Rymarowicz Justyna, Stefura Tomasz, Major Piotr, Szeliga Jacek, Wallner Grzegorz, Nowakowski Michał, Pędziwiatr Michał
2nd Department of General Surgery, Jagiellonian University Medical College, Jakubowskiego 2 st., 30-688 Krakow, Poland.
Department of General, Gastroenterological, and Oncological Surgery, Collegium Medicum Nicolaus Copernicus University, Torun, Poland.
Eur Surg. 2021;53(1):5-10. doi: 10.1007/s10353-020-00649-w. Epub 2020 Jul 16.
The COVID-19 global pandemic left the unprepared health care systems struggling to mount a measured response. This gave rise to important questions about surgeons' attitude towards surgical practice and the level of preparation at work.
Cross-sectional web-based national survey distributed to general surgeons by e‑mail over a period of 7 days.
Among 304 responders, 42.6% were working in the hospital with COVID-19 patients. Three quarters of all surgeons (74.5%) were afraid of contracting the disease. While 42% expressed a fear for their own life while caring for COVID-19 patients, 90.1% were afraid of transmitting the disease to family members. The average reported level of PPE provided at the workplace was significantly higher among the group which was not afraid of contracting COVID-19 than among the group afraid of contracting COVID-19 (4.0 vs. 3.12, = 0.02). Nearly all surgeons (93.8%) agreed that cancer surgeries should be continued during the pandemic and 49% perceived laparoscopy as a safe approach when operating on COVID-19 positive patients.
A high proportion of surgeons admitted being afraid of working during the COVID-19 pandemic, which had various implications for their attitude towards surgical practice. Protecting health care workers is an important component of public health measures for addressing the epidemic.
新型冠状病毒肺炎全球大流行使毫无准备的医疗系统难以做出适度应对。这引发了关于外科医生对外科手术实践的态度以及工作准备水平的重要问题。
通过电子邮件在7天内向普通外科医生开展基于网络的横断面全国性调查。
在304名受访者中，42.6% 在收治新型冠状病毒肺炎患者的医院工作。四分之三的外科医生（74.5%）害怕感染该疾病。在照顾新型冠状病毒肺炎患者时，42% 的人担心自己的生命安全，90.1% 的人害怕将疾病传染给家人。在工作场所提供的个人防护装备报告平均水平方面，不害怕感染新型冠状病毒肺炎的组显著高于害怕感染新型冠状病毒肺炎的组（4.0对3.12， = 0.02）。几乎所有外科医生（93.8%）都同意在疫情期间应继续进行癌症手术，49% 的人认为对新型冠状病毒肺炎阳性患者进行手术时腹腔镜检查是一种安全的方法。
很大比例的外科医生承认在新型冠状病毒肺炎大流行期间害怕工作，这对他们对外科手术实践的态度产生了各种影响。保护医护人员是应对疫情公共卫生措施的重要组成部分。
