COVID-19 大流行早期对美国医护人员的影响：来自 HERO 登记处的结果。

Impact of the Early Phase of the COVID-19 Pandemic on US Healthcare Workers: Results from the HERO Registry.

机构信息

Applied Clinical Research Center, Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.

出版信息

J Gen Intern Med. 2021 May;36(5):1319-1326. doi: 10.1007/s11606-020-06529-z. Epub 2021 Mar 10.

DOI:10.1007/s11606-020-06529-z

PMID:33694071

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7946335/

Abstract

BACKGROUND

The HERO registry was established to support research on the impact of the COVID-19 pandemic on US healthcare workers.

OBJECTIVE

Describe the COVID-19 pandemic experiences of and effects on individuals participating in the HERO registry.

DESIGN

Cross-sectional, self-administered registry enrollment survey conducted from April 10 to July 31, 2020.

SETTING

Participants worked in hospitals (74.4%), outpatient clinics (7.4%), and other settings (18.2%) located throughout the nation.

PARTICIPANTS

A total of 14,600 healthcare workers.

MAIN MEASURES

COVID-19 exposure, viral and antibody testing, diagnosis of COVID-19, job burnout, and physical and emotional distress.

KEY RESULTS

Mean age was 42.0 years, 76.4% were female, 78.9% were White, 33.2% were nurses, 18.4% were physicians, and 30.3% worked in settings at high risk for COVID-19 exposure (e.g., ICUs, EDs, COVID-19 units). Overall, 43.7% reported a COVID-19 exposure and 91.3% were exposed at work. Just 3.8% in both high- and low-risk settings experienced COVID-19 illness. In regression analyses controlling for demographics, professional role, and work setting, the risk of COVID-19 illness was higher for Black/African-Americans (aOR 2.32, 99% CI 1.45, 3.70, p < 0.01) and Hispanic/Latinos (aOR 2.19, 99% CI 1.55, 3.08, p < 0.01) compared with Whites. Overall, 41% responded that they were experiencing job burnout. Responding about the day before they completed the survey, 53% of participants reported feeling tired a lot of the day, 51% stress, 41% trouble sleeping, 38% worry, 21% sadness, 19% physical pain, and 15% anger. On average, healthcare workers reported experiencing 2.4 of these 7 distress feelings a lot of the day.

CONCLUSIONS

Healthcare workers are at high risk for COVID-19 exposure, but rates of COVID-19 illness were low. The greater risk of COVID-19 infection among race/ethnicity minorities reported in the general population is also seen in healthcare workers. The HERO registry will continue to monitor changes in healthcare worker well-being during the pandemic.

TRIAL REGISTRATION

ClinicalTrials.gov identifier NCT04342806.

摘要

背景

HERO 登记处成立的目的是支持对美国医护人员所受的 COVID-19 大流行的影响的研究。

目的

描述参与 HERO 登记处的个人的 COVID-19 大流行经历及其影响。

设计

2020 年 4 月 10 日至 7 月 31 日进行的横断面、自我管理登记调查。

地点

参与者在全国各地的医院（74.4%）、门诊（7.4%）和其他场所（18.2%）工作。

参与者

共有 14600 名医护人员。

主要措施

COVID-19 暴露、病毒和抗体检测、COVID-19 诊断、工作倦怠以及身体和情绪困扰。

主要结果

平均年龄为 42.0 岁，76.4%为女性，78.9%为白人，33.2%为护士，18.4%为医生，30.3%在高风险 COVID-19 暴露环境（例如 ICU、ED、COVID-19 病房）工作。总体而言，43.7%报告有 COVID-19 暴露，91.3%的暴露发生在工作中。在高风险和低风险环境中，只有 3.8%的人经历过 COVID-19 疾病。在控制人口统计学、专业角色和工作环境的回归分析中，与白人相比，黑人和非裔美国人（aOR 2.32，99%CI 1.45，3.70，p<0.01）和西班牙裔/拉丁裔（aOR 2.19，99%CI 1.55，3.08，p<0.01）患 COVID-19 疾病的风险更高。总体而言，41%的人表示他们正在经历工作倦怠。在完成调查前一天回复的情况下，53%的参与者报告说他们整天都很累，51%感到压力大，41%难以入睡，38%感到担忧，21%感到悲伤，19%感到身体疼痛，15%感到愤怒。平均而言，医护人员报告说他们每天有 2.4 种这些 7 种困扰感。