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The Status of Occupational Protection During COVID-19 Pandemic: Knowledge, Attitudes, and Practice of Healthcare Workers in Endoscopy Units, China

机译:Covid-19大流行期间的职业保护状况:中国内窥镜检查部门的知识,态度和医疗保健工人的实践

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Background: SARS-CoV-2 spreads rapidly around the world, and some patients present gastrointestinal symptoms. The existence of the virus in the gastrointestinal tract makes digestive endoscopy a high-risk operation, which associated with an increased risk of infection rate in healthcare workers. This study aimed at exploring current knowledge, practice and attitudes of healthcare workers in endoscopy units in China regarding the status of occupational protection during COVID-19 pandemic. Methods: A cross-sectional study of a national online survey involving 717 healthcare workers in endoscopy units from 94 medical structures in 24 provinces and municipalities around China was conducted online via a questionnaire platform called Wenjuanxing (wjx.cn). The data were analyzed using correlation approaches, Kruskal-Wallis test for independent samples, and linear regression models. Results: Most Chinese healthcare workers in endoscopy units had a good knowledge of COVID-19 (median: 10; range: 7–12), showed a strikingly positive attitude (median: 65; range: 39–65), and carried out good practice (median: 47; range: 14–50) in strengthening the protection, disinfection and management of COVID-19. In terms of attitudes, female staff was more concerned about protection against COVID-19 than male staff (KW = 8.146, P = 0.004). Nurses performed better in both attitude (KW = 2.600, P = 0.009) and practice (KW = 6.358, P 0.001) than endoscopic physicians when carrying out personal protection, patient care and environmental disinfection against SARS-CoV-2 infection. More positive attitudes in protection were related to better protective behavior in endoscopic daily medical work ( r = 0.312; P 0.001). Conclusion: The findings of this study suggest that Chinese endoscopy healthcare workers have an excellent mastery of knowledge about COVID-19, which is transformed into positive beliefs and attitudes, contributing to good practice during daily endoscopic procedures. Medical staff may benefit from further education. With the gradual normalization amid the ongoing COVID-19 pandemic, protection and management in endoscopy units may be changed accordingly.
机译:背景:SARS-COV-2在世界各地迅速传播,一些患者呈现胃肠道症状。胃肠道病毒的存在使消化内窥镜检查具有高风险运作,其与医疗工作者的感染率增加有关。本研究旨在探索中国内窥镜检查部门的当前知识,实践和态度,了解Covid-19大流行期间职业保护的地位。方法:通过调查问卷平台在线进行了来自94个医疗机构的全国在线调查的国家在线调查的横断面研究,通过称为Wenjuanxing(WJX.CN)在线进行了94个医疗机构中的94个医疗机构。使用相关方法,独立样本的Kruskal-Wallis测试和线性回归模型进行分析数据。结果:内窥镜检查部门的大多数中国医疗保健工人对Covid-19的良好了解(中位数:10;范围:7-12),表现出一个惊人的积极态度(中位数:65;范围:39-65),并进行了良好的实践(中位数:47;范围:14-50)加强Covid-19的保护,消毒和管理。在态度方面,女性工作人员更加关注对Covid-19的保护而不是男性员工(KW = 8.146,P = 0.004)。在进行个人保护,患者护理和环境消毒时,态度(kW = 2.600,p = 0.009)和实践(kW = 6.358,p <0.001)表现更好(kw = 6.358,p <0.001)。更阳性的保护态度与内镜日常医疗工作中更好的保护性能有关(r = 0.312; p <0.001)。结论:本研究的结果表明,中国内窥镜医疗工作者对Covid-19的知识掌握了卓越的掌握,这被转变为积极的信仰和态度,为日常内窥镜程序进行了良好的做法。医务人员可能会受益于进一步的教育。随着逐渐正常化,在正在进行的Covid-19大流行,内窥镜检查单元中的保护和管理可能会相应地改变。

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