挪威 COVID-19 重症监护病房的医护人员：准备情况和工作条件：一项队列研究。
Healthcare professionals in COVID-19-intensive care units in Norway: preparedness and working conditions: a cohort study.
机构信息
Centre for Patient Centered Heart and Lung Research, Department of Cardiothoracic Surgery, Oslo University Hospital, Oslo, Norway
Department of Postoperative and Intensive Care, Administrative Section, Oslo University Hospital, Oslo, Norway.
出版信息
BMJ Open. 2021 Oct 11;11(10):e049135. doi: 10.1136/bmjopen-2021-049135.
OBJECTIVE
To survey the healthcare professionals' background and experiences from work with patients with COVID-19 in intensive care units (ICUs) during the first wave of the COVID-19 pandemic in Norway.
DESIGN
Observational cohort study.
SETTING
COVID-ICUs in 27 hospitals across Norway.
PARTICIPANTS
Healthcare professionals (n=484): nurses (81%), medical doctors (9%) and leaders (10%), who responded to a secured, web-based questionnaire from 6 May 2020 to 15 July 2020.
PRIMARY AND SECONDARY MEASURES
Healthcare professionals': (1) professional and psychological preparedness to start working in COVID-ICUs, (2) factors associated with high degree of preparedness and (3) experience of working conditions.
RESULTS
The age of the respondents was 44.8±10 year (mean±SD), 78% were females, 92% had previous ICU working experience. A majority of the respondents reported professional (81%) and psychological (74%) preparedness for working in COVID-ICU. Factors significantly associated with high professional preparedness for working in COVID-19-ICU in a multivariate logistic model were previous ICU work experience (p0.001) and participation in COVID-ICU simulation team training (p<0.001). High psychological preparedness was associated with higher age (p=0.003), living with spouse or partner (p=0.013), previous ICU work experience (p0.042) and participation in COVID-ICU simulation team training (p=0.001). Working with new colleagues and new professional challenges were perceived as positive in a majority of the respondents, whereas 84% felt communication with coworkers to be challenging, 46% were afraid of being infected and 82% felt discomfort in denying access for patient relatives to the unit. Symptoms of sweating, tiredness, dehydration, headache, hunger, insecurity, mask irritation and delayed toilet visits were each reported by more than 50%.
CONCLUSIONS
Healthcare professionals working during the first wave of COVID-ICU patients in Norway were qualified and prepared, but challenges and potential targets for future improvements were present.
TRIAL REGISTRATION NUMBER
NCT04372056.
目的
调查挪威 COVID-19 大流行第一波期间在重症监护病房（ICU）工作的医疗保健专业人员的背景和经验。
设计
观察性队列研究。
设置
挪威 27 家医院的 COVID-ICU。
参与者
医疗保健专业人员（n=484）：护士（81%）、医生（9%）和领导（10%），他们于 2020 年 5 月 6 日至 7 月 15 日通过安全的网络问卷做出回应。
主要和次要措施
医疗保健专业人员：（1）在 COVID-ICU 工作的专业和心理准备情况，（2）与高度准备相关的因素和（3）工作条件的经验。
结果
受访者的年龄为 44.8±10 岁（平均值±标准差），78%为女性，92%有 ICU 工作经验。大多数受访者报告说，在 COVID-ICU 工作时具有专业（81%）和心理（74%）准备。在多变量逻辑模型中，与 COVID-ICU 工作的高度专业准备相关的因素有 ICU 工作经验（p<0.001）和参加 COVID-ICU 模拟团队培训（p<0.001）。高度的心理准备与较高的年龄（p=0.003）、与配偶或伴侣同住（p=0.013）、有 ICU 工作经验（p<0.042）和参加 COVID-ICU 模拟团队培训（p=0.001）相关。大多数受访者认为与新同事一起工作和新的专业挑战是积极的，而 84%的人认为与同事沟通具有挑战性，46%的人担心被感染，82%的人对拒绝患者家属进入病房感到不适。超过 50%的人报告出现出汗、疲倦、脱水、头痛、饥饿、不安、口罩刺激和如厕时间延迟等症状。
结论
在挪威 COVID-ICU 患者第一波期间工作的医疗保健专业人员有资格且有准备，但存在挑战和未来改进的潜在目标。
临床试验注册号
NCT04372056。
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