BMJ Open. 2022 Jun 16;12(6):e060559. doi: 10.1136/bmjopen-2021-060559.
To investigate experiences of stress, feelings of safety, trust in healthcare staff and perceptions of the severity of a SARS-CoV-2 infection among inpatients discharged from Valais Hospital, Switzerland, during the COVID-19 pandemic's first wave.
Discharged patients aged 18 years or more (n=4665), hospitalised between 28 February and 11 May 2020, whether they had been infected by SARS-CoV-2 or not, were asked to complete a self-reporting questionnaire, as were their informal caregivers, if available (n=866). Participants answered questions from Cohen's Perceived Stress Scale (PSS) (0=no stress, 40=severe stress), Krajewska-Kułak 's Trust in Nurses Scale and Anderson and Dedrick's Trust in Physician Scale (10=no trust, 50=complete trust), the severity of a SARS-CoV-2 infection (1=not serious, 5=very serious), as well as questions on their perceived feelings of safety (0=not safe, 10=extremely safe).
Of our 1341 respondents, 141 had been infected with SARS-CoV-2. Median PSS score was 24 (IQR1-3=19-29), median trust in healthcare staff was 33 (IQR1-3=31-36), median perceived severity of a SARS-CoV-2 infection was 4 (IQR1-3=3-4) and the median feelings of safety score was 8 (IQR1-3=8-10). Significant differences were found between males and females for PSS scores (p<0.001) and trust scores (p<0.001). No significant differences were found between males and females for the perceived severity of SARS-CoV-2 infection scores (p=0.552) and the feelings of safety (p=0.751). Associations were found between age and trust scores (Rs=0.201), age and perceived SARS-CoV-2 severity scores (Rs=0.134), sex (female) and perceived stress (Rs=0.114), and sex (female) and trust scores (Rs=0.137). Associations were found between SARS-CoV-2 infected participants and the perceived SARS-CoV-2 severity score (Rs=-0.087), between trust scores and feelings of safety (Rs=0.147), and perceived severity of a SARS-CoV-2 infection (Rs=0.123).
The results indicated that inpatients experienced significant feelings of stress regarding perceived symptoms of the illness, yet this did not affect their feelings of safety, trust in healthcare staff or perception of the severity of SARS-CoV-2 infection. Future patient-reported experience measures research is needed to give a voice to healthcare users and facilitate comparison measures internationally.
在 COVID-19 大流行的第一波期间，调查瑞士瓦莱州医院出院患者的压力体验、安全感、对医护人员的信任以及对 SARS-CoV-2 感染严重程度的看法。
在 2020 年 2 月 28 日至 5 月 11 日期间，无论是否感染 SARS-CoV-2，对年龄在 18 岁及以上的出院患者（n=4665）或其在院的非正式护理人员（n=866）进行问卷调查。参与者使用 Cohen 的感知压力量表（PSS）（0=无压力，40=严重压力）、Krajewska-Kułak 的护士信任量表和 Anderson 和 Dedrick 的医生信任量表（10=不信任，50=完全信任）回答问题，以及 SARS-CoV-2 感染严重程度（1=不严重，5=非常严重）以及他们的安全感感知问题（0=不安全，10=极其安全）。
在我们的 1341 名受访者中，有 141 名感染了 SARS-CoV-2。中位 PSS 评分为 24（IQR1-3=19-29），中位医护人员信任度评分为 33（IQR1-3=31-36），中位 SARS-CoV-2 感染严重程度评分为 4（IQR1-3=3-4），中位安全感评分为 8（IQR1-3=8-10）。男性和女性在 PSS 评分（p<0.001）和信任评分（p<0.001）方面存在显著差异。但在 SARS-CoV-2 感染严重程度评分（p=0.552）和安全感评分（p=0.751）方面无显著差异。年龄与信任评分（Rs=0.201）、年龄与 SARS-CoV-2 严重程度评分（Rs=0.134）、性别（女性）与感知压力（Rs=0.114）和性别（女性）与信任评分（Rs=0.137）之间存在相关性。感染 SARS-CoV-2 的参与者与 SARS-CoV-2 严重程度评分（Rs=-0.087）、信任评分与安全感（Rs=0.147）和 SARS-CoV-2 感染严重程度评分（Rs=0.123）之间存在相关性。
结果表明，住院患者对疾病症状的感知存在明显的压力感，但这并没有影响他们的安全感、对医护人员的信任或对 SARS-CoV-2 感染严重程度的感知。需要进一步开展患者报告的体验测量研究，为医疗保健使用者发声，并促进国际比较措施。
