展中医诊所,台北,台湾

4台北市中医师公会,台北,台湾

【摘要】
背景:中国新冠肺炎肆虐全球,发展台北都会模式中医长照机构感染管制措施以因应高龄危险长照台湾族群实在有其必要。研究方法:本研究以两阶段混和质性研究法分析都会区防疫环境脉络,於分析资料取舍後,建立指引架构逐一形成内容。结果:中医长照机构感染管制分析内容共分成教育训练与卫教宣导、工作人员健康管理、服务对象健康管理、访客管制、个案通报处置、严重特殊传染性肺炎感染风险人员通知和标准防护措施等六大面向;而标准防护措施又细分为手部卫生、呼吸道卫生并咳嗽礼节、个人防护装备、环境清洁消毒、织品布单被服处理与废弃物处理六项次。结论:透过适当的中医机构防疫指引,对防治新冠肺炎群聚传播在高龄长照机构上有其传统文化的优异保护性。研究在卫教训练、健康从业者、长者服务、访客管制、个案通报、检疫通知和标准防护措施上,深具地方中医感控防疫特色,本指引将持续修正,为台湾新冠肺炎社区长照健康防治做出重要贡献。
【关键词】感控指引 ; 严重特殊传染性肺炎 ; 新冠病毒肺炎 ; 中医长照
【Summary】
Background: China’s New Coronary Pneumonia was raging all over the world, it was necessary to develop infection control measures in the Taipei metropolitan model of long-term care system for traditional medicine in order to cope with the risk exposure of the elderly in Taiwan. Methods: This study used a two-stage mixed qualitative method to analyze the epidemic environment context of the metropolitan area. After the data was selected, a guide structure was established to form the contents one by one. Result: The analysis of infection control in TCM long-term care institutions was divided into education training, health education promotion, staff health management, service target health management, visitor control, case notification and disposal, notification of severe pneumonia with novel pathogens risk personnel, and standard protective measures as six major categories; however, the standard protective measures were subdivided into hand hygiene, respiratory hygiene and coughing section, personal protective equipment, environmental cleansing and disinfection, fabric cloth sheet treatment and waste disposal as six items as well. Conclusion: Through appropriate guidelines for epidemic prevention in TCM long-term care institutions, the prevention and treatment of new coronary pneumonia clusters had excellent traditional cultural protection in senior long-term care population. Research on health education training, health practitioners, elderly services, visitor control, case notification, quarantine notices and standard protective measures, with the characteristics of local Chinese medicine sense and control of epidemic prevention did make important contributions to COVID-19 prevention.
【Keywords】
Guidance; Severe Pneumonia with Novel Pathogens; COVID-19; Long-term Care Institutions of Traditional Chinese Medicine