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加纳大流行第一年 COVID-19 感染对医生的负担。

The burden of COVID-19 infection on medical doctors in the first year of the pandemic in Ghana.

机构信息

Department of Obstetrics and Gynaecology, University of Ghana Medical School, Accra, Ghana.

Department of Obstetrics and Gynaecology, University of Michigan, USA.

出版信息

Ghana Med J. 2022 Jun;56(2):71-77. doi: 10.4314/gmj.v56i2.3.

Abstract

OBJECTIVE

To quantify and describe the burden of COVID-19 infection amongst doctors in Ghana.

DESIGN

A quantitative and qualitative analysis of cross-sectional data was performed.

SETTING

All 16 regions in Ghana.

PARTICIPANTS

Participants were medical doctors diagnosed with COVID-19 between March 2020 and March 2021.

MAIN OUTCOME MEASURES

Data sources were Ghana Medical Association and Ministry of Health records. Demographics and workplace data included age, gender, the rank of the doctor, and location and type of current facility. Characteristics of the COVID-19 infection included the likely source, clinical and recovery status, and place of management. Doctors reported their desire for a general checkup and psychological support and described the challenges encountered.

RESULTS

The prevalence of COVID-19 infection was 88.9 cases per 1000 doctor-population. Of 544 infected doctors, 59.2% were stable but symptomatic, and 1.7% were in critical condition, with a case fatality rate of 1.7%. Overall, 31.6% had recovered from their COVID-19 infection, and the majority (82.4%) were managed at home in self-isolation. Compared to medical officers, house officers (OR 1.36, p=0.03), senior house officers (OR 7.60, p<0.001), and consultants (OR 2.94, p=0.001) were more likely to have a COVID-19 infection. Desire for support was varied, with 13.0% desiring someone to check on them and 9.7% desiring psychological support. The majority (75.3%) reported facing a challenge, including difficulty obtaining needed vitamins and medications, and accessing daily necessities like groceries.

CONCLUSIONS

In Ghana, COVID-19 infections greatly burden medical doctors.

FUNDING

None declared.

摘要

目的

量化并描述加纳医生中 COVID-19 感染的负担。

设计

对横断面数据进行了定量和定性分析。

地点

加纳的所有 16 个地区。

参与者

参与者是在 2020 年 3 月至 2021 年 3 月期间被诊断患有 COVID-19 的医生。

主要观察指标

数据来源是加纳医师协会和卫生部的记录。人口统计学和工作场所数据包括年龄、性别、医生的职级以及当前设施的位置和类型。COVID-19 感染的特征包括可能的来源、临床和恢复状况以及管理地点。医生报告了他们对一般体检和心理支持的需求,并描述了遇到的挑战。

结果

COVID-19 感染的患病率为每千名医生人群中有 88.9 例。在 544 名感染的医生中,59.2%病情稳定但有症状,1.7%情况危急,病死率为 1.7%。总体而言,31.6%的人已经从 COVID-19 感染中康复,大多数(82.4%)在家中自我隔离时得到管理。与医疗官相比,住院医师(OR 1.36,p=0.03)、高级住院医师(OR 7.60,p<0.001)和顾问(OR 2.94,p=0.001)更有可能感染 COVID-19。对支持的需求各不相同,13.0%的人希望有人检查他们,9.7%的人希望得到心理支持。大多数(75.3%)人报告面临挑战,包括难以获得所需的维生素和药物以及获取杂货等日常必需品。

结论

在加纳,COVID-19 感染给医生带来了沉重的负担。

资金

无。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdc6/10336467/997e4b6e1d50/GMJ5602-0071Fig1.jpg

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