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COVID-19 对巴西手外科医生的工作、健康和生活质量的影响。

Impact of COVID-19 on the Work, Health, and Quality of Life of Brazilian Hand Surgeons.

机构信息

Universidade de São Paulo, Brazil.

Massachusetts General Hospital, Boston, USA.

出版信息

Hand (N Y). 2023 Oct;18(7):1208-1214. doi: 10.1177/15589447221081871. Epub 2022 Mar 23.

Abstract

BACKGROUND

To evaluate the impact of coronavirus disease 2019 (COVID-19) on the clinical practice, health, and quality of life of Brazilian hand surgeons when only essential services and emergency procedures were being provided.

METHOD

A questionnaire of 50 questions was sent to members of the Brazilian Society of Hand Surgery addressing work and life routines before the pandemic and during the initial quarantine period from April to August 2020.

RESULTS

Two hundred ten hand surgeons answered the questionnaire; 55.2% lived in the southeast region and worked in the capital and metropolitan regions, in both the private and public systems. Thirty-eight percent of the sample had other sources of income besides medicine, and due to a drop of 50% or more in the volume of consultations and surgeries, one-third had to apply for financial loans or access personal savings, and 69% made financial cuts in their domestic and life routines. More than 40% gained weight and stopped doing physical activities, while 20% lost weight and started physical activities. Approximately 30% were diagnosed with COVID-19, 92% of whom had mild symptoms and quarantined at home, and 89% had psychological symptoms such as anxiety, fear, insecurity, and insomnia.

CONCLUSIONS

Coronavirus disease 2019 had a significant impact on the lives of Brazilian hand surgeons by drastically reducing the number of consultations and surgical procedures, generating not only financial difficulties but also changes in the exercise routine, changes in body weight, associated psychological symptoms, and changes in the family/life routine.

摘要

背景

评估 2019 年冠状病毒病(COVID-19)对巴西手外科医生的临床实践、健康和生活质量的影响,当时只提供基本服务和紧急程序。

方法

向巴西手外科学会成员发送了一份包含 50 个问题的问卷,涉及大流行前和 2020 年 4 月至 8 月初始隔离期间的工作和生活常规。

结果

210 名手外科医生回答了问卷;55.2%的人居住在东南部,在首都和大都市区的私人和公共系统中工作。该样本中有 38%的人除了医学还有其他收入来源,由于咨询和手术量减少了 50%或更多,三分之一的人不得不申请金融贷款或动用个人储蓄,69%的人削减了家庭和生活开支。超过 40%的人体重增加并停止了体育活动,而 20%的人体重减轻并开始进行体育活动。大约 30%的人被诊断患有 COVID-19,其中 92%的人症状轻微并在家中隔离,89%的人出现焦虑、恐惧、不安和失眠等心理症状。

结论

COVID-19 对巴西手外科医生的生活产生了重大影响,大大减少了咨询和手术的数量,不仅造成了经济困难,还导致了锻炼习惯、体重变化、相关心理症状以及家庭/生活常规的变化。

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