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大流行焦虑是否会影响泌尿科医护人员?

Does Pandemic Anxiety Affect Urology Health Care Workers?

机构信息

Klinik und Poliklinik für Urologie, Klinikum der Universität München, Munich, Germany.

Klinik und Poliklinik für Urologie, Klinikum der Universität München, Munich, Germany,

出版信息

Urol Int. 2021;105(3-4):192-198. doi: 10.1159/000512911. Epub 2021 Jan 21.

DOI:10.1159/000512911
PMID:33477161
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7900483/
Abstract

PURPOSE

To assess anxiety, stress level, and perception of safety during the coronavirus disease 2019 (COVID-19) pandemic in health care workers (HCWs) of one of Germany's largest urology university clinics.

METHODS

A cross-sectional study among urological HCWs was performed. HCWs were surveyed for anxiety about the pandemic, stress level and current workload, fear of coronavirus infection, current perception of safety at work, and attitude towards protective equipment and tests for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

RESULTS

Sixty-three HCWs filled in the questionnaire. Overall anxiety of infection with CO-VID-19 is at a median of 4.7 with no statistically significant difference between nurses and physicians (p = 0.0749). Safety at work reaches a median of 6 out of 10. In fact, the highest fear in 56.7% (31/63) of the personnel is to get infected by a colleague tested positive for SARS-CoV-2 despite wearing surgical face masks. A proportion of 55.7 and 74.6% highly favor swabs for SARS-CoV-2 on a regular basis in HCWs and patients, respectively (p = 0.0001). Workload in the urology department is clearly reduced during the pandemic (physicians 39.3% vs. nurses 32.2%, p = 0.0001) and 57.4% do not feel distress at all; only 27.9% express mental distress.

CONCLUSION

During the pandemic, urology HCWs perceive lower burden by workload and deem themselves at low risk of infection. However, the greatest anxiety is related to infection by a SARS-CoV-2-positive colleague, despite reciprocal protection by surgical face masks. This highlights a relevant mental stress and uncertainty towards management of infected HCWs, calling for increased education and psychological support.

摘要

目的

评估德国最大的泌尿科大学诊所之一的医护人员(HCWs)在 2019 年冠状病毒病(COVID-19)大流行期间的焦虑、压力水平和安全感。

方法

对泌尿科 HCWs 进行了横断面研究。调查了 HCWs 对大流行的焦虑、压力水平和当前工作量、对冠状病毒感染的恐惧、当前工作安全性的看法以及对 SARS-CoV-2 保护设备和检测的态度。

结果

63 名 HCWs 填写了问卷。总体而言,对 COVID-19 感染的焦虑中位数为 4.7,护士和医生之间无统计学差异(p = 0.0749)。工作安全性达到 6 分(满分 10 分)。实际上,在 56.7%(31/63)的工作人员中,最高的恐惧是感染经 SARS-CoV-2 检测呈阳性的同事,尽管他们戴了外科口罩。分别有 55.7%和 74.6%的 HCWs 和患者非常赞成定期对 SARS-CoV-2 进行拭子检测(p = 0.0001)。大流行期间泌尿科的工作量明显减少(医生 39.3%,护士 32.2%,p = 0.0001),并且 57.4%的人根本没有感到困扰;只有 27.9%的人表示有精神困扰。

结论

在大流行期间,泌尿科 HCWs 认为工作量减轻,感染风险低。但是,最大的焦虑与 SARS-CoV-2 阳性同事的感染有关,尽管有外科口罩的相互保护。这突出了对感染的 HCWs 管理的相关精神压力和不确定性,呼吁加强教育和心理支持。

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