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2020年埃塞俄比亚阿姆哈拉州北谢瓦地区医院医护人员应对2019冠状病毒病传播的准备情况与应对措施

Preparedness and Responses of Healthcare Providers to Combat the Spread of COVID-19 Among North Shewa Zone Hospitals, Amhara, Ethiopia, 2020.

作者信息

Mulu Getaneh Baye, Kebede Worku Misganaw, Worku Solomon Adanew, Mittiku Yohannes Moges, Ayelign Birhanu

机构信息

College of Health Sciences, Debre Berhan University, Debre Berhan, Ethiopia.

Department of Immunology and Molecular Biology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Science, Gondar, Ethiopia.

出版信息

Infect Drug Resist. 2020 Sep 16;13:3171-3178. doi: 10.2147/IDR.S265829. eCollection 2020.

DOI:10.2147/IDR.S265829
PMID:33061469
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7520113/
Abstract

BACKGROUND

Coronavirus disease 2019 (COVID-19) is an emerging respiratory disease that is caused by a novel coronavirus and was first detected in December 2019 in Wuhan, China. The disease is highly infectious, and its main clinical symptoms include fever, dry cough, fatigue, myalgia, and dyspnea. Healthcare providers are in front in fighting the coronavirus spread by making themselves the risk of contracting the disease.

OBJECTIVE

To assess the preparedness and responses of healthcare providers to combat the spread of COVID-19 among North Shewa Zone Hospitals, Amhara, Ethiopia.

METHODS

Facility-based cross-sectional study was conducted from April to May 2020 among 422 healthcare providers in the North Shewa Zone, Amhara, Ethiopia using a self-administered questionnaire. Study subjects were selected through systematic random sampling based on their proportional distribution of sample size to each hospital. A structured questionnaire was used to collect the data. The data were coded and entered into the Epi data 4.2.1 version and the analysis was carried out in Statistical Package for Social Science 25 versions.

RESULTS

Four hundred four participants involved in the study have been given a response rate of 95.7%. The self-satisfaction of healthcare providers revealed 301 (74.5%) of study participants feel unsafe in their workplace. Two-third, 260 (64.4%), of them responded that they feel anxious while working with febrile patients. Nearly one-third (31%), 27.4%, 15.9%, 14.5%, 14.2% of HCPs had access to gloves, facemask, goggle, shoe, and apron respectively in hospitals.

CONCLUSION

Protecting healthcare workers is a public health priority. Access to essential personal protective equipment during the COVID-19 pandemic was limited. The poor perception of healthcare professionals about not having enough support from medical institutions and public health authorities raises the need to urgently implement strategies to protect healthcare workers in the time of the COVID-19 pandemic.

摘要

背景

2019年冠状病毒病(COVID-19)是一种由新型冠状病毒引起的新发呼吸道疾病,于2019年12月在中国武汉首次发现。该疾病具有高度传染性,其主要临床症状包括发热、干咳、乏力、肌痛和呼吸困难。医护人员在抗击冠状病毒传播的前线,使自己面临感染该疾病的风险。

目的

评估埃塞俄比亚阿姆哈拉州北谢瓦地区医院的医护人员应对COVID-19传播的准备情况和应对措施。

方法

2020年4月至5月,在埃塞俄比亚阿姆哈拉州北谢瓦地区的422名医护人员中进行了一项基于机构的横断面研究,使用自填式问卷。根据样本量在各医院的比例分布,通过系统随机抽样选择研究对象。使用结构化问卷收集数据。数据进行编码并录入Epi数据4.2.1版本,分析在社会科学统计软件包25版本中进行。

结果

参与研究的404名参与者的回复率为95.7%。医护人员的自我满意度显示,301名(74.5%)研究参与者在工作场所感到不安全。其中三分之二,即260名(64.4%)回复说,他们在为发热患者治疗时感到焦虑。在医院中,分别有近三分之一(31%)、27.4%、15.9%、14.5%、14.2%的医护人员能够获得手套、口罩、护目镜、鞋和围裙。

结论

保护医护人员是公共卫生的优先事项。在COVID-19大流行期间,获得基本个人防护装备的机会有限。医护人员对医疗机构和公共卫生当局缺乏足够支持的不良认知,凸显了在COVID-19大流行期间迫切需要实施保护医护人员的策略。

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