在大流行早期，在熟练护理机构中预防 COVID-19 的经验教训。
Lessons learned in preventing COVID-19 within a skilled nursing facility during the early pandemic.
机构信息
Orvis School of Nursing, University of Nevada-Reno, Reno, NV 89557, United States; Alta Skilled Nursing and Rehabilitation Center, Reno, NV 89511, United States.
Orvis School of Nursing, University of Nevada-Reno, Reno, NV 89557, United States.
出版信息
Geriatr Nurs. 2021 Nov-Dec;42(6):1388-1396. doi: 10.1016/j.gerinurse.2021.09.005. Epub 2021 Sep 20.
OBJECTIVE
Guided by the vulnerable population framework, the aim was to describe the risks and protective strategies for COVID-19 spread and infections in a Skilled Nursing Facility (SNF).
METHOD
We conducted a retrospective cohort (March 1st-August 31st, 2020) study. Data were collected from internal COVID-19 documents and resident electronic health records. Data were summarized and analyzed using descriptive statistics, relative risk calculations, and cases charted by week onset.
RESULTS
There were 325 residents who lived in and 296 staff who worked at the SNF during the study period. There was a total of 2 confirmed cases among residents and 4 confirmed cases among staff. Cases were isolated and all were living at their baseline health status at the end of the study.
CONCLUSION
Understanding the vulnerability to and protective strategies for COVID-19 within SNFs could strengthen resident care, resiliency among the SNF community, and improve health policies.
目的
以弱势人口框架为指导，旨在描述技能护理机构（SNF）中 COVID-19 传播和感染的风险和保护策略。
方法
我们进行了一项回顾性队列研究（2020 年 3 月 1 日至 8 月 31 日）。数据来自内部 COVID-19 文件和居民电子健康记录。使用描述性统计、相对风险计算和按发病周列出病例对数据进行总结和分析。
结果
在研究期间，共有 325 名居民居住在 SNF 中，296 名员工在 SNF 工作。居民中有 2 例确诊病例，员工中有 4 例确诊病例。病例已隔离，所有病例在研究结束时均处于基线健康状况。
结论
了解 SNF 中 COVID-19 的易感性和保护策略，可以加强居民护理、SNF 社区的弹性，并改善卫生政策。
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