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COVID-19 对美国密歇根州、加拿大安大略省和不列颠哥伦比亚省犬类综合医疗保健的影响。

The impact of COVID-19 on access to canine integrative medical care in Michigan, USA, and Ontario and British Columbia, Canada.

机构信息

Department of Small Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, MI, USA.

Programme director, Veterinary Anaesthesia & Analgesia Online MSc, Royal (Dick) School of Veterinary Studies, Large Animal Hospital, Easter Bush Campus, University of Edinburgh, Edinburgh, UK.

出版信息

Vet Anaesth Analg. 2022 Nov;49(6):580-588. doi: 10.1016/j.vaa.2022.08.004. Epub 2022 Aug 18.

Abstract

OBJECTIVE

To determine the effects of the COVID-19 associated restrictions on the ability of owners in Michigan (MI), USA versus Ontario (ON) and British Columbia (BC), Canada, to obtain care for their chronically painful dogs.

STUDY DESIGN

Cross-sectional survey.

POPULATION

A total of 90 owners met the inclusion criteria for the study.

METHODS

An anonymous electronic survey was distributed to owners at four veterinary integrative medicine (IM) clinics during July and August 2020. Two clinics in MI and one each in ON and BC were recruited. Owners were asked about availability of IM care preceding and during COVID-19 restrictions and their opinions of the impact of COVID-19 on their dog's health. The survey asked where owners sought care for their dogs, types of chronic conditions treated, therapeutic modalities used, and if owners had a medical background. Comparisons were made within and between groups. Thematic analysis, Fisher's exact test, chi-square analyses, McNemar's and Wilcoxon signed-rank tests for paired comparisons were performed (p < 0.05).

RESULTS

During COVID-19 restrictions, access to IM care was better for dogs in ON and BC than in MI (p < 0.001). The negative effect of the pandemic restrictions to IM care on quality of life was perceived greater by owners in MI than those in ON and BC (p < 0.001). The owners' medical backgrounds had no effect on attempts to access care during this time (p = 0.76).

CONCLUSIONS AND CLINICAL RELEVANCE

The results suggest that a widespread disease in humans had an adverse impact on animal welfare. Providers of veterinary care should use this experience to establish protocols to ensure continuity of care for chronically painful animals in the event of a similar situation in the future.

摘要

目的

确定与 COVID-19 相关的限制对美国密歇根州(MI)、安大略省(ON)和不列颠哥伦比亚省(BC)的宠物主人为其患有慢性疼痛的犬只获得治疗的能力的影响。

研究设计

横断面调查。

研究对象

共有 90 名符合纳入标准的宠物主人参加了本研究。

方法

2020 年 7 月至 8 月期间,在四家兽医整合医学(IM)诊所向宠物主人分发了一份匿名电子调查问卷。MI 的两家诊所和 ON 及 BC 的每家诊所各一家。调查询问了宠物主人在 COVID-19 限制之前和期间获得 IM 护理的情况,以及他们对 COVID-19 对其犬只健康的影响的看法。该调查询问了宠物主人为其犬只寻求治疗的地点、治疗的慢性疾病类型、使用的治疗方式,以及宠物主人是否有医学背景。在组内和组间进行了比较。进行了主题分析、Fisher 精确检验、卡方检验、McNemar 和 Wilcoxon 符号秩检验(p<0.05)。

结果

在 COVID-19 限制期间,ON 和 BC 的犬只获得 IM 护理的机会优于 MI(p<0.001)。MI 的宠物主人比 ON 和 BC 的宠物主人更认为大流行限制对 IM 护理对生活质量的负面影响更大(p<0.001)。在此期间,宠物主人的医学背景对寻求护理的尝试没有影响(p=0.76)。

结论和临床相关性

研究结果表明,人类中广泛存在的疾病对动物福利产生了不利影响。兽医护理提供者应利用这一经验,制定协议,以确保在未来出现类似情况时,为患有慢性疼痛的动物提供持续的护理。

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