与 COVID-19 康复医护工作者认知障碍和生活质量相关的因素。

Factors associated with cognitive impairment and the quality-of-life among COVID-19 survivors working as healthcare workers.

机构信息

Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia.

Department of Pulmonology and Respiratory Medicine, Prof. Dr. Chairuddin P Lubis Universitas Sumatera Utara Hospital, Medan, Indonesia.

出版信息

Narra J. 2024 Apr;4(1):e658. doi: 10.52225/narra.v4i1.658. Epub 2024 Mar 20.

Abstract

Prolonged physical and mental health changes, known as post-COVID conditions (PCC), could impair the quality-of-life (QoL) of healthcare workers. The aim of this study was to identify factors that contribute to cognitive impairments and QoL among COVID-19 survivors working as healthcare workers. This cross-sectional study involved healthcare workers at Prof. Dr. Chairuddin P. Lubis Universitas Sumatera Utara Hospital, Medan, Indonesia. The Montreal Cognitive Assessment (MoCA) was used to assess the cognitive function, while the World Health Organization Quality-of-Life Brief Version (WHOQOL-BREF) questionnaire was used to evaluate the QoL. Factors associated with cognitive and QoL status were examined using Mann-Whitney and Chi-squared tests. A total of 100 COVID-19 survivors were included in the study, most of whom were female (74%), aged ≤35 years (95%), and were doctors (62%). Only 22% of the participants had a normal BMI, 93% had a history of mild COVID-19, and 54% had one comorbidity. The Overall MoCA score averaged 24.18±2.86, indicating mild cognitive impairment among the groups. The distribution of MoCA scores had similar patterns with no significant differences based on age, gender, comorbidities, BMI, COVID-19 severity, and frequency of COVID-19 infection. Interestingly, the number of vaccine doses received by the participants had a statistically significant associated with MoCA scores of which those receiving more than two doses had higher cognitive scores than those with only two doses (=0.008). Based on categorized MoCA scores (normal vs cognitive impairment), none assessed factors were not significantly associated with cognitive outcomes. The WHOQOL-BREF scores ranged from 62.5 to 95.5, with a mean±SD of 83.67±7.03. None of the assessed factors were associated with WHOQOL-BREF scores among COVID-19 survivors. These findings highlight the need for further study to explore the protective role of vaccination frequency in cognitive impairment and the factors underlying the resilience in QoL among survivors.

摘要

长期的身心健康变化,即所谓的新冠后状况(PCC),可能会损害医护人员的生活质量(QoL)。本研究旨在确定导致从事医护工作的新冠幸存者认知障碍和 QoL 下降的因素。这是一项横断面研究,涉及印度尼西亚棉兰苏加塔玛达大学教授查里丁·P·卢比斯医院的医护人员。采用蒙特利尔认知评估量表(MoCA)评估认知功能,采用世界卫生组织生活质量简表(WHOQOL-BREF)问卷评估生活质量。采用 Mann-Whitney 和卡方检验分析与认知和 QoL 状况相关的因素。共纳入 100 名新冠幸存者,其中大多数为女性(74%),年龄≤35 岁(95%),且为医生(62%)。仅有 22%的参与者 BMI 正常,93%有过轻症新冠病史,54%有 1 种合并症。总体 MoCA 评分为 24.18±2.86,提示各研究组存在轻度认知障碍。MoCA 评分的分布模式相似,基于年龄、性别、合并症、BMI、新冠严重程度和新冠感染频率的差异无统计学意义。有趣的是,参与者接种疫苗的剂次与 MoCA 评分有统计学关联,接种剂次超过 2 剂的患者认知评分高于接种 2 剂的患者(=0.008)。根据 MoCA 评分(正常 vs 认知障碍)进行分类,无评估因素与认知结局显著相关。WHOQOL-BREF 评分范围为 62.5-95.5,平均±SD 为 83.67±7.03。评估的因素均与新冠幸存者的 WHOQOL-BREF 评分无关。这些发现强调了进一步研究的必要性,以探讨接种频率在认知障碍中的保护作用,以及幸存者 QoL 恢复力的潜在因素。

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