Imediegwu Kelechi Uzodinma, Onyebuchukwu Chiamaka Q, Abor Jude C, Bobby Edeani D, Okoye Ngozi Jf, Magbo Chidera V, Onyenagubo Emmnauel Izuchukwu, Omene Winifred U
Department of Orthopaedic Surgery, National Orthopaedic Hospital, Enugu, Nigeria.
College of Medicine, University of Nigeria (UNN), Enugu, Nigeria.
J West Afr Coll Surg. 2023 Jan-Mar;13(1):44-49. doi: 10.4103/jwas.jwas_239_22. Epub 2023 Jan 18.
The novel corona virus (COVID-19) was first diagnosed in Wuhan, China in December 2019. The healthcare specifically, departments of surgery in Southeastern Nigeria, are making modifications to cope and plan for the pandemic.
To evaluate how well surgical institutions in Southeastern Nigeria are prepared for the anticipated influx of Covid-19 patients, existing patients and to determine the adequacy of hospital provision of essential supplies and awareness creation.
A cross-sectional online study of two hundred and one (201) surgery resident doctors in surgical institutions in South-eastern Nigeria was conducted. Questionnaires were designed and distributed using online platforms. The data obtained was analyzed using the Statistical Package for the Social Sciences (SPSS). Significance was set at < 0.05. Consent was obtained from all respondents.
A total of 201 surgery resident doctors filled and submitted their questionnaires, response rate of 71.5%, out of which 50.1% agreed that hospital response to Covid-19 pandemic was inadequate, 78.3% agreed that the Personal Protective Equipment (PPEs) provided by hospitals were inadequate while about 53.8% agreed that the hospital workforce was poor and inadequate and incapable of adapting to the unstable workforce during the pandemic. About 46.2% agreed that the hospitals were conducting an adequate creation of awareness with regards to the pandemic while 25% agreed that the hospital compliance with the CDC (Center for disease control) preventive protocols/guidelines in surgical institutions were adequate.There was a statistically significant association () between hospital type and provision of adequate Personal protective equipment for surgical procedures. Only 19% of the government hospital employees felt that adequate amount of PPEs were provided compared to 41% of private hospital employees.
The results from this study show that the hospital response to Covid-19 pandemic and awareness creation amongst surgical institutions in Southeastern Nigeria are inadequate.
The government should equip the health sector by providing the necessary amenities to adequately combat the challenges of surgical practice in the Covid-19 pandemic.
新型冠状病毒（COVID-19）于2019年12月在中国武汉首次被确诊。特别是尼日利亚东南部的外科医疗部门正在做出调整，以应对这一疫情并进行规划。
评估尼日利亚东南部的外科机构对预期涌入的COVID-19患者、现有患者的准备情况，并确定医院基本物资供应的充足程度以及宣传工作的情况。
对尼日利亚东南部外科机构的201名外科住院医生进行了一项横断面在线研究。使用在线平台设计并分发问卷。使用社会科学统计软件包（SPSS）对获得的数据进行分析。显著性设定为<0.05。获得了所有受访者的同意。
共有201名外科住院医生填写并提交了问卷，回复率为71.5%，其中50.1%的人认为医院对COVID-19大流行的应对不足，78.3%的人认为医院提供的个人防护装备（PPE）不足，而约53.8%的人认为医院工作人员不足且素质差，无法在大流行期间适应不稳定的工作队伍。约46.2%的人认为医院在大流行方面进行了充分的宣传，而25%的人认为医院在外科机构遵守疾病控制中心（CDC）的预防方案/指南方面是充分的。医院类型与为外科手术提供充足的个人防护装备之间存在统计学上的显著关联（）。只有19%的政府医院员工认为提供了足够数量的PPE，而私立医院员工的这一比例为41%。
本研究结果表明，尼日利亚东南部外科机构对COVID-19大流行的应对以及宣传工作存在不足。
政府应通过提供必要的设施来装备卫生部门，以充分应对COVID-19大流行期间外科手术实践的挑战。
