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2019年冠状病毒病大流行对妇产科医生的影响。

Impact of the COVID-19 Pandemic on Obstetricians/Gynecologists.

作者信息

Riggan Kirsten A, Reckhow Jensen, Allyse Megan A, Long Margaret, Torbenson Vanessa, Rivera-Chiauzzi Enid Y

机构信息

Biomedical Ethics Research Program, Mayo Clinic, Rochester, MN.

Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN.

出版信息

Mayo Clin Proc Innov Qual Outcomes. 2021 Dec;5(6):1128-1137. doi: 10.1016/j.mayocpiqo.2021.11.002. Epub 2021 Nov 10.

DOI:10.1016/j.mayocpiqo.2021.11.002
PMID:34849457
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8613070/
Abstract

OBJECTIVE

To assess the impact of the coronavirus disease 2019 (COVID-19) pandemic on obstetricians/gynecologists (OB/GYNs).

PARTICIPANTS AND METHODS

A 49-item survey was distributed to OB/GYNs through the websites and electronic mailing lists of professional OB/GYN organizations. The survey was open from June 22, 2020, through November 22, 2020. Of the 122 initiated surveys, 89 were completed (73.0% completion rate); 72 respondents answered at least one open-ended question and were included for qualitative analysis.

RESULTS

Respondents reported policy changes, limited personal protective equipment availability, patient compliance with safety protocols and personal protective equipment use, staff shortages, and concerns about COVID-19 exposure as primary stressors related to the pandemic. Respondents felt that the pandemic had a negative professional impact on their relationships with patients and colleagues. Workplace and pandemic stressors resulted in feelings of anxiety and frustration; physical effects were also reported. Some respondents indicated that they were considering early retirement or leaving the profession as a result of the pandemic, which suggests that OB/GYNs may be at increased risk for burnout.

CONCLUSION

The COVID-19 pandemic will have important long-term effects on OB/GYN well-being and workforce retention. Proactive support for OB/GYNs is needed to combat burnout and counteract workforce attrition. Implementing peer support programs that promote healthy emotional processing following adverse events may mitigate these feelings and reduce OB/GYN burnout.

摘要

目的

评估2019冠状病毒病(COVID-19)大流行对妇产科医生的影响。

参与者与方法

通过妇产科专业组织的网站和电子邮件列表向妇产科医生发放了一份包含49个项目的调查问卷。该调查于2020年6月22日至2020年11月22日开放。在122份发起的调查问卷中,89份完成(完成率73.0%);72名受访者回答了至少一个开放式问题,并被纳入定性分析。

结果

受访者报告称,政策变化、个人防护装备供应有限、患者对安全协议和个人防护装备使用的依从性、人员短缺以及对COVID-19暴露的担忧是与大流行相关的主要压力源。受访者认为大流行对他们与患者和同事的关系产生了负面的职业影响。工作场所和大流行压力源导致焦虑和沮丧情绪;还报告了身体上的影响。一些受访者表示,由于大流行,他们正在考虑提前退休或离开该行业,这表明妇产科医生可能面临更高的职业倦怠风险。

结论

COVID-19大流行将对妇产科医生的幸福感和劳动力留存产生重要的长期影响。需要对妇产科医生提供积极支持,以对抗职业倦怠并抵消劳动力流失。实施同伴支持计划,促进不良事件后健康的情绪处理,可能会减轻这些情绪,减少妇产科医生的职业倦怠。

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