Balalavi Maiya, Shih Cian-Huei, Huang Hsiao-Ching
MSN, RN, Clinical Nursing Teacher, Department of Nursing, St. Mary's Junior College of Medicine, Nursing and Management, Taiwan, ROC.
PhD, RN, NP, Assistant Professor, Department of Nursing, Fooyin University, Taiwan, ROC.
Hu Li Za Zhi. 2022 Dec;69(6):12-18. doi: 10.6224/JN.202212_69(6).03.
The COVID-19 pandemic has imposed an extremely heavy burden on the medical system in Taiwan. Thus, improving the effectiveness of epidemic prevention efforts and reducing the related burdens on medical staff are critical. Between the initial outbreak of COVID-19 in Taiwan in early 2022 until May of that same year, two townships with high percentages of indigenous (Malayo-Polynesian) residents reported the highest rates of infection nationwide. As the indigenous culture in these and other similar townships differs significantly from Taiwan's mainstream culture, determining how to improve health awareness and provide culturally appropriate treatments during this pandemic in indigenous communities is vital. In the context of Taiwan's indigenous population, this paper addresses the importance of improving health awareness, proposes how to foster a more-friendly health awareness environment, and suggests a strategy for providing effective healthcare under current pandemic conditions. Prevention measures include improving the ability of indigenous citizens to assess the correctness of information provided, improving compliance with epidemic prevention measures, improving knowledge regarding vaccines and rapid screening reagents, and improving the notification process for diagnoses. A culturally appropriate township-based promotion strategy for epidemic prevention should be proposed to increase the effectiveness of epidemic prevention and health promotion to improve health conditions in indigenous communities.
新冠疫情给台湾的医疗系统带来了极其沉重的负担。因此，提高防疫工作成效、减轻医护人员相关负担至关重要。在台湾2022年初首次爆发新冠疫情至同年5月期间，两个原住民（马来-波利尼西亚族）居民比例较高的乡镇报告了全国最高的感染率。由于这些乡镇及其他类似乡镇的原住民文化与台湾主流文化差异显著，在此次疫情期间确定如何提高原住民社区的健康意识并提供符合其文化的治疗方法至关重要。针对台湾原住民人口的情况，本文阐述了提高健康意识的重要性，提出了如何营造更友好的健康意识环境，并建议了在当前疫情状况下提供有效医疗保健的策略。预防措施包括提高原住民公民评估所提供信息正确性的能力、提高对防疫措施的依从性、提高关于疫苗和快速检测试剂的知识，以及改进诊断通报流程。应提出一种基于乡镇且符合文化特点的防疫推广策略，以提高防疫和健康促进的成效，改善原住民社区的健康状况。
