建立社區防疫諮詢網絡之經驗

Experience of Established Community Disease Control and Prevention Gonsultsint Network

新興傳染病（Emerging infectious diseases）之疫情引起世入對其感染控制及防護措施的重視，學者指出，後SARS時期之社區傳染病防治在強化醫療與社區藉夥伴關係引導社區力量共同參與防疫，在防疫無國界的趨勢下，提升社區防疫能力已為我國公共衛生之重要施政方向，醫學中心在我國醫療體系承擔著社區健康照護及健康傳播的重要責任，新制醫學中心評鑑更將社區防疫列為醫院感染管制作業之重要成效項目。因此，本計劃自2007開始，由感染管制護理師遨集各方專家組隊，拜訪社區意見領袖及說明社區防疫計劃的目的及內容，透過社區民眾及地方耆老的主動參與和學習，逐步推動在地化的社區防疫諮詢網絡；實施策略包含培訓社區防疫志工服務團隊、建置社區防疫諮詢網絡、社區防疫教育宣導課程三大主軸，執行2年期間已培訓65位社區防疫志工，設立6個社區防疫健康防疫聯絡站，架設已超過13萬人次點閱率之社區防疫諮詢網頁，防疫講座及各項宣導活動滿意度均達到80%以上；評值社區活動參與度、醫院認同度、防疫觀念正確度、環境清潔重視度、健康預防參與度五大項目，計劃執行前後總分提升45%，獲得地方相當的支持與肯定，社區民眾也期望繼續辦理社區防疫活動，強化在地之社區防疫網絡，感染管制護理師亦為醫院感染控制與社區防疫最佳的諮詢者。

The epidemic potential of emerging infectious diseases is threatening human life and thereby creating the urgent need for the development of related control and protection measures. In the post-SARS era, it is important to strengthen the relationship between medical systems and community through guidance of joint participation. Under the trend of cross-border epidemic prevention, enhancement of the effectiveness of community disease prevention has been an important public health policy direction for medical centers in Taiwan for community care and health dissemination. Control of community-acquired infections was an important item of the hospital-infection-control operation, which was included in the new hospital accreditation system. In 2007, the infection-control nurses at our hospital formed an interdisciplinary team to plan a prevention program for community-acquired infections. We visited the community leaders and explained the purpose and content of this program. Local prevention network was gradually formed through initial participation and learning by community people and local elderly population. The implementation strategy has 3 major dimensions: conducting training programs for volunteer service team for the prevention of community-acquired infectious diseases and setting up consultant network and education program for prevention of these diseases. After 2 years of implementation of this strategy, 65 volunteers were trained, 6 community contact sites were established, and the website for community-acquired infectious diseases prevention was accessed over 130000 times. The average satisfaction rate for the lecture course and promotional activities was over 80%. The results of our study showed 45% increase in the willingness for community participation, hospital commitment, accuracy of the concept of infectious disease prevention, attention to cleaning environment, and participation in infectious disease prevention activities. The prevention activities for community-acquired infections have received considerable support and approval. In addition, people of the community believe that the staff at our hospital can, with dedication, maintain the network of local community infectious diseases prevention. Infection-control nurses have served as the best consultants for healthcare-associated infection control and community-acquired infectious disease prevention.