Barts Health NHS Trust, London, UK
King's College London, London, UK.
BMJ Open. 2022 Aug 5;12(8):e059873. doi: 10.1136/bmjopen-2021-059873.
To investigate the impact of COVID-19 on the well-being of surgeons and allied health professionals as well as the support provided by their institutions.
This cross-sectional study involved distributing an online survey through medical organisations, social media platforms and collaborators.
It included all staff based in an operating theatre environment around the world.
1590 complete responses were received from 54 countries between 15 July and 15 December 2020. The average age of participants was 30-40 years old, 64.9% were men and 32.5% of a white ethnic background. 79.5% were surgeons with the remainder being nurses, assistants, anaesthetists, operating department practitioners or classified other.
Participants that had experienced any physical illness, changes in mental health, salary or time with family since the start of the pandemic as well as support available based on published recommendations.
32.0% reported becoming physically ill. This was more likely in those with reduced access to personal protective equipment (OR 4.62; CI 2.82 to 7.56; p<0.001) and regular breaks (OR 1.56; CI 1.18 to 2.06; p=0.002). Those with a decrease in salary (29.0%) were more likely to have an increase in anxiety (OR 1.50; CI 1.19 to 1.89; p=0.001) and depression (OR 1.84; CI 1.40 to 2.43; p<0.001) and those who spent less time with family (35.2%) were more likely to have an increase in depression (OR 1.74; CI 1.34 to 2.26; p<0.001). Only 36.0% had easy access to occupational health, 44.0% to mental health services, 16.5% to 24/7 rest facilities and 14.2% to 24/7 food and drink facilities. Fewer measures were available in countries with a low Human Development Index.
This work has highlighted a need and strategies to improve conditions for the healthcare workforce, ultimately benefiting patient care.
调查 COVID-19 对外科医生和相关卫生专业人员的健康状况的影响，以及他们所在机构提供的支持。
这是一项横断面研究，通过医疗机构、社交媒体平台和合作者分发在线调查。
包括全球手术室环境中的所有工作人员。
2020 年 7 月 15 日至 12 月 15 日期间，来自 54 个国家的 1590 名工作人员完成了完整的答复。参与者的平均年龄为 30-40 岁，64.9%为男性，32.5%为白人。79.5%为外科医生，其余为护士、助理、麻醉师、手术室护士或其他分类。
自大流行开始以来经历任何身体疾病、心理健康变化、工资或与家人共度时间的参与者，以及根据已发表的建议提供的支持。
32.0%的人报告身体不适。在那些获得个人防护设备减少（比值比 4.62；95%置信区间 2.82 至 7.56；p<0.001）和定期休息减少（比值比 1.56；95%置信区间 1.18 至 2.06；p=0.002）的人中更常见。工资下降（29.0%）的人更有可能出现焦虑（比值比 1.50；95%置信区间 1.19 至 1.89；p=0.001）和抑郁（比值比 1.84；95%置信区间 1.40 至 2.43；p<0.001），而与家人共度时间减少（35.2%）的人更有可能出现抑郁（比值比 1.74；95%置信区间 1.34 至 2.26；p<0.001）。只有 36.0%的人能够轻松获得职业健康服务，44.0%的人能够获得心理健康服务，16.5%的人能够获得 24/7 休息设施，14.2%的人能够获得 24/7 餐饮设施。在人类发展指数较低的国家，提供的措施较少。
这项工作强调了改善医疗保健人员工作条件的需求和策略，最终使患者受益。
