中醫藥研究論叢

23S.5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

 TJ TCM.23(S) : 67-82, 2020

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
林恭儀1 王明鳳2 陳曉鈞3 吳翠霞4 黃建榮4*
1 頌讚中醫診所,台北,台灣
2 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
3 悅展中醫診所,台北,台灣
4 台北市中醫師公會,台北,台灣
【摘要】
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。
【關鍵詞】感控指引、嚴重特殊傳染性肺炎、新冠病毒肺炎、中醫長照
Justin Kung Yi LIN1Ming Feng Wang2Hsiao-Chun Chen3
Tsuei-Shia Wu4Chien-Jung Huang4*
1Singing Praises TCM Clinic, Taipei, Taiwan
2Mei-Ho University, Pingtung, Taiwan
3Yueh-Tsan TCM Clinic, Taipei, Taiwan
4Taipei Chinese Medical Association, Taipei, Taiwan
【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 longterm
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