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评估日本医院疫情期间感染 COVID-19 的医护人员的身体和心理状况。

Evaluation of physical and psychological status of health care workers infected with COVID-19 during a hospital outbreak in Japan.

机构信息

Department of Urology, Central Japan International Medical Center, 1-1 Kenkonomati, Minokamo, Gifu, 505-8510, Japan.

Department of Urology, Central Japan International Medical Center, 1-1 Kenkonomati, Minokamo, Gifu, 505-8510, Japan.

出版信息

J Infect Chemother. 2023 Feb;29(2):126-130. doi: 10.1016/j.jiac.2022.10.003. Epub 2022 Oct 12.

DOI:10.1016/j.jiac.2022.10.003
PMID:36241127
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9553961/
Abstract

PURPOSE

COVID-19 causes physical and psychological impacts on health care workers (HCWs), especially when it occurs during an outbreak. As there are few reports on outcomes of HCWs infected with COVID-19 during a hospital outbreak, we investigated the physical and psychological impacts on HCWs infected with COVID-19 during an outbreak in our hospital.

METHODS

During the outbreak in our hospital, 231 people were infected with COVID-19 including patients, HCWs and their families. Among them, 83 HCWs were enrolled in this study. Current quality of life (QOL) was assessed with the EuroQol-visual analogue scales (EQ-VAS), and motivation to keep on working was evaluated by a 10-point analogue scale. Physiological recovery rates including return to work (RTW) period were also analyzed.

RESULTS

One nurse quit work due to anxiety regarding re-infection with COVID-19. The median period to RTW from the diagnosis was 14.0 (12.0-17.0) days. Motivation to keep on working was slightly reduced, and the EQ-VAS was 75.0 (65.0-83.6). There were no significant differences in QOL and motivation between male and female HCWs, nurses and other HCWs, treatment and non-treatment group, and supplemental and non-supplemental oxygen group. The most frequent persistent symptoms at 1,3 and 6 months after infection were anosmia followed by fatigue.

CONCLUSION

Although QOL and motivation to keep on working were slightly reduced, only one HCW quit work. No severe persistent symptoms were observed, and the RTW period was relatively short.

摘要

目的

COVID-19 对医护人员(HCWs)的身心健康都有影响,尤其是在疫情爆发期间。由于很少有报道关于医院内爆发疫情时感染 COVID-19 的 HCWs 的结果,我们调查了我院爆发疫情时感染 COVID-19 的 HCWs 的身心健康影响。

方法

在我院疫情爆发期间,共有 231 人感染 COVID-19,包括患者、HCWs 及其家属。其中,83 名 HCWs 纳入本研究。采用欧洲五维健康量表(EQ-VAS)评估当前生活质量(QOL),采用 10 分制模拟量表评估继续工作的动力。还分析了生理恢复率,包括重返工作岗位(RTW)的时间。

结果

1 名护士因担心再次感染 COVID-19 而辞职。从诊断到 RTW 的中位时间为 14.0(12.0-17.0)天。继续工作的动力略有降低,EQ-VAS 为 75.0(65.0-83.6)。男女 HCWs、护士和其他 HCWs、治疗组和非治疗组、补充氧组和非补充氧组之间的 QOL 和工作动力无显著差异。感染后 1、3 和 6 个月时最常见的持续症状是嗅觉丧失,其次是疲劳。

结论

尽管 QOL 和继续工作的动力略有降低,但仅有 1 名 HCW 辞职。未观察到严重的持续症状,RTW 时间相对较短。

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