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篇名
長期機構感染防護與個人防護裝備落實策略
並列篇名
Infection Prevention and Implementation Strategies for Personal Protective Equipment in Long-Term Care Facilities
作者 張簡品洳
中文摘要

長期照護機構住民多為高齡及慢性病人者,因免疫功能低下及群體生活特性,極易成為傳染性疾病的高風險族群。個人防護裝備(Personal Protective Equipment, PPE)為感染防治中最基本且關鍵的防護措施,其正確使用與管理直接影響機構內感染控制成效。身為感染管制護理師,需從風險評估、教育訓練、監測稽核及制度建構等面向,確保防護措施落實於臨床照護現場。觀察現況可知,多數長期照護機構雖備有基本PPE,如手套、外科口罩、防護衣、面罩及護目鏡等,但仍常見使用流程不符標準、穿脫步驟錯誤、訓練頻率不足與物資管理未臻完善等問題,此不僅降低防護成效,也增加院內交叉感染風險。為提升防疫能量,應強化員工感染管制教育,建立PPE使用標準作業流程,並透過定期稽核與即時回饋機制,確保防護行為之正確性與持續性。感染管制護理師(員)在長期照護機構中扮演關鍵角色,除監督防護措施外,亦需推動感染防治文化之建立。透過制度化管理與持續教育,可有效降低傳染性疾病之發生率,保障住民與照護人員之安全,並提升整體照護品質。

英文摘要

Residents in long-term care facilities are primarily older adults and individuals with chronic illnesses. Due to weakened immune systems and the communal nature of their living environments, they are at particularly high risks of contracting infectious diseases. Personal protective equipment (PPE) is one of the most fundamental and critical measures in infection prevention and control, and its proper use and management directly determine the effectiveness of infection control within facilities. Infection control nurses play a vital role in ensuring that protective measures are fully implemented in clinical care settings through comprehensive approaches encompassing risk assessment, education and training, monitoring and auditing, and system development. Current observations indicate that while most long-term care facilities are equipped with basic PPE such as gloves, surgical masks, gowns, face shields, and goggles, common issues persist, including nonstandardized usage procedures, incorrect donning and doffing steps, insufficient training frequency, and inadequate resource management. These problems not only reduce the effectiveness of protection but also increase the risk of cross-infection within facilities. To strengthen infection prevention capacity, staff education on infection control should be enhanced, standardized operating procedures for PPE use should be established, and regular audits along with real-time feedback mechanisms should be implemented to ensure both accuracy and consistency in protective practices. Infection prevention and control (IPC) nurses and nursing staff play a pivotal role in long-term care facilities, not only supervising the implementation of protective measures but also fostering a culture of infection prevention. Through systematic management and continuous education, facilities can effectively reduce the incidence of infectious diseases, safeguard the safety of residents and caregivers, and improve the overall care quality.

起訖頁 062-067
關鍵詞 長期照護機構感染管制個人防護裝備感染管制護理師(員)傳染性疾病Long-term care facilities, infection controlpersonal protective equipment (PPE)infection control nurseinfectious diseases
刊名 醫療品質雜誌  
期數 202511 (19:6期)
出版單位 財團法人醫院評鑑暨醫療品質策進會
該期刊-上一篇 從認證到卓越:台大醫院腎臟病照護品質經驗分享
該期刊-下一篇 性別平等的落實與實踐—深入探討《消除對婦女一切形式歧視公約》(CEDAW)
 

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