中醫藥研究論叢

23S.4 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

 TJ TCM.23(S) : 57-66, 2020

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
王翊錞1 盧景裕1 張勝鈞2 王明鳳3 陳曉鈞4 林恭儀1*
1 頌讚中醫診所,台北,台灣
2 鍼鼎善中醫診所,台北,台灣
3 美和科技大學社會工作系,諮商輔導中心暨資源教室,屏東,台灣
4 悅展中醫診所,台北,台灣
【摘要】
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。
【關鍵詞】中醫、基層診所、感染控制、指引、嚴重特殊傳染性肺炎
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