Schulz-Stübner Sebastian, Hauer Thomas, Nopper Katharina
Wissenschaftlicher Dienst, Deutsches Beratungszentrum für Hygiene (BZH GmbH), Freiburg, Germany.
Klinik für Anästhesiologie und Intensivmedizin, Universitätsklinikum Freiburg Medizinische Universitätsklinik, Freiburg im Breisgau, Germany.
Gesundheitswesen. 2023 Jul;85(7):609-621. doi: 10.1055/a-1851-4287. Epub 2022 Sep 9.
In compliance with German data protections regulations, we conducted an anonymous survey among participants of the annual infectious disease and control meeting in Freiburg, Germany in October 2021.
We report the results of nurse and physician members of infection control teams on their perceptions and emotions during the pandemic. Descriptive statistics and Chi Square Test with P<0.05 (SPSS Statistics Standard Version) were used when applicable.
Of the 391 of 750 distributed surveys, 391 were returned; 48% were infection control practitioners (IP), 12% Link Nurses (LN), 12% Board Certified Hospital Epidemiologists (HE), 17% infection control-trained physicians (ITP), 1% Occupational Health or Public Health specialists and 10% others. 72% were female, 25.3% male, 0.2% divers and 2.5% gave no answers. The 349 members of infection control teams (IP, LN, HE, ITP) reported a high level of competency, importance and appreciation and a low rate of anxiety or hopelessness. A quarter reported anger and frustration which nevertheless did not result in reduced motivation. Information provided by the German national health agency Robert Koch-Institute (RKI) was utilized most by participants. Social media, on the other hand, were criticized frequently. Cooperation within the institution and local public health authorities was good. Free text answers regarding lessons learned showed wide potential for improvement.
Our survey results indicate a high level of resilience among members of infection control teams in German medical institutions despite obvious shortcomings in supplies during the first wave of the pandemic. The high level of self-perceived competency and appreciation possibly helped deal with the situation and prevented the feeling of loss of control implied in the question items "feeling overwhelmed" and "hopeless". However, the lessons learned from the pandemic need to be implemented to maintain this high level of resilience not only for infection control teams but the medical system in general.
根据德国数据保护法规，我们于2021年10月在德国弗赖堡举行的年度传染病与防控会议的参与者中开展了一项匿名调查。
我们报告了感染防控团队中护士和医生成员在疫情期间的认知和情绪结果。适用时使用描述性统计和P<0.05的卡方检验（SPSS Statistics标准版本）。
在分发的750份调查问卷中，有391份被收回；48%为感染防控从业者（IP），12%为联络护士（LN），12%为 board certified医院流行病学家（HE），17%为接受过感染防控培训的医生（ITP），1%为职业健康或公共卫生专家，10%为其他人员。72%为女性，25.3%为男性，0.2%未作答，2.5%未给出答案。349名感染防控团队成员（IP、LN、HE、ITP）报告称具备高水平的能力、重要性和认可度，焦虑或绝望程度较低。四分之一的人报告有愤怒和沮丧情绪，但这并未导致积极性下降。参与者最常使用德国国家卫生机构罗伯特·科赫研究所（RKI）提供的信息。另一方面，社交媒体经常受到批评。机构内部与当地公共卫生部门的合作良好。关于经验教训的自由文本回答显示出很大的改进潜力。
我们的调查结果表明，尽管在疫情第一波期间物资供应存在明显不足，但德国医疗机构感染防控团队成员具有很高的适应能力。高水平的自我认知能力和认可度可能有助于应对这种情况，并防止出现“不堪重负”和“绝望”等问题中所隐含的失控感。然而，需要落实从疫情中吸取的经验教训，不仅是为了感染防控团队，也是为了整个医疗系统，以维持这种高水平的适应能力。
