Please check the health guidelines for patients infected with the new coronavirus during the recovery period!

What should be paid attention to during the recovery period of the new coronavirus infection? How to do a good job in self-health management?

  1. Applicable people
    According to the “Diagnosis and Treatment Program for Novel Coronavirus Pneumonia (Trial Ninth Edition)” and expert advice, when a person infected with the novel coronavirus meets any of the following criteria and other symptoms improve significantly, he or she has entered the recovery period: 1. Two consecutive nucleic acid tests The test is negative, and the Ct value is ≥ 35; 2. The antigen test results for three consecutive days are all negative; 3. After 7 days of home isolation, the fever symptoms have subsided for more than 24 hours without the use of antipyretic drugs.
  2. Main health problems and rehabilitation suggestions during the recovery period
    According to the World Health Organization’s “Guidelines for Personal Rehabilitation of New Coronary Pneumonia”, combined with clinical observations and population surveys, the following health problems currently exist in the convalescent population of patients infected with the new coronavirus: shortness of breath, limited physical activity and exercise, decreased physical strength and fatigue, voice Hoarseness and coughing, swallowing problems, smell and taste problems, anxiety, depression and sleep problems, body pain, etc.
    ■ Shortness of breath (shortness of breath)
    Shortness of breath is common after COVID-19 infection. Suggestions for shortness of breath: Try various positions that relieve shortness of breath to see which one works. Prone position: Lying flat on your belly (prone position) can help relieve shortness of breath; Forward leaning position: Sitting at a table, leaning forward from the waist up, head and neck resting on the table pillows, arms resting on the table, or sitting On the chair, the body leans forward, and the arms are placed on the knees or the armrest of the chair; the forward leaning position: in the standing position, the body leans forward, and lies on the window sill or other stable support surface; the back leaning position: the back is against the wall, with both hands Place on both sides of the body, feet about 30cm away from the wall, legs apart. In addition, pay attention to the following situations that require timely medical attention: very obvious shortness of breath after light activity, which cannot be improved by any posture to relieve shortness of breath; shortness of breath changes when resting, and cannot be improved by any breathing control technique Chest pain, racing heart, or dizziness during certain positions, activities, or exercises; Weakness in the face, arms, and legs, especially on one side of the body.
    ■ cough
    Cough is an important defensive reflex of the body, which is conducive to clearing respiratory secretions and harmful factors. Suggestions for coughing problems: General mild coughs can be treated without treatment. If there is a lot of phlegm or the phlegm is not easy to cough up, you can take expectorants such as acetylcysteine, ambroxol hydrochloride, eucalyptus, limonene and pinene capsules, and carbocisteine. If the cough is mainly dry cough, you can take dextromethorphan, compound methoxyphenamine capsules, antihistamines, etc. In terms of traditional Chinese medicine, if accompanied by sore throat or cough (especially dry cough) without other symptoms, you can take Jingfangbaidu Powder, Yinqiao Powder, and Sangju Drink to transform heat and promote body fluid, moisten the lungs and relieve cough. You can also use scraping and other traditional Chinese and foreign treatments. If the cough is severe, affects daily work or sleep, or lasts for more than 3 weeks, it is recommended to see a doctor.
    ■ fatigue
    Feeling weak or consciously fatigued, which is not relieved after rest, is the most commonly reported symptom during the recovery period of the new coronavirus infection. Suggestions for fatigue problems: maintain a regular rhythm of daily life, determine the priority of activities, and formulate a reasonable work plan. Symptoms are mild and there is no dyspnea. In addition to routine basic disease treatment, qi-invigorating drugs can be given appropriately, such as lily, platycodon, and other drugs to benefit lung qi and promote qi movement. If dyspnea cannot be relieved, you need to go to the hospital for medical treatment in time. You can use traditional Chinese medicine and external therapy such as soaking and washing. Take 3 slices of ginger (about the size of a one-yuan coin), add 5 grams of moxa, and 5 grams of salt, cook for 10 minutes, add water to above the ankle joint, control the temperature at 40-43 ° C, Soak at this temperature for about 30 minutes, once a day. It is advisable to sweat slightly, not profusely. If you have heart disease, soaking time needs to be halved, and the time must not be too long. If dyspnea cannot be relieved, you need to go to the hospital for medical treatment in time.
    ■ Insomnia
    Symptoms such as difficulty falling asleep, short sleep time, shallow sleep, and dreaminess may occur during the recovery process of infection with the new coronavirus. Suggestion for insomnia problems: Have a regular bedtime and wake-up time. Make sure you are in an environment free of distractions such as excessive light or noise; try to stop using electronic devices such as phones and tablets an hour before bedtime; reduce nicotine (such as smoking), caffeine and alcohol as much as possible and try relaxation techniques to help you fall asleep, such as meditation, mindfulness-based stress reduction, mindfulness or bathing, aromatherapy, tai chi, yoga, and music. It can also be washed with traditional Chinese medicine.
    ■ Pain
    During the process of infection and recovery from the new coronavirus, there will often be painful manifestations such as bone and joint pain, muscle soreness, and sore throat. Advice for pain problems: For joint, muscle or general pain, analgesics such as paracetamol or ibuprofen can be taken with meals. For sore throat, you can use Jinhoujian, mint lozenges and other drugs for treatment. A good night’s sleep can help reduce pain symptoms. Listening to relaxing music or meditation can also help relieve pain. Rhythm of daily activities is one of the keys to managing pain. You can also use hot compress, scraping and other traditional Chinese and foreign treatments. If you have obvious chest pain, you should go to a medical institution for treatment in time.
    ■ Palpitations
    During the recovery stage of the new coronavirus infection, some patients have symptoms of palpitation and heart palpitations. At this time, it is recommended to pay more attention to rest, adjust the daily routine, and maintain adequate sleep. disease resistance. If the symptoms of palpitations are obvious, and the beats per minute continue to exceed 100 but less than 60 beats, or irregular beats occur, 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.
    ■ Sound problems
    Coronavirus infection can cause a sore throat, irritating cough, and a feeling of phlegm in the throat that requires frequent throat clearing. There may also be a weak, wheezing, or hoarse voice, especially after being on a ventilator in the hospital. Suggestion for voice problems: Drink enough water, taking small amounts of water several times throughout the day, to try to keep your voice as normal as possible. Don’t strain your voice. Do not speak at a whispered volume, as this can strain the vocal cords, and try not to speak or shout loudly. Steam inhalation (from a cup of boiling water after covering the head with a towel) for 10-15 minutes can relieve dryness and moisturize the vocal tract. It is recommended to stop smoking.
    ■ Swallowing problems
    Difficulty swallowing food and drink because the muscles that help you swallow may have weakened. Advice for swallowing problems: Sit up straight when eating and drinking, and never eat or drink while lying down. Stay upright (sitting, standing, walking) for at least 30 minutes after meals. Try different textures of foods, either soft, smooth or moist, or eating solid foods in very small pieces. Chew slowly when eating, and don’t gobble it up. Be mindful when eating or drinking. Try to choose a quiet place to eat. Avoid talking while eating or drinking. Make sure there is no food in your mouth before eating or drinking another sip. Swallow first if necessary. If you feel tired after eating a full meal, eat smaller meals more often throughout the day. Keep your mouth clean by brushing your teeth and drinking water. If you cough or choke when you eat or drink, talk with healthcare provider because food or drink may get into your lungs.
    ■ Decreased sense of smell and taste
    If you experience a loss of smell or taste, try the following: Ensure oral hygiene by brushing your teeth twice a day. Do smell training, which involves smelling lemons, roses, cloves, or eucalyptus twice a day for 20 seconds. Try adding herbs and spices to your food, such as lemon juice and fresh herbs. Most people lose their sense of smell and taste and will recover within a month after infection with the new coronavirus.
  3. Psychological adjustment and nutritional support during the recovery period
    ■ Psychological adjustment during the recovery period
    During the process of infection and recovery from the new coronavirus, it is natural to have emotions such as fear, nervousness and anxiety, and there is no need to be overly nervous. To overcome fear, tension and anxiety, you can start from the following aspects:
    To achieve regular work and rest, ensure adequate sleep, moderate exercise, reading, listening to music, etc., to ensure a healthy diet. Do not adopt negative coping methods such as denial, avoidance and retreat, excessive dependence on others, accusations and complaints, transfer of emotions, tantrums, impulsiveness, etc., especially do not try to relieve tension through smoking and drinking.
    Actively carry out psychological adjustment, communicate more with others, encourage each other, support each other psychologically, and divert attention.
    You can do breathing relaxation training, aerobic exercise, mindfulness meditation, meditation and other methods to adjust your emotions.
    ■ Nutritional support during recovery
    You can eat small meals frequently, pay attention to the diet should be regular and quantitative, and the food is varied and reasonably matched. Maintain a variety of food, pay attention to the combination of meat and vegetables, and the combination of thickness; eat more fresh vegetables, fruits, soybeans, milk, and cereals; eat fish, poultry, eggs, and lean meat in moderation, preferably fish, shrimp, poultry, and lean meat. Eat less fatty meat, and eat a light and non-greasy diet. Avoid eating spicy and irritating food, fried and greasy food. Ensure the amount of drinking water, boiled water is the first choice, and drink less or no sugary drinks.
    Reasonable use of medicinal diet for food maintenance and diet therapy, combined with winter climate characteristics, recommend the use of pear mangosteen water, corn silk orange peel water, white radish honey water, walnut scallion white ginger soup, pear soup, yam winter melon lotus seed porridge, coix seed Poria yam porridge, etc. Traditional Chinese Medicine Diet Therapy.
  4. Matters needing attention in daily life
    During the recovery period of the new coronavirus infection, although the nucleic acid and antigen test results have turned negative, the body has not yet returned to the pre-disease level, and it will take 1-2 weeks or even longer to completely relieve. At this stage, in terms of personal protection, daily life, daily activities and exercise, and returning to work, we should follow the principle of gradual progress and do what we can, and gradually return to normal.
    ■ Precautions for daily life
    At present, it is a period of high incidence of respiratory infectious diseases in winter. The risk of superimposed epidemics of new coronavirus infection and influenza, common cold and other winter and spring respiratory infectious diseases cannot be ruled out. Self-protection standards should not be lowered due to “Yangkang”. Continue to wear scientifically when going out Masks, reduce gatherings, and do not go to places where crowds gather and spaces are confined unless necessary. Perform hand hygiene at all times, especially after touching suspected pollutants or frequently touched public surfaces.
    Ensure adequate nutrition, regular work and rest, and good sleep. In terms of diet, pay attention to eating more high-protein and nutritious foods. Smoking and drinking habits, especially those with risk factors, will aggravate underlying diseases. It is suggested that after “Yang Kang”, it is best to quit smoking and limit alcohol. For those who have poor appetite after “Yangkang”, or have taste disorders, it is recommended to eat less and more meals. Diabetic patients should maintain a regular diet to avoid large fluctuations in blood sugar.
    After the symptoms of acute fever subside, you can take a bath if your physical strength permits, but you should avoid sauna. Avoid getting cold when bathing, pay attention to the appropriate indoor temperature, and the bath water temperature should not be too high.
    ■ Notes on daily exercise
    On the basis of regular daily life, adequate nutrition and sleep, start with low-intensity activities, such as walking, Baduanjin, simple daily housework, etc. If there is no obvious discomfort, the activity intensity can be gradually increased within a few weeks, such as going up and down stairs, brisk walking, jogging, cycling, swimming, dancing, until returning to the normal activity state before the illness.
    If you experience chest pain, palpitations, dizziness and other uncomfortable symptoms during exercise, you should stop exercising immediately and seek medical treatment if necessary. For hospitalized rehabilitation patients, patients with original cardiopulmonary diseases, and patients with residual symptoms such as fatigue, chest tightness, and dyspnea, they should avoid strenuous exercise or heavy work within 2 weeks, and maintain low-intensity exercise for at least 1-2 weeks. After acclimatization, move on to higher intensity exercise.
    ■ Precautions for returning to work
    At the beginning of returning to work, start with lighter work, gradually return to normal workload and working status, and avoid stress, overtime, staying up late and other behaviors.
    Take a 20-30 minute lunch break if possible.
    Due to individual differences in physique, age, and illness, the recovery time will also vary. Therefore, the recovery work should be done step by step, and the intensity should be based on not feeling tired.
  5. Home Disinfection Suggestions
    After the new coronavirus infection enters the recovery period, indoor ventilation should be strengthened, and key areas and used items should be disinfected on the basis of cleaning and sanitation. Physical disinfection methods such as sun exposure and heat are preferred for disinfection methods, and chemical disinfectant wiping can be used for 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. Alcohol or quaternary ammonium salt disinfectant wipes can also be used.
    ■ Disinfection methods for different objects
    indoor air. Open windows regularly every day for ventilation to maintain indoor air circulation. If natural ventilation conditions are not available, exhaust fans and air-conditioning systems can be used for mechanical ventilation.
    object surface. When there are pollutants on the surfaces of tables, chairs, furniture, doorknobs, faucets, etc., the pollutants should be cleaned first, and then wiped and disinfected with 500mg/L chlorine-containing disinfectant. You can also choose a less irritating quaternary ammonium salt disinfectant. After 30 minutes, wipe off with clean water. Small items such as mobile phones, remote controls, and mice can be wiped and disinfected with alcohol wipes.
    Surfaces such as floors and walls that may be contaminated. If there are pollutants, they should be completely cleaned and then disinfected. They can be wiped or sprayed with 500mg/L chlorine-containing disinfectant, and the disinfection time should not be less than 30 minutes.
    Dining (drinking) utensils. Clean first and then disinfect. Boiling for 15 minutes is the first choice. You can also soak in 500mg/L chlorine-containing disinfectant for 15 minutes and then rinse with water.
    Clothes, bedding, towels and other textiles. It can be sterilized by boiling for 15 minutes or washed with heated water and kept above 56°C for 30 minutes. It can also be soaked in 1000mg/L quaternary ammonium salt disinfectant or other clothing disinfectant for 30 minutes, and then cleaned as usual. For fabrics that cannot be washed with water, it can be left at room temperature for 7-10 days.
    Hygienic items such as mops and rags. It should be used exclusively in a special area to avoid crossing. After use, soak and disinfect with 1000mg/L chlorine-containing disinfectant, rinse with clean water after 30 minutes, and dry and store.
    bathroom. After the toilet seat and its surroundings can be cleaned, wipe and disinfect with a disinfectant containing 1000mg/L-2000mg/L of available chlorine. Toilet door handles, faucets, hand washing countertops and other parts that are frequently touched by hands can be wiped with a disinfectant containing 500mg/L of available chlorine. Disinfection, after 30 minutes of action, wipe it clean with clean water, and strengthen the ventilation of the bathroom.
    Refrigerator and frozen food. If the frozen food stored in the refrigerator is contaminated, it is recommended to dispose of it as garbage; if you need to eat it, you can also cook it thoroughly and eat it. Take personal protection during the food processing process, wear masks and gloves, and strictly observe hand hygiene. If the inner wall of the refrigerator is contaminated, it is recommended to refer to the “object surface” disinfection method after the temperature in the refrigerator returns to normal temperature.
    Household garbage. Garbage should be collected and cleaned up in time. It is suggested that double-layer plastic bags should be tightly wrapped, and the outer surface of the garbage bags should be sprayed and disinfected with a chlorine-containing disinfectant containing 500mg/L-1000mg/L of available chlorine, and then transported to the garbage disposal point.
    other items. For items that are not suitable for disinfection, such as books and valuables, they can be processed by airtight storage and standing at room temperature for 5-7 days.
    ■ Precautions related to disinfection
    Disinfectants should be prepared immediately after use. Take 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 and mix well; when preparing 1000mg/L, take Add 1 part of disinfectant to 49 parts of water and mix well.
    Disinfectants, especially chlorine-containing disinfectants, are irritating to a certain extent. Personal protection should be paid attention to when preparing and using, and prevent splashing into eyes. At the same time, the disinfectant is corrosive to a certain extent. Pay attention to wipe it with clean water after the disinfection time is up to prevent damage to the items.
    Disinfectants should be used alone and not mixed with other chemical components. Read the instructions of the disinfection product carefully before use, and use them in strict accordance with the instructions.