Ballatore Zelmira, Bastianelli Lucia, Merloni Filippo, Ranallo Nicoletta, Cantini Luca, Marcantognini Giulia, Berardi Rossana
Azienda Ospedaliero Universitaria Ospedali Riuniti di Ancona Umberto I G M Lancisi G Salesi, Ancona, Italy.
Universita Politecnica delle Marche, Ancona, Italy.
JCO Glob Oncol. 2020 Jul;6:1017-1023. doi: 10.1200/GO.20.00209.
After coronavirus disease 2019 (COVID-19) was declared a pandemic by the WHO, a response from the Italian Health System to react to an unprecedented condition became necessary and sudden. The COVID-19 pandemic has required oncologists to redefine clinical organization and patient management. The purpose of our study was to document the difficulties emerging during the SARS-CoV-2 pandemic in Italian oncology.
We broadcasted an electronic survey to oncologic health care professionals. It consisted of 45 questions ranging from individual perception of pandemic management by hospital centers to physicians' and nurses' psychological distress and patient care.
A total of 383 oncology health workers participated in the survey. The majority were female (71.8%) and from central Italy (46.2%). Impressively, a total of 357 (93%) participants declared the oncologic department reorganized routine clinical activity, but only 40.5% were adequately trained about the required procedures; 20% of the survey respondents think they have not received adequate and timely protective devices.
Our survey demonstrated the flexibility of oncologic teams. However, the emergency response quality has been heterogeneous, and several drawbacks have emerged from the first analyses investigating how the world of oncology changes in the COVID-19 pandemic. Information, protection, testing, and training of health care professionals are key words that should be kept in mind to encourage recovery after this tragedy and to be ready to face a similar emergency in the future.
在世界卫生组织宣布2019冠状病毒病(COVID-19)为大流行之后,意大利卫生系统有必要且突然地对这一前所未有的状况做出反应。COVID-19大流行要求肿瘤学家重新定义临床组织和患者管理。我们研究的目的是记录意大利肿瘤学领域在严重急性呼吸综合征冠状病毒2(SARS-CoV-2)大流行期间出现的困难。
我们向肿瘤医疗保健专业人员进行了一项电子调查。该调查由45个问题组成,内容涵盖医院中心对大流行管理的个人认知、医生和护士的心理困扰以及患者护理等方面。
共有383名肿瘤医护人员参与了调查。大多数为女性(71.8%),来自意大利中部(46.2%)。令人印象深刻的是,共有357名(93%)参与者表示肿瘤科室重新组织了常规临床活动,但只有40.5%的人接受了关于所需程序的充分培训;20%的受访者认为他们没有得到足够及时的防护设备。
我们的调查显示了肿瘤团队的灵活性。然而,应急响应质量参差不齐,在对肿瘤学领域在COVID-19大流行中如何变化的首次分析中出现了一些缺陷。医疗保健专业人员的信息、保护、检测和培训是关键词,应牢记这些以鼓励在这场悲剧后恢复,并为未来应对类似紧急情况做好准备。