中醫基層診所因應嚴重特殊傳染性肺炎（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

10.6516/TJTCM.202006/SP_23.0004

王翊錞(Yi-Chun Wang)；盧景裕(Ching-Yu Lu)；張勝鈞(Sheng-Chun Chang)；王明鳳(Ming-Feng Wang)；陳曉鈞(Hsiao-Chun Chen)；林恭儀(Justin Kung Yi Lin)

中醫 ； 基層診所 ； 感染控制 ； 指引 ； 嚴重特殊傳染性肺炎 ； TCM ； primary care clinic ； infection control ； guideline ； COVID-19

中醫藥研究論叢

23卷特刊（2020 / 06 / 30）

57 - 66

繁體中文

背景：中醫基層診所為新冠肺炎防疫第一線重要成員。目的：藉由中醫專家學者會議完成重要感控指引。研究方法：本研究採用修正式德菲法修正中央公告基層診所感染管制措施指引，藉由修正式德菲法與李氏五分度量表，增刪重要內容。研究結果：因應台灣中醫診所防疫環境脈絡，本指引建議中醫診所應在優先規劃病人分流、建構員工健康監測、強化常規醫療照護感染管制、提升防護裝備、貫徹手部衛生、留意儀器設備使用、加強環境清消、與接觸者匡列原則等八項分類。結論：為落實新冠肺炎防疫期間中醫診所防疫品質與病人照護安全，建立基層中醫感控重要臨床指引，以維持中醫第一線醫療安全，符合國家防疫重要策略。

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.

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