一项针对COVID-19和养老院流感疫情管理的混合方法研究:在预防感染和福祉之间寻求平衡的挑战
Iris R van der Horst1, Laura W van Buul1, Martin Smalbrugge1
1Department of Medicine for Older People, Amsterdam UMC, Location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands; Aging & Later Life, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
Journal of the American Medical Directors Association
|January 13, 2026
概括
在COVID-19和流感爆发期间,养老院 (NHs) 调整了感染预防和控制 (IPC) 措施,以平衡居民福祉与公共健康. 工作人员对IPC策略的定制改善了疫情管理和准备.
科学领域:
- 老年学是一门学科.
- 传染病流行病学 传染病流行病学
- 医疗保健管理的管理
背景情况:
- 在COVID-19大流行期间,养老院 (NHs) 面临着平衡感染预防和控制 (IPC) 措施与居民福祉的挑战.
- 由于对居民的负面影响,公众辩论质疑了IPC措施的比例性.
研究的目的:
- 了解NH如何管理COVID-19或流感疫情.
- 探索平衡IPC措施与居民福祉的考虑因素.
主要方法:
- 混合方法研究涉及14个荷兰NH组织 (176个地点).
- 每周调查问卷监测了24个疫情;7个疫情经过了广泛的监测,使用了定性访谈和居民级数据.
- 定量描述性分析和流行病学曲线,以及定性数据,为IPC战略调整的理解提供了信息.
主要成果:
- 在NH组织内和之间观察到IPC措施的变化,协议通常针对特定的单位或情况进行定制.
- 国家公路工作人员一贯衡量IPC措施的影响与其感知的有效性,有时优先考虑居民福祉而不是严格遵守战略.
- 定性数据显示,在疫情爆发期间,基于这些考虑,IPC策略的逐步调整.
结论:
- 该研究澄清了NHs如何管理COVID-19和流感疫情,突出了工作人员对措施影响和有效性的考虑.
- 国民公路工作人员认识到需要量身定制IPC措施,但在实践中不一致地应用定制.
- 结果为NH组织提供了洞察力,通过改进IPC战略及其实施,更好地为未来的疫情做好准备.
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