SARS - a perspective from a school of nursing in Hong Kong

SARS - a perspective from a school of nursing in Hong Kong
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DOI:
10.1046/j.1365-2702.2003.00884.x
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发表时间:
2004-02-01
影响因子:
4.2
通讯作者:
Twinn, S
Twinn, S
中科院分区:
医学2区
文献类型:
--
作者:
Thompson, DR;Lopez, V;Twinn, S

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背景资料。严重急性呼吸综合征(SARS)是一种发病率和死亡率都很高的新传染病,对世界范围内的卫生保健服务产生了重大影响。香港有相当多的病例和死亡病例。作为临床医疗团队的排头兵,护士们受到的影响尤其大。疫情的爆发促使卫生当局实施了一系列公共卫生措施和医院政策,包括SARS患者的诊断和管理指南。目的和目标。本文旨在概述对SARS的认识及其对香港的影响,并从护理学院的角度强调SARS对临床、教育和公共卫生的重大影响。对这种疾病缺乏了解和不确定,导致提供的信息有很大的差异,导致社区的困惑和焦虑。因此,有必要修订护理课程,为所有卫生保健专业人员提供持续教育,特别是关于感染控制措施的教育,并重新审视公共卫生政策的范围,以确保社区的健康受到这些政策的保护。还重申了促进健康的重要性,强调了护士、卫生政策制定者和公共卫生人员之间伙伴关系的重要性。显然,临床实践、教学和健康促进的组织和提供必须灵活,并应对不断变化的健康状况作出反应。护士必须在预防、检测和遏制SARS方面发挥关键作用。他们将需要执行并确保严格遵守感染控制措施,在某些情况下,可能需要隔离和检疫。不应忽视对患者及其家属的心理状态的关注。派拉蒙是对患者、家属和广大公众的教育。
Background. Severe acute respiratory syndrome (SARS) is a new infectious disease with significant morbidity and mortality that has had a major impact on health and health care services worldwide. Hong Kong has had a significant number of cases and deaths. Nurses, at the vanguard of the clinical health care team, have been particularly affected by it. The outbreak prompted the health authorities to implement a series of public health measures and hospital policies, including a guideline for the diagnosis and management of patients with SARS.Aim and objectives. This paper aims at providing an overview of what is known about SARS and the impact it has had in Hong Kong and to highlight from the perspective of a school of nursing the major clinical, educational and public health implications.Conclusions. The lack of understanding and uncertainty about the disease led to significant variation in the provision of information, contributing to the confusion and anxiety in the community. Therefore, there is a need to revise the nursing curriculum, to provide continuing education to all health care professionals, particularly with regard to infection control measures, and to revisit the range of public health policies to ensure the health of the community is protected by these policies. There also has been a reaffirmation of the importance of health promotion that highlights the importance of the partnership between nurses, health policy makers and public health personnel. It is evident that the organization and delivery of clinical practice, teaching and health promotion have to be flexible and responsive to a changing health scenario.Relevance to clinical practice. Nurses must play a crucial role in the prevention, detection and containment of SARS. They will need to implement and ensure strict adherence to infection control measures and, in some circumstances, isolation and quarantine may be warranted. Attention to the psychological state of patients and family members should not be overlooked. Paramount is education of patients, families and members of the public at large.