Lessons learned from the anti-SARS quarantine experience in a hospital-based fever screening station in Taiwan
Lessons learned from the anti-SARS quarantine experience in a hospital-based fever screening station in Taiwan
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DOI：
10.1016/j.ajic.2009.09.008
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发表时间：
2010-05-01
影响因子：
4.9
通讯作者：
Tsai, Jeffrey Che Hung
中科院分区：
文献类型：
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作者：
Lin, Esther Ching Lan;Peng, Yih Chi;Tsai, Jeffrey Che Hung
背景资料：严重急性呼吸道综合征（SARS）是21世纪第一个袭击国际社会的重大新型传染病。世纪。当SARS席卷近30个国家时，台湾大多数医院都采取了强制隔离措施，这是预防疾病传播的最有效公共卫生策略之一。我们探讨了抗SARS检疫经验的病人在医院为基础的发热screeningstation.Methods：我们进行了一个现象学，定性研究，在台湾SARS疫情期间使用半结构式电话访谈。17例发热患者被隔离在发热筛查站的医院急诊科至少2 hours被招募到本study.Results：数据分析使用Collaizi的9个步骤揭示了2类-外部负担和内部斗争-和6个主题，关于病人的检疫经验。外在负担包括三个主题：（1）忍受不舒适的环境，（2）面临歧视，（3）缺乏亲自的家庭支持。内部斗争包括3个主题：（1）斗争与被隔离，（2）斗争与情绪动荡，（3）斗争与可能的SARS diagnosis.Conclusion：这些结果将有助于敏感的卫生保健人员同情被隔离人员，同时提供高质量的检疫护理和其他感染控制措施。
Background: Severe acute respiratory syndrome (SARS) was the first major novel infectious disease to hit the international community in the 21st century. While SARS was sweeping over almost 30 countries, most hospitals in Taiwan instituted mandatory quarantine measures, one of the most effective public health strategies for preventing disease transmission. We explored the anti-SARS quarantine experience of patients in a hospital-based fever screening station.Methods: We conducted a phenomenologic, qualitative study using semistructured telephone interviews during the SARS outbreak in Taiwan. Seventeen patients with fever who were quarantined in the fever screening station of a hospital emergency department for at least 2 hours were recruited into this study.Results: Data analysis using Collaizi's 9 steps revealed 2 categories-external burden and internal struggle-and 6 themes regarding patients' quarantine experience. External burden included 3 themes: (1) bearing the uncomfortable surroundings, (2) facing discrimination, and (3) lacking in-person family support. Internal struggle consisted of 3 themes: (1) struggle with being quarantined, (2) struggle with emotional turmoil, and (3) struggle with possible SARS diagnosis.Conclusion: These results will contribute to sensitizing health care professionals to empathize with quarantined persons while providing quality quarantine care and other infection control measures.