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COVID-19 大流行在拉美创伤骨科外科医生职业、财务和心理社会健康方面的隐性影响。

The hidden impact of rapid spread of the COVID-19 pandemic in professional, financial, and psychosocial health of Latin American orthopedic trauma surgeons.

机构信息

Serviço de Ortopedia e Traumatologia Prof. Nova Monteiro, Hospital Municipal Miguel Couto, Rio de Janeiro, RJ, Brazil; Clínica São Vicente, Rede D'or São Luiz, Rio de Janeiro, RJ, Brazil.

Departamento de Ortopedia, Faculdade de Ciências Médicas, Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil.

出版信息

Injury. 2021 Apr;52(4):673-678. doi: 10.1016/j.injury.2021.03.022. Epub 2021 Mar 13.

Abstract

OBJECTIVE

To assess the quality of life of Latin American orthopedic trauma surgeons during the beginning of COVID-19 pandemic in Latin America.

METHODS

A total of 400 orthopedic trauma surgeons from 14 Latin American countries were invited to complete an electronic survey aiming to understand the general situation of COVID-19 in each country and how COVID-19 had impacted life's participant financially and psychosocially. The relationship between the occurrence of the disease and the existence of legal regulations on the medical activity in the respondent's country, protocols for tracking the disease among patients hospitalized in an emergency basis due to skeletal trauma, and personal protective equipment to deal with patients diagnosed with COVID-19 who need orthopedic trauma surgery was investigated, as well as the financial and psychosocial impact caused by the disease. Data was statistically analyzed with significance p < 0.05.

RESULTS

220 respondents completed the survey. 21 respondents were diagnosed with COVID-19. Local regulation was decisive in terms of increasing the risk for COVID-19 disease (p = 0.001). 91.8% of the respondents reported being concerned about their financial health and 57.7% described a state of feeling emotionally overextended. 75.0% believe that pandemic can change their professional activity.

CONCLUSION

The rapid spread of the COVID-19 pandemic in Latin America has negatively impacted the professional, financial, and psychosocial health of orthopedic trauma surgeons. It seems reasonable to state that the combination of psychosocial distress and deprivation together with financial uncertainty and decreased revenue can be straightly related to development of burnout symptoms among doctors.

摘要

目的

评估 COVID-19 大流行在拉丁美洲开始时拉丁美洲骨科创伤外科医生的生活质量。

方法

共邀请了来自 14 个拉丁美洲国家的 400 名骨科创伤外科医生完成了一项电子调查,旨在了解每个国家的 COVID-19 总体情况,以及 COVID-19 如何在财务和心理社会方面影响参与者的生活。研究了疾病的发生与受访者所在国家/地区医疗活动的法律规定的存在之间的关系、因骨骼创伤紧急住院的患者中追踪疾病的方案,以及处理需要骨科创伤手术的 COVID-19 患者的个人防护设备,以及疾病造成的财务和心理社会影响。使用具有统计学意义的 p < 0.05 对数据进行了统计分析。

结果

220 名受访者完成了调查。21 名受访者被诊断患有 COVID-19。当地法规在增加 COVID-19 疾病风险方面具有决定性作用(p=0.001)。91.8%的受访者表示担心自己的财务健康,57.7%的受访者表示感到情绪过度紧张。75.0%的人认为大流行可以改变他们的专业活动。

结论

COVID-19 大流行在拉丁美洲的迅速传播对骨科创伤外科医生的专业、财务和心理社会健康产生了负面影响。似乎可以合理地说,心理社会困扰和剥夺加上财务不确定性和收入减少与医生出现倦怠症状直接相关。

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