中醫長照機構因應嚴重特殊傳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

10.6516/TJTCM.202006/SP_23.0005

林恭儀(Justin Kung Yi LIN)；王明鳳(Ming Feng Wang)；陳曉鈞(Hsiao-Chun Chen)；吳翠霞(Tsuei-Shia Wu)；黃建榮(Chien-Jung Huang)

感控指引 ； 嚴重特殊傳染性肺炎 ； 新冠病毒肺炎 ； 中醫長照 ； Guidance ； Severe Pneumonia with Novel Pathogens ； COVID-19 ； Long-term Care Institutions of Traditional Chinese Medicine

中醫藥研究論叢

23卷特刊（2020 / 06 / 30）

67 - 81

繁體中文

背景：中國新冠肺炎肆虐全球，發展台北都會模式中醫長照機構感染管制措施以因應高齡危險長照台灣族群實在有其必要。研究方法：本研究以兩階段混和質性研究法分析都會區防疫環境脈絡，於分析資料取捨後，建立指引架構逐一形成內容。結果：中醫長照機構感染管制分析內容共分成教育訓練與衛教宣導、工作人員健康管理、服務對象健康管理、訪客管制、個案通報處置、嚴重特殊傳染性肺炎感染風險人員通知和標準防護措施等六大面向；而標準防護措施又細分為手部衛生、呼吸道衛生並咳嗽禮節、個人防護裝備、環境清潔消毒、織品布單被服處理與廢棄物處理六項次。結論：透過適當的中醫機構防疫指引，對防治新冠肺炎群聚傳播在高齡長照機構上有其傳統文化的優異保護性。研究在衛教訓練、健康從業者、長者服務、訪客管制、個案通報、檢疫通知和標準防護措施上，深具地方中醫感控防疫特色，本指引將持續修正，為台灣新冠肺炎社區長照健康防治做出重要貢獻。

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.

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