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临床病程变化的演变:土耳其 COVID-19 大流行高峰期眼科医生的多中心调查相关印象。

The evolution of the changes in the clinical course: a multicenter survey-related impression of the ophthalmologists at the peak of the COVID-19 pandemic in Turkey.

机构信息

Department of Ophthalmology, Ministry of Health - Ordu University Training and Research Hospital, 52200, Ordu, Turkey.

Private Atanur Eye Hospital, 32040, Isparta, Turkey.

出版信息

Int Ophthalmol. 2021 Apr;41(4):1261-1269. doi: 10.1007/s10792-020-01681-1. Epub 2021 Jan 2.

Abstract

PURPOSE

The coronavirus disease-2019 (COVID-19) has become a difficult pandemic to control worldwide. The high transmission risk and mortality rates of COVID-19 cause serious concerns in ophthalmologists and may cause disruptions in clinical functioning. This study aims to identify changes in the clinical approaches of ophthalmologists, understand their anxiety levels, and exhibit how patients' follow-up processes progress during the pandemic.

METHODS

A questionnaire that including demographic information, ophthalmology clinical activity scale, and Beck anxiety scale was sent to ophthalmologists in Turkey. Google Forms was used as a survey platform in this study.

RESULTS

A total of 121 ophthalmologists participated in the study. The participants stated that they could not continue routine interventional diagnosis and treatment practices during the outbreak. It was clearly stated that there were changes in their clinical approach and decreased patient examination quality. For this reason, 14.9% of physicians said to missed the diagnosis in this process. Physicians who encounter infected patients state that it is more difficult to provide ophthalmological services and their clinical approaches are affected more negatively. Anxiety levels of physicians who could access personal protective equipment (PPE) and show positive solidarity with their colleagues in the process were found to be lower.

CONCLUSION

Our study revealed that ophthalmologists, like other healthcare professionals, were severely affected by the COVID-19 outbreak. Accordingly, healthcare managers should provide adequate PPE for ophthalmologists, organize the clinical operation, and support the mental health of ophthalmologists.

摘要

目的

2019 年冠状病毒病(COVID-19)已成为全球难以控制的大流行病。COVID-19 的高传播风险和死亡率引起了眼科医生的严重关注,并可能导致临床功能中断。本研究旨在确定眼科医生临床方法的变化,了解他们的焦虑水平,并展示大流行期间患者随访过程的进展情况。

方法

本研究向土耳其的眼科医生发送了一份包含人口统计学信息、眼科临床活动量表和贝克焦虑量表的问卷。Google Forms 被用作该研究的调查平台。

结果

共有 121 名眼科医生参与了这项研究。参与者表示,他们在疫情期间无法继续进行常规的介入诊断和治疗实践。他们明确表示,他们的临床方法发生了变化,患者检查质量下降。因此,有 14.9%的医生表示在此过程中漏诊。遇到感染患者的医生表示,提供眼科服务更加困难,他们的临床方法受到的负面影响更大。在这一过程中能够获得个人防护设备(PPE)并与同事表现出积极团结的医生的焦虑水平较低。

结论

我们的研究表明,眼科医生与其他医疗保健专业人员一样,受到 COVID-19 爆发的严重影响。因此,医疗保健管理人员应为眼科医生提供足够的 PPE,组织临床运作,并支持眼科医生的心理健康。

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