Department of Endoscopy Center, Peking University First Hospital, Beijing, China.
Front Public Health. 2021 Mar 22;9:632608. doi: 10.3389/fpubh.2021.632608. eCollection 2021.
SARS-CoV-2 spreads rapidly around the world, and some patients present gastrointestinal symptoms. The existence of the virus in the gastrointestinal tract makes digestive endoscopy a high-risk operation, which associated with an increased risk of infection rate in healthcare workers. This study aimed at exploring current knowledge, practice and attitudes of healthcare workers in endoscopy units in China regarding the status of occupational protection during COVID-19 pandemic. A cross-sectional study of a national online survey involving 717 healthcare workers in endoscopy units from 94 medical structures in 24 provinces and municipalities around China was conducted online via a questionnaire platform called Wenjuanxing (wjx.cn). The data were analyzed using correlation approaches, Kruskal-Wallis test for independent samples, and linear regression models. Most Chinese healthcare workers in endoscopy units had a good knowledge of COVID-19 (median: 10; range: 7-12), showed a strikingly positive attitude (median: 65; range: 39-65), and carried out good practice (median: 47; range: 14-50) in strengthening the protection, disinfection and management of COVID-19. In terms of attitudes, female staff was more concerned about protection against COVID-19 than male staff (KW = 8.146, = 0.004). Nurses performed better in both attitude (KW = 2.600, = 0.009) and practice (KW = 6.358, < 0.001) than endoscopic physicians when carrying out personal protection, patient care and environmental disinfection against SARS-CoV-2 infection. More positive attitudes in protection were related to better protective behavior in endoscopic daily medical work ( = 0.312; < 0.001). The findings of this study suggest that Chinese endoscopy healthcare workers have an excellent mastery of knowledge about COVID-19, which is transformed into positive beliefs and attitudes, contributing to good practice during daily endoscopic procedures. Medical staff may benefit from further education. With the gradual normalization amid the ongoing COVID-19 pandemic, protection and management in endoscopy units may be changed accordingly.
SARS-CoV-2 在全球迅速传播，一些患者出现胃肠道症状。病毒存在于胃肠道中，使消化内镜成为一种高风险的操作，这与医护人员感染率的增加有关。本研究旨在探讨中国内镜单位医护人员在 COVID-19 大流行期间职业防护现状的知识、实践和态度。
一项横断面研究，对中国 24 个省、直辖市的 94 家医疗机构的 717 名内镜医护人员进行了全国性在线调查，在线调查使用问卷平台 Wenjuanxing（wjx.cn）进行。使用相关方法、独立样本 Kruskal-Wallis 检验和线性回归模型对数据进行分析。
大多数中国内镜单位医护人员对 COVID-19 有较好的认识（中位数：10；范围：7-12），表现出非常积极的态度（中位数：65；范围：39-65），并在加强 COVID-19 的防护、消毒和管理方面采取了良好的实践措施（中位数：47；范围：14-50）。在态度方面，女性医护人员比男性医护人员更关心 COVID-19 的防护（KW = 8.146， = 0.004）。护士在个人防护、患者护理和环境消毒方面的态度（KW = 2.600， = 0.009）和实践（KW = 6.358， < 0.001）均优于内镜医生。对防护的更积极态度与内镜日常医疗工作中更好的防护行为相关（ = 0.312； < 0.001）。
本研究结果表明，中国内镜医护人员对 COVID-19 的知识掌握得非常出色，这转化为积极的信念和态度，有助于日常内镜操作中的良好实践。医护人员可能受益于进一步的教育。随着 COVID-19 大流行的逐步常态化，内镜单位的防护和管理可能会相应改变。
