- 期刊
精神科急性病房轉型為檢疫病房－以北台灣某精神專科醫院為例
Transforming from psychiatric acute ward to quarantine ward-an example from a psychiatric hospital in northern Taiwan
摘要
為了保障精神病人於檢疫或確診時，能獲得妥善的安置及照護，同時兼顧傳染性疾病及精神症狀治療，本院於110年5月21日，COVID-19疫情大爆發之際，將原收治精神官能症及感控隔離病人的D病房，轉型為檢疫病房，為期三個月，收治檢疫所、檢疫旅館、居家隔離不配合之精神科個案，以及確診COVID-19輕症或無症狀之精神病患。照顧COVID-19確診的病患是一件相當困難的事情，照顧COVID-19確診的精神病患更是難上加難，COVID-19對D病房的挑戰有三：服務對象為精神病患、精神病房的設備限制及醫護能量不足。解決對策：讓同仁安心及安身、改善病房硬體需求、建立病人安全、提供病人優質的身心靈照護、執行『預立安寧緩和醫療暨維生醫療抉擇』。綜觀D病房順利轉型的要素有三：危機小組的積極處理，成為同仁的支持；同仁對事件有合乎現實的理解，而做滾動式調整；對護理工作的堅定信念，將危機化為轉機，其歷程提供臨床工作人員參考。
並列摘要
In order to ensure that psycho can be properly arranged during the quarantine or psycho become confirmed cases. Meanwhile, take infectious diseases and psychiatry treatments in account, the hospital transformed the acute psychiatric ward, which was used to treat patients with neurosis and infection control isolation, into a quarantine ward on May 21 for three months when COVID-19 outbroke. during that period, acute psychiatric ward admissions were mild or asymptomatic cases and psychiatric cases who did't comply with quarantine facilities, quarantine hotels, home quarantine. Taking care of confirmed cases is quite hard. However, taking care of psycho who get COVID-19 is even more difficult. There are three challenges for a quarantine ward. Patients are psycho, equipment restrictions, and running out of medical capacity. Solutions: let colleagues feel at ease, improve the hardware demand of the ward, establish patients safety, provide quality body-mind-spirit care for patients, and implement advance hospice palliative care and life supporting decision. Overview acute psychiatric ward successful transformation, there are three factors. First, crisis team take the initiative and become colleagues' back. Second, coworkers have realistic understanding of the incident, and conduct roll adjustments. Last but no least, strong conviction to nurses work precede converting the crisis into the turn for better. The course provides a reference for clinical staff.