Sandal Abdulsamet, Töreyin Zehra Nur, Saltürk Cüneyt, Arbak Peri Meram
Occupational Diseases Clinic, Ankara Occupational and Environmental Diseases Hospital, Ankara, Turkey.
Occupational Diseases Clinic, Adana City Training and Research Hospital, Ankara, Turkey.
Turk Thorac J. 2021 Jul;22(4):317-323. doi: 10.5152/TurkThoracJ.2021.20296.
We aimed to evaluate the perspective of the Turkish Thoracic Society (TTS) members regarding institutional preparedness, in terms of administrative measures and availability of personal protective equipment (PPE), in the first and third months of the coronavirus disease 2019 (COVID-19) pandemic in Turkey.
A 22-item online survey was e-mailed between the first and third months to TTS members, and participants' responses were evaluated.
The number of participants was 295 in the first survey and 141 in the second. In the second survey, the percentage of answers implying availability increased in all 18 control measures, 16 of which were statistically significant. However, there were still less than half of the respondents who reported the availability of psychological and behavioral support and some PPE, including respirators, facial protectors, goggles, and gowns. Statistical significance was observed for provision of a waiting area (P = .008), rooms for aerosol-generating procedures (P = .042), and special wards for patients with suspected or definite COVID-19 (P < .001); testing healthcare workers (HCWs) with a history of contact with a COVID-19 case (P < .001); and surveillance of symptomatic HCWs (P = .048), between tertiary vs. primary and secondary healthcare facilities in the first survey, but provision of special wards (P = .002) and supply for aprons (P = .027) in the second survey.
Our results showed an improvement in control measures in the third month of the pandemic. However, the persistent low availability of psychological and behavioral support and several items of PPE pointed out the need for action. Considering the health and safety of HCWs, the control measures should be actively monitored and deficiencies eliminated.
我们旨在评估土耳其胸科学会(TTS)成员对土耳其2019年冠状病毒病(COVID-19)大流行的第一个月和第三个月期间机构在行政措施和个人防护装备(PPE)可用性方面的准备情况的看法。
在第一个月至第三个月期间,通过电子邮件向TTS成员发送了一份包含22个项目的在线调查问卷,并对参与者的回答进行了评估。
第一次调查的参与者人数为295人,第二次为141人。在第二次调查中,所有18项控制措施中暗示可用性的答案百分比均有所增加,其中16项具有统计学意义。然而,报告有心理和行为支持以及一些PPE(包括呼吸器、面部保护器、护目镜和防护服)可用的受访者仍不到一半。在第一次调查中,三级医疗机构与一级和二级医疗机构之间在提供等候区(P = 0.008)、产生气溶胶操作的房间(P = 0.042)以及疑似或确诊COVID-19患者的特殊病房(P < 0.001);对有COVID-19病例接触史的医护人员进行检测(P < 0.001);以及对有症状的医护人员进行监测(P = 0.048)方面存在统计学差异,但在第二次调查中,提供特殊病房(P = 0.002)和围裙供应(P = 0.027)方面存在统计学差异。
我们的结果显示,在大流行的第三个月,控制措施有所改善。然而,心理和行为支持以及几种PPE持续低可用性表明需要采取行动。考虑到医护人员的健康和安全,应积极监测控制措施并消除不足之处。