This guide is used to standardize and guide the health management services of community health service institutions to novel coronavirus positive infected persons and their residents within their jurisdiction. The health administrative departments of all districts may, according to the basic requirements of this guide and in combination with the actual situation, formulate relevant work guides in their respective regions.
I. Information management
When novel coronavirus-positive patients are brought into management, I need to provide nucleic acid positive or antigen positive test results. Establish residents' health records for COVID-19 positive infected persons and their residents, understand their daily health status, and fill in the information related to COVID-19 infection as required. Establish a work ledger, and master the basic information such as the name, contact information, home address, and common residence of the positive infected persons in COVID-19. Focus on the elderly, children, pregnant women, dialysis patients and special patients with serious basic diseases.
Second, health assessment.
1. appraiser
Asymptomatic infected persons and mild patients are evaluated by general practitioners in community health service institutions. Severe mental illness, pregnant women and children are evaluated by experts or health care doctors.
2. Evaluation guidance
Asymptomatic cases/infections; Asymptomatic carriers in COVID-19
Those who have been found to be positive but have no relevant clinical symptoms can be given health education, including health education on ventilation, disinfection and hand hygiene, as well as guidance and intervention with Chinese characteristics such as daily life adjustment, diet guidance, exercise guidance, mood adjustment and Chinese medicine prevention.
Mild/normal patients
There are symptoms such as fever and respiratory tract, but no symptoms such as dyspnea and chest tightness. Mild/ordinary patients generally do not need special treatment. If they have fever or respiratory symptoms, they can be given general symptomatic treatment. It is suggested to stay in bed at the initial stage of infection and drink plenty of water to ensure adequate energy and nutrition intake. If fever symptoms appear, necessary antipyretic drugs can be given, and ibuprofen and acetaminophen can be given according to the patient's condition. Cough and expectoration symptoms can be relieved by related drugs.
Chronic patients need to take daily maintenance drugs for chronic diseases on time. If you are nervous and anxious, you should strengthen psychological counseling, and if necessary, you can carry out drug assistance under the guidance of a doctor, and you can give Chinese medicine intervention guidance.
For children: In addition to symptomatic treatment, children's massage, acupoint massage and music therapy can be taken appropriately to help stabilize emotions and protect mental health.
For pregnant women: always pay attention to their physical and mental state, and provide advice and guidance on diet, emotion and psychology, and be guided by professional doctors when necessary.
For the elderly: In addition to COVID-19's symptoms, pay attention to the basic diseases of the elderly, and strengthen the intervention and health guidance on the basic diseases, such as guiding the medication, eating habits and exercise of chronic diseases.
For patients with mental illness: always pay attention to mental state, and professional doctors will give targeted psychological counseling and symptomatic treatment.
Severe/critical patients
When the respiratory rate is more than 30 times/minute, hypoxemia occurs, and in severe cases, respiratory failure and shock occur. Timely transfer severe patients with new symptoms of coronary pneumonia to designated hospitals.
Cohabitant
Health education should be given to COVID-19-positive patients, including anti-infection measures such as how to avoid simultaneous exposure to air, ventilation, disinfection, hand hygiene, adjustment of daily life, diet guidance, exercise guidance, emotional adjustment and prevention of traditional Chinese medicine.
Third, publicity and notification.
By means of paper or electronic notification, inform the self-health management requirements of the positive infected persons in COVID-19, push the self-test video of antigen, user manual and health and epidemic prevention knowledge, guide the positive infected persons in COVID-19 to standardize self-test and symptom monitoring, and improve epidemic prevention skills. Inform COVID-19 positive patients about daily medical security, medical procedures, relevant work contacts and contact information.
Fourth, health management.
Through the combination of online and offline, health follow-up and remote diagnosis and treatment services are provided for the positive infected people in COVID-19. Carry out health monitoring, ask and collect the information of body temperature, respiratory symptoms, mental state and other information of COVID-19 positive infected people every other day, whether they have dyspnea, chest tightness and other manifestations, until the self-test antigen test or nucleic acid test of COVID-19 positive infected people is negative. If necessary, on-site visits can be provided to assess the health status and handle it in time according to the assessment. At the same time, do a good job in the health monitoring of people living with positive infections in COVID-19, and promptly guide them to seek medical treatment if they find abnormal conditions.
Verb (abbreviation of verb) referral guidance
In case of continuous fever, dyspnea and other critical cases of COVID-19-positive infected persons, the patients or their families should be instructed to drive or call 120 ambulance to medical institutions for treatment according to the principle of proximity. For non-critical and severe patients, when seeking medical treatment for special diseases such as dialysis, guide them to give priority to the designated hospitals in their jurisdiction and assist in referral when necessary.
VI. Case Management
After the self-test antigen test or nucleic acid test of COVID-19 positive infected people is negative, the patient health management will be terminated and included in the routine health management of community health services.
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