Anschutz Medical Center, Division of Vascular Surgery and Endovascular Therapy, The University of Colorado, Aurora, CO, USA.
Division of Vascular Surgery, Botucatu School of Medicine, Sao Paulo State University, Botucatu, Brazil.
Vascular. 2021 Jun;29(3):451-460. doi: 10.1177/1708538120954961. Epub 2020 Oct 6.
The COVID-19 pandemic has made a significant impact on all spheres of society. The objective of this study was to examine the impact of COVID-19 on the practices, finances, and social aspects of Brazilian vascular surgeons' lives.
This is a descriptive analysis of the responses from Brazilian vascular surgeons to the cross-sectional anonymous Society for Vascular Surgery Wellness Task Force Pandemic Practice, Anxiety, Coping, and Support Survey for Vascular Surgeons disseminated 14-24 April 2020. Survey dissemination in Brazil occurred mainly via the Brazilian Society of Angiology and Vascular Surgery (SBACV) and social media. The survey evaluated the impact of the COVID-19 pandemic on vascular surgeons' lives by assessing COVID-19-related stressors, anxiety using theGeneral Anxiety Disorder (GAD)-7 scale, and coping strategies using the Brief Coping Orientation to Problems Experienced (Brief-COPE) inventory.
A total of 452 responses were recorded from Brazil, with 335 (74%) respondents completing the entire survey. The majority of respondents were males ( = 301, 67%) and practiced in an urban hospitals. The majority of respondents considered themselves at high risk to be infected with COVID-19 ( = 251, 55.8%), and just over half the respondents noted that they had adequate PPE at their primary hospital ( = 171, 54%). One hundred and nine (35%) surgeons confirmed that their hospitals followed professional surgical society guidelines for prioritizing surgeries during the pandemic. At the time of the survey, only 33 (10%) surgeons stated they have pre-operative testing of patients for COVID-19 available at their hospital. Academic vascular surgeons reported being redeployed more often to help with other non-vascular duties compared to community-based or solo practitioners (43% vs. 30% vs. 21% respectively, = .01). Severe anxiety due to pandemic-related financial concerns was similar in those surgeons practicing solo compared to those in community- or academic-based/group practice (46% vs. 38% vs. 22%; = .54). The respondents reported their anxiety levels as mild based on the stressors investigated instead of moderate-severe (54% vs. 46%; = .04). Social media was utilized heavily during the pandemic, with video gatherings being the most commonly used tool (76%). Self-distraction (60%) and situational acceptance (81%) were the most frequently reported coping mechanisms used among Brazilian vascular surgeons.
The COVID pandemic has greatly affected healthcare providers around the world. At the time of this survey, Brazilian vascular surgeons are reporting low anxiety levels during this time and are using mostly active coping mechanisms.
COVID-19 大流行对社会的各个领域都产生了重大影响。本研究的目的是探讨 COVID-19 对巴西血管外科医生实践、财务和社会方面的影响。
这是对巴西血管外科医生对横断面匿名血管外科学会健康工作组大流行实践、焦虑、应对和支持调查的反应的描述性分析，该调查于 2020 年 4 月 14 日至 24 日向血管外科医生分发。巴西的调查传播主要通过巴西血管学会（SBACV）和社交媒体进行。该调查通过评估与 COVID-19 相关的压力源、使用一般焦虑障碍（GAD）-7 量表评估焦虑以及使用Brief Coping Orientation to Problems Experienced（Brief-COPE）量表评估应对策略，评估 COVID-19 对血管外科医生生活的影响。
共记录了来自巴西的 452 份回复，其中 335 份（74%）回复者完成了整个调查。大多数受访者为男性（ = 301，67%），在城市医院执业。大多数受访者认为自己感染 COVID-19 的风险很高（ = 251，55.8%），超过一半的受访者表示他们在主要医院有足够的个人防护设备（ = 171，54%）。109 名（35%）外科医生证实，他们的医院在大流行期间遵循专业外科协会的指南，优先进行手术。在调查时，只有 33 名（10%）外科医生表示他们的医院提供 COVID-19 患者术前检测。与社区或个体从业者相比，学术血管外科医生报告更频繁地被重新部署以帮助其他非血管相关工作（分别为 43%、30%和 21%， = .01）。与大流行相关的财务问题引起的严重焦虑在单独执业的外科医生中与在社区或学术实践中执业的外科医生相似（分别为 46%、38%和 22%； = .54）。根据调查的压力源，受访者报告他们的焦虑程度为轻度，而不是中度至重度（54%比 46%； = .04）。社交媒体在大流行期间得到了广泛利用，视频聚会是最常用的工具（76%）。自我分散注意力（60%）和情境接受（81%）是巴西血管外科医生中最常报告的应对机制。
COVID 大流行极大地影响了世界各地的医疗保健提供者。在进行这项调查时，巴西血管外科医生报告在这段时间内焦虑程度较低，并且主要使用积极的应对机制。
