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评估巴基斯坦外科医生在2019年冠状病毒病大流行期间提供外科护理时面临的障碍:一项在线横断面研究。

Assessing Barriers Faced by Surgeons While Providing Surgical Care During the COVID-19 Pandemic in Pakistan: An Online Cross-Sectional Study.

作者信息

Majeed Abdul, Hussain Iltaf, Imran Imran, Saleem Muhammad Usman, Saeed Hamid, Abrar Muhammad Asad, Islam Muhammad, Hashmi Furqan K, Akbar Muqarrab, Ramzan Basit, Chaudhry Muhammad Omer, Ashraf Waseem, Rasool Muhammad F

机构信息

Department of Pharmacy Practice, Faculty of Pharmacy, Bahauddin Zakariya University, Multan, Pakistan.

Department of Pharmacology, Faculty of Pharmacy, Bahauddin Zakariya University, Multan, Pakistan.

出版信息

J Multidiscip Healthc. 2021 Mar 18;14:665-672. doi: 10.2147/JMDH.S300008. eCollection 2021.

Abstract

BACKGROUND

The COVID-19 pandemic is not only affecting public health, but it is also impairing the specialized surgical care services in the hospitals. The present study aimed to assess the barriers faced by the surgeons while performing surgical procedures during the COVID-19 pandemic.

METHODS

A cross-sectional, web-based survey was conducted from September 10 to October 14, 2020. The study population consisted of surgeons practicing in Kpk, Pakistan. Descriptive statistics and binary logistic regression analysis were used to analyze the data.

RESULTS

A total of 292, out of 543, surgeons participated in the study (response rate: 59.6%). The younger surgeons (25-30 years) considered the lack of policies and practices regarding exposure to COVID-19 patients as a significant barrier to their practice. The surgeons practicing in private hospitals considered themselves at a higher risk while providing surgical care to the COVID-19 patients. The non-cooperation of the patients was the main barrier in delivering surgical care services.

CONCLUSION AND RECOMMENDATION

The current study highlighted the barriers to the surgeons while providing surgical care to patients in the current pandemic. The most pronounced barriers to the surgeons were the lack of policies regarding exposure to COVID-19 and practice and non-cooperation of the patient. To address these barriers, it is recommended that health regulatory agencies of Pakistan should implement strict infection control practices to ensure the safety of surgeons and allied healthcare staff during the COVID-19 pandemic.

摘要

背景

2019冠状病毒病疫情不仅影响着公众健康,还损害了医院的专科手术护理服务。本研究旨在评估外科医生在2019冠状病毒病疫情期间进行外科手术时所面临的障碍。

方法

于2020年9月10日至10月14日进行了一项基于网络的横断面调查。研究人群包括在巴基斯坦开伯尔-普赫图赫瓦省执业的外科医生。采用描述性统计和二元逻辑回归分析来分析数据。

结果

543名外科医生中共有292名参与了研究(回复率:59.6%)。年轻外科医生(25 - 30岁)认为缺乏关于接触2019冠状病毒病患者的政策和做法是其执业的重大障碍。在私立医院执业的外科医生认为自己在为2019冠状病毒病患者提供手术护理时风险更高。患者不合作是提供手术护理服务的主要障碍。

结论与建议

本研究突出了当前疫情期间外科医生在为患者提供手术护理时所面临的障碍。外科医生最明显的障碍是缺乏关于接触2019冠状病毒病的政策和做法以及患者的不合作。为解决这些障碍,建议巴基斯坦的卫生监管机构应实施严格的感染控制措施,以确保在2019冠状病毒病疫情期间外科医生及相关医护人员的安全。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7783/7987313/b1e403e3bdfb/JMDH-14-665-g0001.jpg

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