Shaanxi issued a rehabilitation guide manual for people infected with the new coronavirus

According to the website of the Shaanxi Health Commission, in order to help and guide the self-health management of new coronavirus infected people in the recovery period, the Shaanxi Provincial Health Commission organized an expert group to formulate the "Shaanxi Province Novel Coronavirus Infection Rehabilitation Guidance Manual (First Edition)
".
The full text is as follows:

 

Shaanxi Province Novel Coronavirus Infection Rehabilitation Guide Manual (First Edition)

 

This handbook brings together the opinions of experts and scholars in different fields, summarizes relevant clinical experience, and aims to help and guide the self-health management of new coronavirus infected people in the recovery period and be the first responsible person
for their own health.

 

1.
Applicable population

 

This manual is intended for patients who are convalescent from the new coronavirus and can be used as a supplement
to the professional treatment of medical staff.
According to the "Diagnosis and Treatment Plan for Novel Coronavirus Pneumonia (Trial Version 9)" and expert recommendations, when the new coronavirus infected person meets any of the following criteria and other symptoms improve significantly, he has entered the recovery period: 1.
Two consecutive negative nucleic acid tests, both Ct values ≥ 35; 2.
Antigen test results are negative for three consecutive days; 3.
When home isolation has been completed for 7 days, fever symptoms have subsided for more than 24 hours
without using fever-reducing drugs.

 

2.
Major health problems and rehabilitation suggestions during the recovery period

 

According to the World Health Organization's "Guidelines for Personal Recovery of New Coronary Pneumonia", combined with clinical observation and population surveys, people recovering from new coronavirus infection currently have the following health problems: shortness of breath, limited physical activity and exercise, decreased physical strength and fatigue, hoarseness and cough, swallowing problems, smell and taste problems, anxiety, depression and sleep problems, body pain, etc
.

 

(1) Shortness of breath

 

Lung damage remains after new coronavirus infection, and pulmonary interstitial hyperplasia, fibrocord or pleural thickening can lead to shortness of breath; Psychological anxiety can also cause shortness
of breath.

 

Rehabilitation Recommendations:

 

1.
Keep calm, reduce psychological anxiety, and if necessary, short-term oral anti-anxiety drugs can be relieved
.

 

2.
Various positions can be taken to relieve shortness of breath, try which one is effective:

 

Prone rest: lying flat with the abdomen down (prone position) can help relieve shortness of breath;

 

Forward seating: sitting at a table with your waist up and forward, head and neck resting on a pillow on the table, arms on the table, or sitting on a chair with leaning forward with your arms on your knees or chair arms;

 

Forward position: under the standing position, the body leans forward, lying on the window sill or other stable support surface;

 

Back leaning position: back against the wall, hands on the sides of the body, feet about 30cm away from the wall, legs apart.

 

3.
The following symptoms require timely medical attention: obvious shortness of breath after light activity, which cannot be improved after adopting any posture to relieve shortness of breath; change in tachypnea at rest and cannot improve with any breathing control technique; chest pain, rapid heartbeat, or dizziness during certain postures, activities, or exercises; Weakness in the face, arms, and legs, especially on one side of the body
.

 

(2) Cough

 

Cough is an important defensive reflex in the body, helping to clear respiratory secretions and harmful agents
.
After the new coronavirus infection, the tracheal mucosa is hyperemic and edematous, causing cough symptoms
.

 

Rehabilitation Recommendations:

 

1.
Patients with mild cough do not need to use cough medicine; Cough is severe, interferes with rest and sleep, and requires medication for oral cough suppressants
.

 

2.
Try the "Stop Cough Exercise"
.
As soon as you feel the urge to cough, close your mouth and cover your mouth with your hand (muffled cough); Do swallowing at the same time; Hold your breath for a short moment
.
When you start breathing again, gently inhale and exhale through your nose
.

 

3.
Trying nose breathing may relieve coughing
.

 

4.
Try boiled sweets
with low sugar.

 

5.
You can boil pear soup and drink, it is best not to put sugar, to maintain the natural sweetness
of pears.
If you cough with a lot of phlegm, you can put a few Chuanbei when boiling pears, and you can relieve symptoms after drinking soup; If the phlegm is white, not particularly much, and it is difficult to spit it out, you can put a few peppercorns, which is conducive to promoting respiratory repair
.

 

6.
If you cough at night due to gastric reflux, try lying on your side or supporting yourself
with a pillow.

 

(3) Fatigue

 

Fatigue is the most common symptom during the recovery period of new coronavirus infection, which is related to the loss of inflammation in the body, as well as factors such as poor diet, insufficient energy intake and electrolyte imbalance in the body
.

 

Rehabilitation Recommendations:

 

1.
Those with mild symptoms maintain a regular rhythm of daily life, determine the priority of activities, and reasonably formulate a work plan
.

 

2.
The symptoms are mild without breathing difficulties, and the treatment of basic diseases can be appropriately treated with qi replenishing drugs, such as lilies, bellflowers and other drugs to replenish lung qi and promote qi machines
.

 

3.
If the difficulty of breathing cannot be relieved, you need to go to the hospital in time
.
You can use soaking and other TCM external treatments, take 3 pieces of ginger (about the size of a dollar coin) plus 5 grams of mugwort and 5 grams of salt, cook for a total of 10 minutes, add water above the ankle joint, control the temperature at 40-43 °C, maintain this temperature for about 30 minutes, once
a day.
It is advisable to sweat slightly, not sweat
.
If you have heart disease, the soaking time needs to be halved, not too long
.
If the difficulty of breathing cannot be relieved, you need to go to the hospital in time
.

 

(4) Palpitations

 

Some patients have symptoms of palpitation and palpitations, which are related to physical depletion after new coronavirus infection; Some patients will also have palpitations due to nervousness or fever that will cause sympathetic excitement and increase the body's oxygen consumption, and palpitations can also occur when the new coronavirus load is excessive and affects the systemic circulation
.

 

Rehabilitation Recommendations:

 

1.
We should pay attention to rest, adjust our daily routine, maintain adequate sleep, and at the same time strengthen our own nutrition, intake more foods rich in protein and vitamins, and improve the
body's ability to resist disease.

 

2.
If the symptoms of palpitations are obvious, the beats per minute last more than 100 times, less than 60 times, or irregular beats, you need to be alert to the occurrence of viral myocarditis, it is recommended to go to the hospital for examination in time to find out the cause and take measures
.

 

(5) Pain

 

Pain can occur in specific parts of the body (arthralgia, muscle pain, headache, chest pain, and abdominal pain) or spread throughout the body and is associated with
the inflammatory effects of coronavirus infection.

 

Rehabilitation Recommendations:

 

1.
Adjusting the rhythm of daily activities is one of
the keys to controlling pain.
Gentle exercise also helps release chemicals inside the body called endorphins, which help relieve pain; It is also possible to use external TCM treatments such as hot compresses and gua sha
.

 

2.
Good sleep can help reduce pain symptoms
.
If the pain interferes with sleep, choosing to take pain medication while you sleep may help
.

 

3.
Listening to relaxing music or meditation can also help relieve pain
.

 

4.
For joint, muscle or systemic pain, over-the-counter analgesics
such as paracetamol or ibuprofen can be taken with meals.

 

5.
For sore throat, drugs such as golden throat and peppermint lozenges can be used
.
A good night's sleep can help reduce pain symptoms
.

 

6.
If there is obvious chest pain, you should go to a medical institution in time
.

 

(6) Sound problems

 

Coronavirus infection causes sore throat, irritating cough and a feeling of phlegm in the throat, which requires frequent throat
clearing.
There may also be a faint, panting, or hoarseness that is usually caused by using a ventilator in the hospital
.

 

Rehabilitation Recommendations:

 

1.
Replenish enough water and enter water in small amounts and multiple times throughout the day to try to keep the sound normal
.

 

2
.
Don't strain your voice.
Don't speak with your ear volume, as this can strain your vocal cords, and try not to speak or shout
loudly.

 

3
.
If you have difficulty speaking or are uncomfortable, you can use other means of communication, such as writing, texting, or using gestures.

 

4.
Inhalation of steam (inhalation of steam from a cup filled with boiling water after covering the head with a towel) for 10-15 minutes can relieve dryness and moisturize the vocal tract
.

 

5.
Gastric reflux (also known as acid reflux or heartburn) is very common, and eating late at night or eating foods that are not easily digestible should be
avoided.

 

6.
Stop smoking
.

 

7
.
If symptoms do not improve for a long time, please consult a medical professional.

 

(7) Swallowing problems

 

Difficulty swallowing food and drink is due to weakened muscle function that helps swallow
.

 

Rehabilitation Recommendations:

 

1.
Keep your body sitting upright when eating and drinking, and be sure not to eat or drink
lying down.
Stay upright (sitting, standing, walking) for at least 30 minutes
after meals.

 

2
.
Try foods with different textures, choosing softer, smoother, or moist foods, or eating solid foods into very small pieces.

 

3.
When eating, you should chew slowly and do not gobble
up.
Pay attention
when eating or drinking.
Try to choose a quiet place to eat
.

 

4.
Avoid talking
while eating or drinking.
Make sure there is no food in your mouth before eating or drinking the next bite
.
If necessary, swallow once
.
If you feel tired from eating a full meal, eat fewer frequent meals
throughout the day.
Keep your mouth clean
by brushing your teeth and drinking water.

 

5.
If you cough or choke while eating or drinking, talk to your health care provider because food or drink may have strayed into your lungs
.

 

(8) Decreased sense of smell and taste

 

The invasion of the mucosa of the upper respiratory tract by the new coronavirus will cause the taste cells to be affected, resulting in the loss of taste, or even the loss of taste, and may also invade the sensory cells in the nasal cavity, resulting in insensitivity to odor response, and in severe cases
, loss of smell may occur.

 

Rehabilitation Recommendations:

 

1.
Brush your teeth twice a day to ensure oral hygiene
.

 

2.
Conduct olfactory training, including smelling lemons, roses, cloves, and eucalyptus twice a day for 20 seconds
each.

 

3.
Try adding herbs and spices to your food, such as chili peppers, lemon juice, and fresh herbs
.
However, use with caution as this may worsen gastric reflux
.

 

3.
Major psychological problems and rehabilitation suggestions during the recovery period

 

(1) Stress, anxiety, depression

 

Infection with the new crown will bring great challenges to people's work and life, protection policy adjustments, work with symptoms, their own and their family's health status, worry about sequelae, etc.
will bring pressure to the vast majority of people, and it is natural to have emotions such as fear, tension and anxiety during the recovery period, and there is no need to be overly nervous
.
Overcome fear, nervousness and anxiety, do not adopt negative coping methods such as denial, avoidance and withdrawal, excessive dependence on others, blame and complain, transfer emotions, tantrums, impulsivity, etc
.
, especially do not try to relieve tension through tobacco and alcohol.

 

Rehabilitation Recommendations:

 

1.
Relaxation training

 

Relaxation helps to save limited energy, control anxiety, and improve mood
during the healing process.
Relaxation training should be done every day, especially breathing relaxation and muscle relaxation adjustment, as well as relaxation training methods
such as meditation, mindfulness and stress reduction, mind or visual guidance, bathing, aromatherapy, tai chi, yoga, etc.
Soothing music and focused reading are also simple and effective ways to
relax.

 

2.
Get enough sleep

 

Chronic stress can lead to mental and physical symptoms, including impaired sleep, headaches, memory loss, and digestive problems
.
Sleep is essential for good health and the effective functioning of the immune system, helping us fight stress, depression and anxiety
.

 

3.
Stay social

 

Moderate socialization is important
for mental health.
Electronic devices can be used to maintain social connection with friends and family, talking to others can reduce stress and its negative impact on mood and sleep, seek mutual encouragement and support
during the pandemic.
In addition, eating a healthy diet and gradually returning to daily activities or hobbies as much as possible can improve mood
.

 

(2) Sleep problems

 

Due to the chronic stress and widespread fatigue caused by the pandemic, sleep disturbances can become chronic
.
Symptoms such as cough and fever, as well as the use of certain medications, can also interfere with sleep
.
Quality sleep strengthens the body's defenses, aids in thinking, learning, memory, and decision-making, and improves all aspects of
health.
Whether you have long-term sleep problems or are only experiencing during the recovery period of the new crown, you can take steps to improve them
.

 

Rehabilitation Recommendations:

 

1.
Regular schedule

 

People's body and mind are easy to adapt to a stable sleep schedule, avoid major changes in daily sleep time, it is recommended to try to fix the time of getting up and going to bed
.
Not working in bed, make a mental connection
between bed and sleep.
Frequent linen changes, fluffy pillows and neat beds create a comfortable and inviting sleeping environment
.
Lunch breaks can make people energetic throughout the afternoon, can improve learning, help memory, regulate emotions, but should be limited to less than 20 minutes, long naps can make people feel groggy and may even interfere with the ability to
fall asleep at night.

 

2.
Exercise regularly

 

Regular exercise, such as walking or doing other types of outdoor activities, gyms, or indoor exercise at home, can help
with sleep.
Light helps the body establish stable sleep patterns, and natural light has a positive effect
on the body's day and night clock.
Open as many windows and blinds as possible to allow light into our home during the day; Blue light from electronic devices such as phones, tablets, and computers can interfere with your body's natural sleep-promoting processes, so try to avoid using these devices to watch entertainment an hour before
bedtime.
Minimize your total time spent on social media, schedule phone or video calls with friends and family, and try to focus on topics
other than the pandemic.

 

3.
Pay attention to your diet

 

Maintaining a healthy diet can promote good sleep
.
Choose nutritious foods and drinks and cut back on alcohol and coffee, both of which can disrupt the duration and quality
of sleep.

 

4.
Adjust cognition

 

Affected by the epidemic, many patients with insomnia have double anxiety and fear of the epidemic and insomnia itself, which aggravates the severity of
sleep problems.
We should look at the current epidemic situation rationally and scientifically, should not worry too much, and alleviate anxiety and anxiety through effective methods
.

 

(3) Management of attention, memory and thinking clarity problems

 

During the recovery of new crown patients, various difficulties in thinking skills (called "cognition") may occur, including problems
with memory, attention, information processing, planning and organization.
This condition is also known as "brain fog"
.
Fatigue usually worsens brain fog
.

 

Rehabilitation Recommendations:

 

1.
Minimize distractions

 

Try to work
in a quiet environment with no background distractions.
You can use earplugs
if needed.
If you're distracted while reading, cover part of the content with paper or mark
it with your fingers.

 

2.
Preserve physical strength and avoid fatigue

 

When you want to complete a task that requires thinking skills, try to schedule it
when you are not too tired.
If fatigue is aggravating the problem, shorten your work hours and take a break, don't rush or try to get too much information at once, as this can create mistakes and do one thing
at a time.

 

3.
Set reasonable goals for yourself

 

Having clear goals helps keep you motivated
.
Set achievable and realistic goals
.
Make a schedule and schedule your activities
.
When a goal is achieved, simply reward yourself, such as a cup of tea or fresh juice, watching TV, or taking a walk
.

 

4.
Mental exercise

 

Try new hobbies, puzzles, word and number games, memory exercises, or reading to help you think
.
Start with those mental exercises that are challenging but still achievable, and increase the difficulty
as you can.

 

4.
Nutritional support during the recovery period

 

Nutrition management must implement the whole process of infection prevention and control before, during and after to ensure that patients' immunity recovers
as soon as possible.

 

(1) Can eat a small number of meals, diet should be regular and quantitative, food diverse, reasonable combination, daily intake of 250-400 grams of cereal and potato food, including rice, flour, grains, etc.
; Daily intake of high-quality protein foods 120-200 grams, such as lean meat, fish, shrimp, eggs, soybeans, etc.
; Try to ensure the intake
of 1-2 eggs, 300-500 grams of milk or dairy products per day.

 

(2) Intake of essential fatty acids, increase the intake of essential fatty acids through a variety of cooking vegetable oils, especially vegetable oils rich in monounsaturated fatty acids can maintain the diversification of food, pay attention to both meat and vegetables, thickness and thickness; Eat more fresh vegetables and avoid spicy and irritating foods, fried and greasy foods
.

 

(3) Ensure sufficient daily water intake according to personal needs, prefer boiled water, drink less or not sugary drinks; Patients with chronic underlying diseases such as kidney disease and the elderly should follow the doctor's advice
.

 

(4) Rational use of medicated diet for food nourishment and dietary therapy, combined with the characteristics of winter climate, it is recommended to use traditional Chinese medicine dietary therapies such as snow pear monk fruit water, corn whisker orange peel water, white radish honey water, walnut onion, white ginger soup, pear soup, yam winter melon lotus seed porridge, coix kernel porridge and other traditional Chinese medicine dietary therapy
.

 

5.
Precautions for daily life

 

(1) Precautions for living and living

 

1.
Adhere to scientific wearing of masks, less gathering, frequent ventilation, frequent hand washing, do not crowd, do not gather
.
Do not go to crowded gathering and closed spaces unless necessary, and you must take warm measures when you go out to avoid aggravating
cold.

 

2.
Ensure adequate nutrition, regular work and rest, and good sleep
.
Balanced nutrition, easy to digest, high-quality and high-protein, fresh vegetables, fruits intake in moderation every day, quit smoking, limit alcohol, coffee or strong tea, and maintain adequate sleep
.
People with poor appetite or taste disorders can eat small, frequent meals or prepare their diet
according to personal preferences.
Patients with chronic diseases such as diabetes and hypertension should maintain a regular diet to avoid large fluctuations
in blood sugar, blood pressure and other indicators.

 

3.
After the acute fever symptoms subside, if physical strength allows, you can take a bath
.
When bathing, you must pay attention to heat preservation measures in advance, the indoor temperature should be suitable, the bath water temperature should not be too high, it is recommended that the bathing time be shorter than usual to avoid extra-business situations
.

 

4.
Regularly do a good job of indoor environment cleaning, ventilation, 1-2 times a day, 30 minutes each time is appropriate, pay attention to personal warmth when opening the window ventilation, to avoid cold
.
Cleaning should be the main thing at home, supplemented by disinfection, and physical disinfection methods
such as thermal boiling can be preferred for tableware.
Express, door handles and other key high-frequency parts can be disinfected in time, personal protection should be done during disinfection, masks and gloves should be worn to prepare disinfectants, and carried out in a well-ventilated environment, and the prepared disinfectants should be used
as soon as possible.

 

5.
When using range hoods and exhaust fans in the kitchen, the windows should be kept open for natural ventilation throughout the process; Strengthen window ventilation in the bathroom to maintain air flow; There is no natural ventilation condition, and the exhaust equipment needs to be turned on for ventilation
.
When the toilet flushes, cover the toilet lid before
flushing.

 

(2) Precautions for daily exercise

 

1.
On the basis of regular living, adequate nutrition and sleep, the recovered person can decide whether to start exercise
according to his heart rate, body temperature, breathing and other recovery conditions.
You can start with low-intensity activities, such as walking, eight dan jin, eight methods of live back, tai chi and other exercise methods that are conducive to the smooth operation of qi and blood meridians and the recovery of healthy qi, the time should be about 20 minutes, and the amount of exercise should not exceed 1/3
of your usual time.
If there is no obvious discomfort, the intensity of activity can be gradually increased after 1 to 2 weeks, such as going up and down stairs, brisk walking, jogging, cycling, swimming, and dancing until you return to the normal state of activity before the illness
.

 

2.
If there are obvious cough and sore throat symptoms during the recovery period, do not rush to exercise
.
If chest pain, palpitations, dizziness and other uncomfortable symptoms occur during exercise, stop exercising immediately and seek medical attention
in time if necessary.
For patients with underlying cardiopulmonary diseases and patients with symptoms such as fatigue, chest tightness, and dyspnea, strenuous exercise or heavy work should be avoided for 2 weeks, and low-intensity exercise can be maintained for at least 1-2 weeks, and higher intensity exercise
should be carried out after the body gradually adapts.
Severe asthma with mild activity, sudden paroxysmal or unwarning palpitations, etc.
, need to be extra careful, if necessary, seek medical attention
immediately.

 

(3) Precautions for returning to work

 

1.
At the beginning of returning to work, the pace of work should be slightly slowed down
.
Start with lighter work, gradually return to normal workload and working state, and avoid stress, overtime, staying up late and other behaviors
.
If it is possible for a desk worker to work for about 1 hour, it is best to stand up and rest for 10 minutes, and relieve the discomfort of the shoulders, back, and lower limbs by drinking water and moving the limbs in moderation
.

 

2.
Insist on wearing masks, choose appropriate masks according to different crowd scenarios, and replace masks in time if they exceed 4-6 hours or are soaked or polluted
.

 

3.
The office regularly opens windows for ventilation, and exhaust fans and other extraction devices can be turned on to strengthen indoor air flow; When using the centralized air conditioning ventilation system, the exterior windows should be opened regularly to strengthen ventilation
.

 

4.
Clean up the garbage in the work area in time, strengthen cleaning and disinfection when using public items, and wipe and disinfect
with 75% alcohol or chlorine-containing disinfectant.

 

5.
Wash hands frequently, contact with express delivery, clean up garbage, before meals and after using the toilet, etc.
should be washed or disinfected
in time.
Avoid touching your mouth, eyes, nose
with uncleaned hands.

 

6.
Pay attention to cover your mouth and nose with a tissue or elbow when coughing or sneezing, try to avoid the crowd when you feel that you are going to cough or sneeze, and cover your mouth and nose with a tissue to prevent saliva splashing
.

 

7.
Pay attention to eating more high-calorie, high-quality protein foods, eat more vegetables and fruits, and supplement vitamins
.
Spread out your seats during meals, don't get together, don't chat, don't eat
face-to-face.

 

8.
Pay attention to self-health monitoring, reduce contact with others, work and rest regularly, have the conditions to take a 30-minute lunch break every day, and maintain a healthy
mentality.

 

9.
Pay attention to keeping warm on the way to and from work to avoid repeated or aggravated
respiratory symptoms caused by cold.
If possible, try to choose a low-risk travel mode such as self-driving, and travel as much as possible at different
peaks.
Try to maintain a safe social distance from others when waiting for the bus, wear masks correctly throughout the whole process when riding buses and subways, and take taxis and ride-hailing cars, in addition to wearing masks correctly, you should first open the windows and doors for ventilation
.

 

6.
Home disinfection recommendations

 

After the new crown virus infection enters the recovery period, indoor ventilation should be strengthened, and on the basis of cleanliness and hygiene, disinfection
of key areas and used items should be done.
The disinfection method preferentially adopts physical disinfection methods such as sun exposure and heat, and chemical disinfectants can be used to wipe the surface of the home environment
.
Disinfectants can be used for home disinfection, such as chlorine-containing disinfectants, quaternary ammonium salt disinfectants, hand disinfectants, etc
.
, and alcohol or quaternary ammonium salt disinfectant wipes can also be used.

 

(1) Disinfection methods for different objects

 

1.
Indoor air
.
Open the window regularly every day to ventilate to maintain indoor air circulation, and if there is no natural ventilation condition, the exhaust fan can be used for mechanical ventilation
.
The room shall be ventilated by opening the window at least once a day in the morning and at least once in the afternoon, each time for more than
30 minutes.

 

2.
Object surface
.
Keep the indoor environment, items clean and tidy, tables, chairs, furniture, kitchens, bathroom countertops, doorknobs, faucets and other surfaces, when there are pollutants, you should first clean up the pollutants, and then wipe the disinfection effect with 500mg/L chlorine-containing disinfectant after 30 minutes of clean water, or wipe and disinfect with disinfectant wipes or other disinfectants
that can be used for disinfection of the surface of objects.
Small items such as mobile phones, remote controls, computer keyboards, and mice can be wiped and disinfected
with alcohol wipes.

 

3.
Surfaces
such as floors and walls that may be contaminated.
If there are pollutants, the pollutants should be completely cleaned up before disinfection, and 500mg/L chlorine-containing disinfectant can be wiped or sprayed for disinfection, and the disinfection time is not less than 30 minutes
.

 

4.
Dining (drinking) utensils
.
First wash and then disinfect, the first choice is boiling disinfection for 15 minutes, or you can soak 250-500mg/L chlorine-containing disinfectant for 15 minutes, and then rinse with
clean water.

 

5.
Textiles such as clothes, bedding, towels and so on
.
You can choose to boil and disinfect for 15 minutes or wash with heated water, keep it above 56°C for 30 minutes, or you can soak 1000mg/L quaternary ammonium disinfectant or other clothing disinfectant for 30 minutes and wash
it as usual.
For fabrics that cannot be washed, they can stand at room temperature for 5-7 days
.

 

6.
Mops, rags and other sanitary utensils
.
Should be dedicated to the special area, avoid crossing, after use with 500~1000mg/L chlorine-containing disinfectant for soaking and disinfection, after 30 minutes of action with clean water rinse, dry and stored for later
.

 

7.
Toilet
.
Open the window regularly for ventilation to maintain indoor air circulation, and if there is no natural ventilation condition, the exhaust fan can be used for mechanical ventilation
.
Toilet seat cushion and surrounding with effective chlorine 1000mg/L disinfectant wipe disinfection, toilet door handles, faucets, handwashing countertops, flushing buttons and other frequently touched parts, you can choose disinfectant wipes or 500mg/L disinfectant containing effective chlorine to wipe and disinfect, after 30 minutes, wipe clean
with water.

 

8.
Refrigerator and frozen food
.
Clean the inside of the refrigerator and wipe the outer wall daily, eat the food in the refrigerator after cooking thoroughly, and wash your hands
in time before and after handling the food.
It is recommended that the temperature in the refrigerator return to normal temperature and wipe with 75% alcohol or disinfectant wipes
.

 

9.
Household waste
.
Garbage should be collected and cleaned up in time, it is recommended to spray with 75% alcohol or 500mg/L-1000mg/L chlorine-containing disinfectant, tightly wrap it with a double-layer plastic bag, spray and disinfect the outer surface of the garbage bag with chlorine-containing disinfectant containing 500mg/L-1000mg/L of effective chlorine, and then transport it to the garbage drop-off point
.

 

10.
Other items
.
For other items that are not suitable for disinfection, such as books and valuables, they can be treated
by sealing and sealing and standing at room temperature for 5-7 days.

 

(2) Precautions related to disinfection

 

1.
The disinfectant should be used and prepared, taking a chlorine-containing disinfectant with an effective chlorine content of 5% as an example: when preparing 500mg/L, take 1 part of disinfectant and add 99 parts of water to mix well; When preparing 1000mg/L, take 1 part of disinfectant, add 49 parts of water, and mix well
.

 

2.
Chlorine-containing disinfectants have certain irritation and corrosion, and should pay attention to personal protection when preparing and using, such as wearing masks, gloves, and preventing splashes on the eyes
.
When using, wipe or rinse with clean water after the disinfection time is reached to prevent damage
to the item.

 

3.
The disinfectant should be used alone, not mixed with other chemical components, carefully read the disinfection product manual before use, and use it correctly in strict accordance with the scope of use, method of use, concentration of action, and time of action specified in the manual
.

 

4.
Home disinfection should be scientific and standardized, avoid excessive disinfection, do not directly use disinfectants to disinfect the human body, do not use ultraviolet lamps or chemical disinfectants to spray disinfection on indoor air under human conditions, do not use alcohol to disinfect the air, and generally do not carry out large-area disinfection
.

 

5.
The disinfectant should be stored in a cool and dark place to avoid the reach
of children.

 

7.
Health guidance for key populations

 

(1) The elderly

 

1.
During the recovery period from the new crown virus infection, there is often a certain degree of fatigue, and the physical strength of the elderly is weaker than that of the young, and this fatigue may last longer
.
The elderly should ensure adequate rest during the recovery period, avoid fatigue, ensure adequate sleep at night, and maintain a certain length of lunch break
during the day according to living habits.
Gradually resume your daily exercise
routine as your energy allows.
In the early stage of recovery, according to the ability to move, you can choose to carry out low-exertion activities such as leg lifting and arm movement on the bed and chair, and when you feel that you can tolerate it, you can gradually transition to walking, housework and other activities, and the duration of the activity should be gradual
.
During activities, you must pay attention to prevent the occurrence of injuries such as falls, and if you feel chest tightness, shortness of breath, dizziness, sweating, etc.
, stop immediately and seek medical attention
if necessary.

 

2.
During the recovery period, it is necessary to appropriately increase the intake of high-quality protein such as milk, lean meat, eggs and other high-quality proteins under the premise of ensuring daily eating habits, supplement vitamins and other nutrients such as different categories of vegetables and fruits, and choose a light and easily digestible diet
.
Many elderly people will have poor appetite after being infected with the new crown virus, you can choose a small number of meals, try to achieve the usual amount of food, and avoid overeating
.

 

The elderly should pay special attention to hydration, it is generally recommended to drink 1500-2000 ml of water per day, if the heart and kidney function are impaired, the advice
of a specialist should be followed.

 

3.
The elderly should maintain normal social interaction during the recovery period, contact with relatives, friends, etc.
through telephone, video call or other communication methods, and truly express their feelings about the bad emotions brought about by the disease, such as anxiety and fear
.
Caregivers of older adults should pay special attention to the emotional response of older adults during this period and should seek professional help
if their sleep is affected.

 

Prepare the community service telephone number of the community, the community health service station where you are located, and the emergency telephone number of the nearby hospital at home, and the telephone numbers of the corresponding disease department and the attending doctor of the department of the hospital that are frequently contacted at home should be prepared to facilitate timely telephone consultation
.
The phone numbers of family members, friends, etc.
are also listed for easy emergency use
.

 

4.
The elderly have chronic diseases, need to follow the doctor's advice to take drugs for the treatment of chronic diseases, closely monitor blood pressure, blood sugar, finger oxygen saturation and other indicators change, conditions can use home oxygen generator to inhale oxygen for 1 hour
a day.
If the condition is unstable and lasts for a long time, please see a doctor in time to avoid accidents
.

 

(2) Pregnant women

 

1.
Pregnant women should still pay attention to rest within 1-2 weeks after recovery from new coronavirus infection, and ensure at least 8-10 hours of sleep
every day.
You can gradually resume appropriate exercise every day, mainly walking, but the intensity of exercise should not be too large, the time should not be too long, 20-30 minutes after meals is appropriate
.
If there is discomfort after exercise, it is recommended to suspend exercise for 24 hours and gradually resume daily appropriate exercise, warm up before exercise, and properly replenish water
before and after exercise.
If there is threatened miscarriage, threatened premature birth, placenta previa and other conditions that are not suitable for exercise, follow the doctor's advice
.

 

2.
Pay attention to ensuring reasonable and sufficient nutritional intake
throughout pregnancy.
Especially calcium, iron and multivitamin supplementation
.

 

3.
Keep your mood happy and emotionally stable
.
At present, it is believed that the chance of vertical transmission of the new coronavirus to cause intrauterine infection to the fetus is extremely small, and it generally does not cause malformations
.
Therefore, there is no need to worry too much about the adverse effects
of the new coronavirus infection on the fetus.

 

4.
Encourage breastfeeding
.
Current studies have shown that when pregnant women are infected with the new crown virus, the new crown virus is not found in breast milk, and breastfeeding is safe
.
But the virus can be transmitted to your baby
when a mother talks, coughs, or sneezes.
Therefore, pregnant women with new coronavirus infection are recommended to breastfeed under fully protected conditions, and temporary artificial feeding
can also be given.
Breast care should be done during the cessation of direct breast milk, not only to avoid milk stasis leading to mastitis, but also to prevent the suspension of breastfeeding caused by milk reduction and artificial milk return
.

 

5.
Resume regular pregnancy examination, especially early Down's screening + early NT screening at 11~13+6 weeks' gestation, mid-Down's screening or non-invasive DNA or amniocentesis at 14~20 weeks' gestation, systematic ultrasound examination at 20~24 weeks' gestation, and diabetes screening
at 24~28 weeks' gestation.
Pregnant women after 28 weeks' gestation should self-monitor fetal movements
.
If you have abnormal fetal movements, abdominal pain, abdominal discomfort, vaginal bleeding, itchy skin and other symptoms, or if your blood pressure or blood sugar is unstable
, you should go to the hospital immediately.

 

(iii) Children

 

In general, children and adolescents have a good prognosis after infection with the new coronavirus, showing a self-limited course of the disease, and the probability of serious complications and sequelae is extremely low
.
Parents should first maintain a peaceful mind, understand the natural course of the new coronavirus infection, and not be overly anxious
.
Achieving a balanced diet, adequate sleep, maintaining oral health, moderate exercise, regular work and rest, avoiding excessive fatigue, and improving autoimmunity are important means
to avoid infection.
Actively maintain emotional stability and maintain mental health
.

 

Rehabilitation Recommendations:

 

1.
Continue to do a good job of protection and develop good hygiene habits
.
Do not take children and adolescents to crowded places, poorly ventilated indoor areas, or prolonged contact
with others.
Wear a mask when going out (children over 3 years old) and keep your distance
from others as much as possible.
When staying at home for a long time, indoor ventilation
should be done.
Try to ventilate children and adolescents when they go out, or ventilate
each room individually.
When family members go out and return home, they should wash their hands, face, and change their clothes before contact
with their children.
If there is a person with a respiratory infection in the household, isolate from your child and wear a mask
.
Instruct children and adolescents to develop good hygiene habits, wash their hands before eating, after using the toilet, sneezing, coughing and cleaning their
noses, and returning from a trip.

 

2.
Develop good living habits and enhance your own resistance
.
Regular work and rest, adequate
sleep.
Go to bed and wake up on time, sleep at least 12 hours a day under 1 year old, 11 hours before kindergarten, 10 hours in kindergarten, at least 9 hours a day for elementary school students, and 8 hours
for middle school students.
Step by step and exercise
.
After recovering from the new coronavirus infection, it is recommended to gradually increase outdoor activities and physical exercise, and the intensity should
be so that the child does not feel unwell.
Eat three meals regularly and eat a balanced
diet.
Do not be partial eaters, not picky eaters, and cultivate healthy eating habits
.
Increase or remove clothing reasonably and pay attention to mental health
.

 

3.
Treat convalescent symptoms
correctly.
After the new coronavirus infection, some children and adolescents will continue to cough for a while
.
If the general condition is good, does not affect daily life, does not require special treatment, and usually does not advocate the use of antitussive.

However, if the child originally had bronchial asthma, allergic rhinitis, etc.
, and the cough did not recover for more than 3 weeks, and the cough at night was the mainstay, he also needed to seek medical attention
in time.

 

4.
Congenital heart disease, chronic lung disease, neurological disease, severe malnutrition, tumors, obesity, severe malnutrition, diabetes or hereditary diseases, immunodeficiency or long-term use of immunosuppressants, premature infants or newborns and other high-risk groups that are prone to severe disease, parents should be vigilant
.
When the child has a persistent high fever for more than 3 days, hoarseness, shortness of breath, malaise, convulsions, persistent chest tightness or chest pain or aggravation of the condition, you should seek medical attention
in time.
Infants younger than 3 months of age need to pay more attention to seek medical attention
in a timely manner.