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首页> 外文期刊>Military Medical Research >Perceived infection transmission routes, infection control practices, psychosocial changes, and management of COVID-19 infected healthcare workers in a tertiary acute care hospital in Wuhan: a cross-sectional survey
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Perceived infection transmission routes, infection control practices, psychosocial changes, and management of COVID-19 infected healthcare workers in a tertiary acute care hospital in Wuhan: a cross-sectional survey

机译:感染传输路线,感染控制实践,心理社会变化以及Covid-19受感染的医疗工作者的武汉急性护理医院中的剖腹产医院:横断面调查

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BackgroundMany healthcare workers were infected by coronavirus disease 2019 (COVID-19) early in the epidemic posing a big challenge for epidemic control. Hence, this study aims to explore perceived infection routes, influencing factors, psychosocial changes, and management procedures for COVID-19 infected healthcare workers.MethodsThis is a cross-sectional, single hospital-based study. We recruited all 105 confirmed COVID-19 healthcare workers in the Zhongnan Hospital of Wuhan University from February 15 to 29, 2020. All participants completed a validated questionnaire. Electronic consent was obtained from all participants. Perceived causes of infection, infection prevention, control knowledge and behaviour, psychological changes, symptoms and treatment were measured.ResultsFinally, 103 professional staff with COVID-19 finished the questionnaire and was included (response rate: 98.1%). Of them, 87 cases (84.5%) thought they were infected in working environment in hospital, one (1.0%) thought their infection was due to the laboratory environment, and 5 (4.9%) thought they were infected in daily life or community environment. Swab of throat collection and physical examination were the procedures perceived as most likely causing their infection by nurses and doctors respectively. Forty-three (41.8%) thought their infection was related to protective equipment, utilization of common equipment (masks and gloves). The top three first symptoms displayed before diagnosis were fever (41.8%), lethargy (33.0%) and muscle aches (30.1%). After diagnosis, 88.3% staff experienced psychological stress or emotional changes during their isolation period, only 11.7% had almost no emotional changes. Arbidol (Umifenovir; an anti-influza drug; 69.2%) was the drug most commonly used to target infection in mild and moderate symptoms.ConclusionThe main perceived mode of transmission was not maintaining protection when working at a close distance and having intimate contact with infected cases. Positive psychological intervention is necessary.
机译:背景,2019年冠状病毒疾病(Covid-19)在疫情发起了对疫情控制的重大挑战时感染了冠状病毒疾病。因此,本研究旨在探讨Covid-19受感染的医疗保健工人的感染途径,影响因素,心理社会变革和管理程序。方法是一个横断面,单一医院的研究。从2月15日至29日,我们招募了所有105名确认的武汉大学医院的COVID-19医疗保健工人。所有参与者都完成了经过验证的问卷。从所有参与者获得电子同意。测量感染,感染,控制知识和行为,心理变化,症状和治疗的感染原因。结果,103名与Covid-19的专业人员完成了调查问卷(响应率:98.1%)。其中87例(84.5%)认为它们在医院的工作环境中被感染,一(1.0%)认为他们的感染是由于实验室环境,5(4.9%)认为他们被感染了日常生活或社区环境。喉咙收集和体检的拭子是最有可能分别导致护士和医生感染的程序。四十三(41.8%)认为它们的感染与保护设备有关,共同设备(面具和手套)的利用。诊断前的前三种症状发烧(41.8%),嗜睡(33.0%)和肌肉酸痛(30.1%)。诊断后,88.3%的人员在孤立期间经历了心理压力或情绪变化,只有11.7%几乎没有情绪变化。 Arbidol(Umifenovir;抗流感药物; 69.2%)是最常用于靶向轻度和中度症状的感染的药物。结论主要感知模式在近距离工作时没有保持保护,并与受感染有关的接触案件。正面心理干预是必要的。

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