護理師為結核病病人規劃照護計畫,應包含下列哪些措施?(複選)
A nurse is planning care for a client who is diagnosed with tuberculosis. Which interventions should the nurse include? (Select all that apply.)
- APlace the client in a private room with negative airflow✓ 正解將病人安置於具有負壓氣流的私人病房
- BRequire all visitors to wear an N95 respirator✓ 正解要求所有訪客佩戴 N95 呼吸器
- CEnsure the client wears a surgical mask during transport✓ 正解確保病人在運送期間佩戴外科口罩
- DPerform hand hygiene after leaving the room✓ 正解離開病房後執行手部衛生
- EAssign the client to a shared room with another TB patient將病人分派至與其他結核病病人共用的病房
結核病(Tuberculosis, TB)透過空氣微粒傳播,護理重點在於阻斷空氣傳播途徑。必須採取空氣傳播預防措施(Airborne Precautions),包括單人負壓病房、醫療人員配戴 N95 口罩、病人運送過程配戴外科口罩,以及落實手部衛生。臨床思路應優先考量感染控制,以保護其他病人與醫療人員的安全。
Tuberculosis (TB) is transmitted by airborne particles; the focus of nursing care is to interrupt airborne transmission. Airborne precautions must be implemented, including a single-room negative-pressure environment, N95 respirators for healthcare workers, a surgical mask on the patient during transport, and strict hand hygiene. Clinical reasoning should give priority to infection control to protect other patients and staff.
台灣與美國在結核病隔離政策上大致相同。皆嚴格要求負壓隔離(Negative Pressure Room)與 N95 呼吸防護。但美國醫院對結核病人的出院標準(Discharge Criteria)通常較為嚴格,需符合連續痰液抹片陰性或藥物治療達一定時程,且需與地方衛生部門(Public Health Department)密切配合進行接觸者追蹤。