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从家庭和社区视角看儿童群体中新冠病毒病的预防与治疗

[Prevention and treatment of COVID-19 in the pediatric population from the family and community perspective].

作者信息

Merino-Navarro Dolores, Díaz-Periánez Cristina

机构信息

Departamento de Enfermería, Facultad de Enfermería, Universidad de Huelva, Huelva, España.

Doctorado en Ciencias de la Salud, Departamento de Enfermería, Facultad de Enfermería, Universidad de Huelva, Huelva, España.

出版信息

Enferm Clin (Engl Ed). 2021 Feb;31:S29-S34. doi: 10.1016/j.enfcli.2020.05.005. Epub 2020 May 16.

Abstract

Based on the report on the situation of COVID-19 in Spain, dated April 3, 2020, the confirmed cases amount to 117,710, of which 343 are under 14 years of age (< 1%). It is essential to know the specificity of this process in the child population, as well the specific recommendations for proper prevention and care of children during the COVID-19 pandemic. The paper aim is to analyze the scientific evidence on the specific recommendations for pediatric care in cases of COVID-19 from the family and community settings.The main recommendations and preventive measures in primary health care settings and at home have been selected and analyzed from an integrative approach that includes the biopsychosocial aspects of the child during confinement.The importance of caring for children in the face of the disease lies above all in ensuring the correct measures for the prevention of contagion due to the condition of acting as possible carriers during an incubation period of up to 21 days. The recommendation is that children actively participate in routine preventive actions to contain the spread of the disease. At the household level, isolation is an important challenge for families where there are manifestations of uncertainty, fear and helplessness in the face of changes and among the recommendations are establishing routines and order through schedules of activities and leisure together with hygiene measures.Given the rapidity with which the COVID-19 pandemic has occurred, there is little evidence at the moment. Research on prevention and treatment in the pediatric age needs to be developed to improve the available recommendations.

摘要

根据2020年4月3日西班牙新冠肺炎疫情报告,确诊病例达117710例,其中14岁以下儿童有343例(不到1%)。了解这一疾病在儿童群体中的特殊性,以及在新冠肺炎疫情期间针对儿童进行适当预防和护理的具体建议至关重要。本文旨在分析来自家庭和社区环境下新冠肺炎病例儿童护理具体建议的科学证据。从综合角度选择并分析了初级卫生保健机构及家庭中的主要建议和预防措施,这一综合角度涵盖了儿童在隔离期间的生物心理社会层面。面对该疾病时照顾儿童的重要性首先在于确保采取正确措施预防传染,因为儿童在长达21天的潜伏期内可能是病毒携带者。建议儿童积极参与日常预防行动以遏制疾病传播。在家庭层面,隔离对家庭来说是一项重大挑战,面对变化时家庭成员会表现出不确定、恐惧和无助,建议通过活动和休闲时间表以及卫生措施来建立日常规律和秩序。鉴于新冠肺炎疫情爆发迅速,目前证据较少。需要开展针对儿童年龄组预防和治疗的研究以完善现有建议。

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