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According to the "Healthy Beijing" public account, Beijing issued the "Expert Guidelines for Community Health Management of Novel Coronavirus Positive Infections" (first edition).
Expert guidance on community health management for people with novel coronavirus positive infection
(First Edition)
This guideline is used to standardize and guide the health management services of community health service institutions (including centers and stations) for new coronavirus positive infections (including nucleic acid positive or antigen positive, hereinafter referred to as new coronavirus positive infections) and their
households.
The health administrative departments of each district may, in accordance with the basic requirements of these guidelines and the actual situation, formulate relevant work guidelines
for their respective regions.
households.
The health administrative departments of each district may, in accordance with the basic requirements of these guidelines and the actual situation, formulate relevant work guidelines
for their respective regions.
1.
Information management
Information management
When bringing a person positive for the new coronavirus into the management, he or she must provide a positive nucleic acid or antigen positive test result
.
Establish resident health records for new coronavirus positive infections and their households, understand their daily health status, and fill in new coronavirus infection related information
as required.
Establish a working ledger to grasp the basic information such as the name, contact information
, home address, and people who live with the new coronavirus positive infection.
Special attention
will be paid to the lonely elderly, children, pregnant women, dialysis patients and special patients with serious underlying diseases.
.
Establish resident health records for new coronavirus positive infections and their households, understand their daily health status, and fill in new coronavirus infection related information
as required.
Establish a working ledger to grasp the basic information such as the name, contact information
, home address, and people who live with the new coronavirus positive infection.
Special attention
will be paid to the lonely elderly, children, pregnant women, dialysis patients and special patients with serious underlying diseases.
2.
Health assessment
Health assessment
1.
Evaluators
Evaluators
Patients with asymptomatic infection and mild disease are evaluated
by a general practitioner at a community health service.
Severe psychiatric, maternal, and child evaluations
are performed by a specialist (gynaecologist, paediatrician) or health care specialist.
by a general practitioner at a community health service.
Severe psychiatric, maternal, and child evaluations
are performed by a specialist (gynaecologist, paediatrician) or health care specialist.
2.
Assessment guidance
Assessment guidance
(1) Asymptomatic infection
If a positive test has been detected but there are no relevant clinical symptoms (such as fever, cough, sore throat and other self-perceived or clinically identifiable symptoms and signs), health education can be given, including health education such as how to ventilate, disinfection, hand hygiene, as well as TCM characteristic guidance and intervention
such as living adjustment, diet guidance, exercise guidance, emotional adjustment, and Chinese medicine prevention.
such as living adjustment, diet guidance, exercise guidance, emotional adjustment, and Chinese medicine prevention.
(2) Patients with mild disease/ordinary type
It has fever, respiratory tract and other symptoms, no dyspnea, chest tightness and other manifestations
.
Patients with mild/ordinary type generally do not require special treatment, and general symptomatic treatment
can be given when symptoms such as fever and respiratory tract occur.
Bed rest at the initial stage of infection, frequent water drinking, and adequate energy and nutrient intake
are recommended.
If fever occurs, necessary antipyretic drugs can be given, and depending on the patient's condition, such as ibuprofen, acetaminophen, etc
.
can be given.
If cough and sputum production symptoms occur, relevant drugs can be given to relieve symptoms
.
Patients with chronic diseases need to take daily chronic disease maintenance treatment drugs on time, if there is tension and anxiety, psychological counseling should be strengthened, and if necessary, supplemented by drug treatment under the guidance of a doctor, TCM intervention guidance
can be given.
.
Patients with mild/ordinary type generally do not require special treatment, and general symptomatic treatment
can be given when symptoms such as fever and respiratory tract occur.
Bed rest at the initial stage of infection, frequent water drinking, and adequate energy and nutrient intake
are recommended.
If fever occurs, necessary antipyretic drugs can be given, and depending on the patient's condition, such as ibuprofen, acetaminophen, etc
.
can be given.
If cough and sputum production symptoms occur, relevant drugs can be given to relieve symptoms
.
Patients with chronic diseases need to take daily chronic disease maintenance treatment drugs on time, if there is tension and anxiety, psychological counseling should be strengthened, and if necessary, supplemented by drug treatment under the guidance of a doctor, TCM intervention guidance
can be given.
For children: In addition to symptomatic treatment, pediatric massage, acupressure massage, music therapy, etc.
can be appropriately taken to help stabilize emotions and protect mental health
.
can be appropriately taken to help stabilize emotions and protect mental health
.
For pregnant women: pay attention to the physical and mental state at any time, and provide consultation and guidance in diet, emotional and psychological aspects, and professional doctors will give guidance
when necessary.
when necessary.
For the elderly: In addition to the symptoms of the new crown, pay attention to the underlying diseases of the elderly, strengthen the intervention and health guidance of the underlying diseases, such as guiding the use of chronic disease medication, eating habits, exercise, etc
.
.
For patients with mental illness: pay attention to mental state at any time, and professional doctors will give targeted psychological counseling and symptomatic treatment
.
.
(3) Severe/critical patients
Respiratory rate greater than 30 times/min, hypoxemia, severe respiratory failure, shock
.
Promptly transfer critically ill personnel with new coronary pneumonia symptoms to designated hospitals
.
.
Promptly transfer critically ill personnel with new coronary pneumonia symptoms to designated hospitals
.
(4) People living together
Carry out health education for the same residents of new coronavirus-positive patients, including how to avoid simultaneous space exposure, ventilation, disinfection, hand hygiene, living adjustment, dietary guidance, exercise guidance, emotional adjustment, traditional Chinese medicine prevention and other infection prevention measures
.
.
3.
Publicity and notification
Publicity and notification
Through paper or electronic notices, inform new coronavirus-positive people of the relevant requirements for self-health management, push antigen self-test videos, user manuals, health and epidemic prevention knowledge, and guide new coronavirus-positive infections to standardize self-testing, symptom monitoring, and improve epidemic prevention skills
.
Inform the new coronavirus positive infection of the daily medical insurance method, medical treatment process, and relevant work contacts and contact information
.
.
Inform the new coronavirus positive infection of the daily medical insurance method, medical treatment process, and relevant work contacts and contact information
.
4.
Health management
Health management
Through a combination of online and offline, we provide health follow-up and remote diagnosis and treatment services for people who are positive for the new coronavirus
.
Carry out health monitoring, inquire and collect information such as body temperature, respiratory symptoms, mental state and other information of new crown-positive infected people every other day, and whether there are manifestations such as dyspnea and chest tightness, until the new crown-virus positive infected person self-test antigen test or nucleic acid test is negative
.
When necessary, door-to-door inspections can be provided to assess health conditions and timely disposal
according to the assessment.
Simultaneously do a good job of health monitoring of the people living with new coronavirus positive infections, and guide them to seek medical attention
in time if abnormal situations are found.
.
Carry out health monitoring, inquire and collect information such as body temperature, respiratory symptoms, mental state and other information of new crown-positive infected people every other day, and whether there are manifestations such as dyspnea and chest tightness, until the new crown-virus positive infected person self-test antigen test or nucleic acid test is negative
.
When necessary, door-to-door inspections can be provided to assess health conditions and timely disposal
according to the assessment.
Simultaneously do a good job of health monitoring of the people living with new coronavirus positive infections, and guide them to seek medical attention
in time if abnormal situations are found.
5.
Referral guidance
Referral guidance
For patients with new coronavirus positive infection who have persistent fever, difficulty breathing and other critical diseases, patients or family members should be instructed to go to the nearest medical institution for treatment
by self-driving, calling 120 ambulances, etc.
For non-critical and critically ill patients, when seeking medical treatment for special diseases such as dialysis, guide them to go to designated hospitals in the jurisdiction on a priority basis, and assist in referral when necessary
.
by self-driving, calling 120 ambulances, etc.
For non-critical and critically ill patients, when seeking medical treatment for special diseases such as dialysis, guide them to go to designated hospitals in the jurisdiction on a priority basis, and assist in referral when necessary
.
6.
Case closure management
Case closure management
After a self-test antigen test or nucleic acid test is negative for a person with a positive new coronavirus, the health management of the patient is terminated and included in the routine health management work of
community health services.
community health services.
