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COVID-19 疫情期间遗传性代谢疾病患者管理面临的挑战:一项横断面在线调查研究。

Challenges of following patients with inherited metabolic diseases during the COVID-19 outbreak. A cross-sectional online survey study.

机构信息

Cerrahpasa Medical Faculty, Division of Nutrition and Metabolism, Department of Pediatrics, Istanbul University-Cerrahpaşa, Istanbul, Turkey.

出版信息

J Pediatr Endocrinol Metab. 2020 Nov 12;34(1):103-107. doi: 10.1515/jpem-2020-0441. Print 2021 Jan 27.

Abstract

OBJECTIVES

There has been a recent worldwide outbreak of coronavirus disease (COVID-19). Most of the health system capacity has been directed to COVID-19 patients, and routine outpatient clinics have been suspended. Chronic disease patients, such as inherited metabolic disorders (IMD), have had trouble accessing healthcare services.

METHODS

An online cross-sectional survey was conducted among patients with IMDs who were present for a follow-up at our clinic to address their problems during pandemic period. Our clinic's Instagram and Facebook accounts were used to invite the participants. Three reminders were given between May 1, 2020, and May 30, 2020. Survey questions were analyzed using descriptive statics.

RESULTS

A total of 213 patients completed our survey. Incomplete surveys were excluded, and 175 questionnaires were evaluated. Most of patients had a special diet, and 51% of them had some difficulty with their diet. The reported rate of using a special treatment was 38%, and most of these patients (91%) had no problem receiving these special therapies during this time. Parents who were wearing masks while caring for their child were very few (17%), but a vast majority of parents (73.7%) had high handwashing rates. None of the patients had a SARS-COV2 infection until this paper was written.

CONCLUSION

This is the first study that aims to determine the problems faced by patients with IMD during the COVİD-19 period. Considering that the pandemic will not immediately pass, recognizing the problems faced by patients with chronic diseases and developing solutions would help these patients avoid long-term damage.

摘要

目的

最近全球爆发了冠状病毒病(COVID-19)。大部分医疗系统能力都集中在 COVID-19 患者身上,常规门诊已暂停。慢性疾病患者,如遗传性代谢疾病(IMD),难以获得医疗服务。

方法

我们对在我院门诊就诊的 IMD 患者进行了一项在线横断面调查,以了解他们在大流行期间的问题。我们使用诊所的 Instagram 和 Facebook 账户邀请参与者。在 2020 年 5 月 1 日至 2020 年 5 月 30 日期间,共发送了 3 次提醒。使用描述性统计方法分析调查问题。

结果

共有 213 名患者完成了我们的调查。剔除不完整的调查问卷,共评估了 175 份问卷。大多数患者有特殊饮食,51%的患者饮食存在困难。报告的特殊治疗使用率为 38%,在此期间,这些患者中的大多数(91%)在接受这些特殊治疗方面没有问题。只有极少数(17%)父母在照顾孩子时戴口罩,但绝大多数父母(73.7%)的洗手率很高。在撰写本文时,没有患者感染 SARS-COV2。

结论

这是第一项旨在确定 COVID-19 期间 IMD 患者所面临问题的研究。鉴于大流行不会立即过去,认识到慢性病患者所面临的问题并制定解决方案将有助于这些患者避免长期损害。

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