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新冠疫情对纽约市一家社区医院住院医师的影响。

Impact of COVID19 on resident physicians of a community hospital in New York city.

作者信息

Shrestha Binav, Alhafidh Oday, Mukhtar Osama, Pata Ramakanth Goel, Kc Nabin, Chobufo Muchi Ditah, Gayam Vijay, Kandel Saroj, Thapa Shivani, Enriquez Danilo, Quist Joseph, Marie Schmidt Francis

机构信息

Department of Pulmonary Medicine, Interfaith Medical Center, Brooklyn, NY, USA.

Department of Internal Medicine, Interfaith Medical Center, Brooklyn, NY, USA.

出版信息

J Community Hosp Intern Med Perspect. 2021 Jan 26;11(1):4-8. doi: 10.1080/20009666.2020.1834670.

Abstract

Novel Corona Virus Disease 19 has created unforeseen burden on health care. New York city is one of the epicenters of pandemic and here we explore physical, mental and social impact of COVID 19 on Resident Physicians (RP) working within the center of this epicenter. This is a single-center cross-sectional web-based survey involving RP of a community hospital in Brooklyn, New York. Questionnaire was formulated in online platform. We used a convenient sampling method. Univariate analysis was conducted and presented the distribution of qualitative responses as frequency and percentages. COVID19 related symptoms were reported by 39.8% RP. COVID19 IgG and IgM antibodies, both negative were reported by 34.9%, while only 6% RPs were IgG antibody positive. Symptomatic RP tested for COVID19-PCR was positive in 42.42%. Self-isolation from family during the pandemic was reported by only 14.5%. Financial constraints, lack of accommodation, and emotional reasons were main reasons of not being able to self isolate. Being bothered by 'Anxiety' and 'Nervousness' were reported by 8.5% on 'Almost every day' while 46.3% reported on 'several days in the two weeks duration'. 'Uncontrollable worrying', 'Feeling down', 'Depressed,' or 'Hopeless' was reported as 'Not at all' by 78.8% and 3.7% reported it to 'occur nearly every day for the last two weeks'. Aftermath of fight against pandemic has left RP with significant physical, mental, and social impact. Appropriate stress management and safety interventions are urgently needed. Further studies are needed to explore the detailed impact of COIV19 on RP.

摘要

新型冠状病毒病19给医疗保健带来了意想不到的负担。纽约市是疫情的中心之一,在此我们探讨了COVID - 19对在这个疫情中心工作的住院医师(RP)的身体、心理和社会影响。这是一项基于网络的单中心横断面调查,涉及纽约布鲁克林一家社区医院的住院医师。问卷在在线平台上制定。我们采用了方便抽样的方法。进行了单变量分析,并以频率和百分比的形式呈现定性反应的分布情况。39.8%的住院医师报告有COVID - 19相关症状。34.9%的住院医师报告COVID - 19 IgG和IgM抗体均为阴性,而只有6%的住院医师IgG抗体呈阳性。有症状的住院医师进行COVID - 19 - PCR检测,阳性率为42.42%。在疫情期间,只有14.5%的人报告与家人自我隔离。经济限制、缺乏住所和情感原因是无法自我隔离的主要原因。8.5%的人报告“几乎每天”都受到“焦虑”和“紧张”的困扰,而46.3%的人报告在“两周内的几天”有这种情况。78.8%的人报告“完全没有”“无法控制的担忧”“情绪低落”“沮丧”或“绝望”的情况,3.7%的人报告在“过去两周几乎每天都出现”。抗击疫情的后果给住院医师带来了重大的身体、心理和社会影响。迫切需要适当的压力管理和安全干预措施。需要进一步研究以探索COIV19对住院医师的详细影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12a9/7850354/01f53506d74f/ZJCH_A_1834670_F0001_OC.jpg

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