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越南卫生工作者对 COVID-19 暴露风险的认知:现状及相关因素。

Perception Toward Exposure Risk of COVID-19 Among Health Workers in Vietnam: Status and Correlated Factors.

机构信息

School of Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam.

Rollins School of Public Health, Emory University, Atlanta, GA, United States.

出版信息

Front Public Health. 2021 May 25;9:589317. doi: 10.3389/fpubh.2021.589317. eCollection 2021.

Abstract

Hospital staff are at the frontline for the prevention and control of COVID-19. Understanding their perception of exposure risk is, therefore, important during the early phase of this pandemic. In this study, we evaluated the perception regarding risk of exposure to COVID-19 among Vietnamese hospital staff in Vietnam. A cross-sectional online study was carried out to collect demographic data and risk exposure perception during the second week of the national lockdown in April 2020 in Vietnam. Seven hundred and forty two hospital staff were recruited using the snowball sampling to answer 5-point Likert scale questions regarding their risk exposure perception. Exploratory factor analysis (EFA) was used to examine the construct validity of the questionnaire. Pearson coefficient analysis and multivariable regression models were applied to identify factors associated with the perceived COVID-19 exposure risk. Participants perceived a high risk of being infected with SARS-CoV-2 (score = 3.4, SD = 0.8). They also perceived the workplace response to COVID-19 as inadequate (score = 2.0, SD = 0.5). In particular, participants who worked in the emergency or intensive care departments were more likely to perceive an exposure risk, compared to those in infectious disease control departments (Coef. = -0.38, 95%CI: -0.74; -0.02). Participants from central regions perceived a lower risk of exposure to COVID-19 than those from northern regions (OR = 0.52, 95%CI: 0.28-0.96). Nurses were less likely than doctors to report being at risk of exposure to COVID-19 (OR = 0.56, 95%CI: 0.33-0.95). We identified a high level of perceived risk regarding COVID-19 exposure among hospital staff during the unprecedented lockdown period in Vietnam. A comprehensive approach, incorporating improved risk communications, safety training and psychological support programs, for all hospital staff, including nurses and those residing in high population density areas, might further strengthen the national effort to control the pandemic.

摘要

医院工作人员是预防和控制 COVID-19 的第一线。因此,在这场大流行的早期阶段,了解他们对接触风险的看法非常重要。在这项研究中,我们评估了越南医院工作人员对 COVID-19 暴露风险的看法。在越南 2020 年 4 月全国封锁的第二周,我们进行了一项横断面在线研究,以收集人口统计学数据和风险暴露认知。使用滚雪球抽样法招募了 742 名医院工作人员,让他们回答 5 点李克特量表问题,以了解他们对风险暴露的认知。采用探索性因子分析(EFA)来检验问卷的结构效度。应用皮尔逊系数分析和多变量回归模型来确定与感知 COVID-19 暴露风险相关的因素。参与者认为感染 SARS-CoV-2 的风险很高(得分=3.4,标准差=0.8)。他们还认为应对 COVID-19 的工作场所措施不足(得分=2.0,标准差=0.5)。特别是与传染病控制部门的工作人员相比,在急诊或重症监护部门工作的人更有可能认为自己有暴露风险(系数=-0.38,95%置信区间:-0.74;-0.02)。来自中部地区的参与者比来自北部地区的参与者认为自己暴露于 COVID-19 的风险较低(OR=0.52,95%置信区间:0.28-0.96)。与医生相比,护士报告自己有感染 COVID-19 风险的可能性较小(OR=0.56,95%置信区间:0.33-0.95)。在越南前所未有的封锁期间,我们发现医院工作人员对 COVID-19 暴露的风险认知很高。对于所有医院工作人员,包括护士和居住在人口密度高的地区的工作人员,采取综合方法,包括改善风险沟通、安全培训和心理支持计划,可能会进一步加强国家控制疫情的努力。

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