Guidelines for home rehabilitation specialists

(First Edition)

These guidelines are intended to help and guide the self-health management of COVID-19 positive persons (nucleic acid positive or antigen positive persons, hereinafter referred to as positive persons) during home rehabilitation. When you are informed that the nucleic acid test is positive or the self-tested nucleic acid antigen is positive, please do not panic or be afraid, read this guide carefully and follow the implementation, and be the first person responsible for your own health.

1, the daily life notice

(1) The infected person should strictly refrain from going out and refuse all visits during home rehabilitation. Fellow residents should take good personal protection and comply with the requirements of home isolation rehabilitation management.

(2) A positive infected person lives alone in a well-ventilated room. Clothes, sheets, towels and other supplies should be kept separately from others and washed separately. Use separate utensils. The rooms are equipped with personal protective equipment such as thermometers, tissues, masks, disposable gloves, disinfectants, disinfection products, and epidemic prevention materials such as trash cans with LIDS.

(3) Infected persons should wear N95 masks when entering public areas at home. When people living with a positive infected person come into contact with him or her, or handle his or her pollutants or contaminated surfaces, they should take good self-protection, wear N95 masks and disposable gloves, keep at least 1 meter away from him or her, and do good hand hygiene.

(4) Each room should close the door and open the window independently for ventilation. The room should open the window for ventilation at least once a day in the morning and in the afternoon for more than 30 minutes each time. The central air conditioner should turn off the return air and operate in full fresh air mode. The toilet should strengthen the window ventilation, or open the exhaust equipment for ventilation. Wet clean the room at least once a day.

(5) The toilet shall be cleaned and disinfected on a daily basis. When the toilet flushes, cover the toilet seat before flushing. The wet and dry floor drains in the bathroom and kitchen should be filled regularly every day. After the water is filled, the lid should be covered, and then the floor drains should be pressed with plastic bags or sealed with silicone pads.

(VI) Household garbage should be properly disposed of. Every time the garbage is cleaned, it should be packed in a double-layer plastic bag and tied tightly to avoid spilling. After disinfection of the outer surface and sealing area, the garbage should be put into the designated place in the community by the roommates wearing N95 masks and latex gloves.

(7) Except daily necessities and medicine, try not to order other express delivery. When receiving express delivery and takeout, use non-contact mode. When opening the door, wear N95 mask and disposable gloves, and do hand hygiene before and after opening the door.

2 self-health management

(I) Patients with Omicron variant strain are mainly asymptomatic infected and mild cases, most of which do not require excessive treatment. General patients can be observed and treated at home, pay attention to bed rest, strengthen supportive treatment, and ensure adequate energy and nutrition intake. Pay attention to water and electrolyte balance to maintain a stable internal environment. In case of health problems, seek help from local community health services.

(2) The positive infected persons and their roommates shall monitor their body temperature and disease conditions daily, and receive appropriate treatment or seek medical attention in time if symptoms of respiratory tract infection or existing underlying diseases become significantly worse.

(3) Health monitoring should be strengthened during home rehabilitation, and the quarantine should be lifted after two consecutive nucleic acid tests with Ct values ≥35 on the sixth and seventh days of isolation.

(four) to maintain mental health, reduce anxiety, fear, tension, irritability. Maintain regular daily work and rest and entertainment to improve body immunity. If you are depressed or affected by some bad emotions, you can take the initiative to talk to trusted people to get psychological support and eliminate negative emotions. If necessary, you can seek psychological professional support and call psychological assistance hotline.

3. Self-medical services

(1) Common symptoms of positive infected persons include fever, dry cough, fatigue, loss of smell and taste, nasal congestion, runny nose, sore throat, conjunctivitis, myalgia and diarrhea. According to the clinical experience of experts, the course of disease of ordinary young and middle-aged patients infected with the novel coronavirus is about 7 days, and those who have received the novel coronavirus vaccine and completed the enhanced immunization have a shorter course of disease and milder disease. Some elderly people, especially those over 70 years old with underlying diseases, have a more complicated course of disease.

(2) Combined with the opinions of clinical experts, symptomatic treatment is mostly used for viral infection, and the role of drugs is mainly to relieve symptoms. It is recommended to use symptomatic drugs at the early stage of symptoms.

If fever, headache, sore throat and significantly affect rest and sleep, antipyretic and analgesic drugs can be taken, such as ibuprofen, acetaminophen, children can choose the corresponding suspension; If you have cough symptoms, it is recommended to use compound fresh bamboo leek, Xuan Fei Fei Dou granules, Chu Zhi syrup, etc. If there are symptoms of excessive sputum and laborious sputum, it is recommended to use compound glycyrrhiza tablets and acetylcysteine granules. If the symptoms of sore throat and dry throat are obvious, Huasu tablets and watermelon cream lozenges are recommended. If symptoms of nasal congestion and runny nose are evident, pramine, loratadine, cetirizine, or budesonide are recommended.

The infection of the novel coronavirus may lead to the aggravation of chronic and basic diseases. People with basic diseases must take medication regularly to control their illness.

(3) If a positive infected person shows any of the following symptoms, emergency medical treatment is required. You can dial 120 emergency number directly, or choose the appropriate way to go to the medical institution for treatment.

① After taking antipyretic drugs, the fever still exceeds 38.5℃ and lasts for more than 2 days;

② The body temperature is 35℃ or below;

(3) convulsions;

④ dyspnea or shortness of breath;

⑤ aphasia or inability to move;

⑥ Inability to wake up or stay awake;

⑦ Chest or abdominal pain;

Dizziness or confusion or obvious changes in mental state;

⑨ Weakness or unsteadiness of foot;

⑩ Decrease or cessation of fetal activity in pregnant women (for pregnant women of 24 weeks or more);

Persistent inability to eat or drink or diarrhea or vomiting for more than two days.