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JAAM Nationwide Survey on the response to the first wave of COVID‐19 in Japan. Part I: How to set up a treatment system in each hospital

机译:JAAM全国关于日本Covid-19第一波的回应调查。第一部分:如何在每个医院设置治疗系统

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Twenty‐six of the 143 hospitals that had a mental health check/consultation system in place indicated that there was a doctor who experienced mental health problems. Of the 37 hospitals without a system, only one hospital was aware of the presence of a doctor complaining of mental health problems. Aim To clarify how the medical institutions overcame the first wave of coronavirus disease 2019 (COVID‐19) in Japan and to discuss its impact on the medical labor force. Methods We analyzed questionnaire data from the end of May 2020 from 180 hospitals (102,578 beds) certified by the Japanese Association for Acute Medicine. Results Acute (emergency) medicine physicians treated severe COVID‐19 patients in more than half of hospitals. Emergency medical teams consisted of acute medicine physicians and other specialists. Frontline acute care physicians were concerned about their risk of infection in 80% of hospitals, and experienced stress due to a lack of personal protective equipment. Twenty‐six of the 143 hospitals that had a mental health check/consultation system in place indicated that there was a doctor who experienced mental health problems. Of the 37 hospitals without a system, only one hospital was aware of the presence of a doctor complaining of mental health problems. Conclusion Acute care physicians and physicians in other departments experienced high levels of stress as they fought to arrange COVID‐19 treatment teams and inpatient COVID‐19 wards for infected patients. Medical materials and equipment may be sufficient for a second or third wave; however, active support is needed for the physical and mental care of medical staff. Mental health problems may be missed in facilities without mental check and consultation system.
机译:143家医院中的二十六个有心理健康检查/咨询系统的医院表明有一位经过一名经过精神健康问题的医生。在没有系统的37家医院中,只有一家医院意识到医生抱怨心理健康问题。旨在澄清医疗机构如何克服日本的第一波冠状病毒疾病(Covid-19),并讨论其对医疗劳动力的影响。方法从2002年5月底分析了由日本急性医学协会认证的180家医院(102,578张床)的问卷数据。结果急性(急诊)医学医生治疗了一半以上的医院严重的Covid-19患者。紧急医疗团队由急性医学医生和其他专家组成。前线急性护理医师担心其80%的医院感染风险,并且由于缺乏个人防护设备而经历过压力。 143家医院中的二十六个有心理健康检查/咨询系统的医院表明有一位经过一名经过精神健康问题的医生。在没有系统的37家医院中,只有一家医院意识到医生抱怨心理健康问题。结论急性护理医师和其他部门的医生经历了高压力,因为它们被争取为安排Covid-19治疗队和住院科对感染患者的住院病病房。医疗材料和设备可能足以进行第二次或第三波;但是,医务人员的身心护理需要积极支持。没有心理检查和咨询系统的设施可能错过了心理健康问题。

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