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2019年冠状病毒病大流行期间养老院的防疫措施与健康管理

Epidemic-Prevention Measures and Health Management in a Nursing Home during the Coronavirus Disease 2019 Pandemic.

作者信息

Chuang Shu-Ting, Lin Mei-Hui, Hsu Honda, Chi Chia-Ming, Lee Yu-Ru, Yen Ya-Hui

机构信息

Department of Nursing, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung City 427213, Taiwan.

Department of Nursing, Tzu Chi University of Science and Technology, Hualien 970046, Taiwan.

出版信息

Healthcare (Basel). 2023 Sep 14;11(18):2535. doi: 10.3390/healthcare11182535.

DOI:10.3390/healthcare11182535
PMID:37761732
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10531124/
Abstract

This study aimed to investigate the impact of epidemic prevention and isolation policies on residents' health and well-being and assess the effectiveness of implementing intervention measures to maintain their quality of life. This mixed-methods research study involved a retrospective record review of residents' daily life diaries and descriptive statistical analysis. Data were collected between March 2021 and June 2022, and epidemic-prevention measures were implemented using Taiwan's Centers for Disease Control guidelines. Three interventions were developed to address residents' health, social, and rehabilitation needs. Despite an overall infection rate of 10% at various times between 2021 and 2022, there were no reported outbreaks of nosocomial infections. The concept of reablement proved effective in helping residents maintain their independence and physical function, with a maintenance rate of 66.6%, thereby improving their quality of life. By implementing epidemic-prevention measures, we found that proper hand washing and the use of surgical masks were effective in controlling infections. Furthermore, the decline in physical function is a continuous and gradual process for older adults. Even under the restriction of social interaction, it is essential to incorporate rehabilitation plans into residents' daily activities and encourage their active participation, as this promotes improved physical function and enhances their overall quality of life.

摘要

本研究旨在调查防疫和隔离政策对居民健康与福祉的影响,并评估实施干预措施以维持其生活质量的有效性。这项混合方法研究包括对居民日常生活日记的回顾性记录审查和描述性统计分析。数据收集于2021年3月至2022年6月期间,防疫措施依据台湾疾病管制中心的指导方针实施。制定了三项干预措施以满足居民的健康、社会和康复需求。尽管在2021年至2022年期间不同时间的总体感染率为10%,但未报告有医院感染暴发。重新恢复能力的概念在帮助居民维持其独立性和身体功能方面被证明是有效的,维持率为66.6%,从而改善了他们的生活质量。通过实施防疫措施,我们发现正确洗手和使用外科口罩在控制感染方面是有效的。此外,身体功能下降对老年人来说是一个持续且渐进的过程。即使在社交互动受限的情况下,将康复计划纳入居民的日常活动并鼓励他们积极参与也是至关重要的,因为这有助于改善身体功能并提高他们的整体生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fba0/10531124/c281a7623056/healthcare-11-02535-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fba0/10531124/6144f1a6032a/healthcare-11-02535-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fba0/10531124/08dd909bbc87/healthcare-11-02535-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fba0/10531124/c281a7623056/healthcare-11-02535-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fba0/10531124/6144f1a6032a/healthcare-11-02535-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fba0/10531124/08dd909bbc87/healthcare-11-02535-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fba0/10531124/c281a7623056/healthcare-11-02535-g003.jpg

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