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护理人员中的 COVID-19 感染:一项队列研究。

COVID-19 infection in nursing staff: A cohort study.

机构信息

Escola de Enfermagem, Universidade de São Paulo, Av Dr Enéas de Carvalho Aguiar, 419, São Paulo, 05403000, Brazil.

Hospital Universitário, Universidade de São Paulo, Av. Prof. Lineu Prestes, 2565, São Paulo, 05508-000, Brazil.

出版信息

Int J Nurs Pract. 2023 Aug;29(4):e13147. doi: 10.1111/ijn.13147. Epub 2023 Mar 17.

Abstract

AIM

This study aims to identify the working conditions of Brazilian nursing professionals and the risk factors for these professionals to become infected by coronavirus disease.

BACKGROUND

Understanding the factors that affected nursing professionals during the pandemic can support better nursing management.

DESIGN

This is a quantitative, cross-sectional survey study.

METHODS

Data collection was carried out between February and March 2022 in Brazil. All nursing professionals registered in the national database received by e-mail the study instrument with the data collection variables: professionals' sociodemographic and comorbid, professional and institutional characteristics, and professionals' health conditions and disease-related aspects for COVID-19.

RESULTS

Four thousand eight hundred sixty-two nursing professionals reported a lack of personal protective equipment for patient care, and 4424 were infected by coronavirus disease. The risk factors to become infected were having cardiovascular disease, being under 60 years of age, living in the northern region, using public transportation, working in a hospital, an emergency department or reference institution for COVID-19, living with an infected person and lack of respirators or waterproof aprons.

CONCLUSION

Multiple risk factors for infection with SARS-CoV-2 were demonstrated for the nursing professionals during the pandemic, highlighting current and future pandemics factors that are modifiable in a worthwhile time frame to minimize nurses' infection risks, such as inadequate working conditions associated with lack of essential personal protective equipment.

摘要

目的

本研究旨在确定巴西护理专业人员的工作条件,以及这些专业人员感染冠状病毒病的风险因素。

背景

了解大流行期间影响护理专业人员的因素可以为更好的护理管理提供支持。

设计

这是一项定量、横断面调查研究。

方法

数据收集于 2022 年 2 月至 3 月在巴西进行。通过电子邮件向国家数据库中注册的所有护理专业人员发送研究工具,其中包含数据收集变量:专业人员的社会人口学和合并症、专业和机构特征,以及专业人员的健康状况和与 COVID-19 相关的疾病方面。

结果

4862 名护理专业人员报告在护理患者时缺乏个人防护设备,有 4424 人感染了冠状病毒病。感染的风险因素包括患有心血管疾病、年龄在 60 岁以下、居住在北部地区、使用公共交通工具、在医院、急诊科或 COVID-19 参考机构工作、与感染者同住以及缺乏呼吸机或防水围裙。

结论

在大流行期间,针对护理专业人员感染 SARS-CoV-2 的多种风险因素进行了证明,突出了当前和未来大流行期间可在有价值的时间范围内进行更改的因素,以最大限度地降低护士感染的风险,例如与缺乏基本个人防护设备相关的工作条件不足。

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