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从新冠病毒肺炎中康复的医护人员的结局与临床特征:一项关于随访及新冠后综合征的横断面研究

Outcomes and Clinical Profiles of Health Care Workers who Recovered from COVID-19: A Cross-sectional Study on Follow-up and Post-COVID-19 Syndrome.

作者信息

Laviña Shiela Marie S, Meija-Samonte Marishiel D, Isidro-Lapeña Josefina S, Lacambra Bea Charise O, Hipol Ian Gabrielle G, Anuran Geannagail O

机构信息

Department of Family and Community Medicine, Philippine General Hospital, University of the Philippines Manila.

出版信息

Acta Med Philipp. 2024 Jul 31;58(13):76-80. doi: 10.47895/amp.v58i13.8083. eCollection 2024.

Abstract

BACKGROUND

Infection from SARS-CoV-2 have transient and long-term complications. Persistent symptoms post-recovery with perceptions of overall physical and mental health status are crucial information to construe on follow-up care.

OBJECTIVE

To describe the clinical profile, general, and mental health outcomes of hospital staff who recovered from COVID-19 at follow-up 12 weeks or more post-convalescent.

METHODS

This was a cross-sectional study on follow-up of hospital staff who recovered from COVID-19. Study population included staff or health care workers of a COVID-19 referral tertiary hospital, who had laboratory-confirmed COVID-19 via RT-PCR. Informed consent was obtained through phone calls and google forms. Data collection was through a self-administered, on-line google form or voice-call interviewer-assisted questionnaire. Analysis was done with Stata 17 using frequencies, proportions, and cross-tabulations.

RESULTS

Persistent symptoms reported several months post-recovery from COVID-19 included fatigue (25%), difficulty of breathing (23%), muscle weakness (16%), nasal congestion (12%), cough (10%), sore throat (5%), anosmia (3%), and ageusia (2%). Symptoms of physical and mental fatigue post-COVID-19 were reported by 25% (N = 93) with extreme fatigue reported by four staff. Fifteen percent (N = 57) reported that they feel that their workload or schedule needed modification after recovery. Feelings of isolation, depression, and anxiety were the most common mental health issues reported. Screening using validated tools showed that depressive symptoms were present in 45% (N = 145) and anxiety in 18% (N = 53).

CONCLUSION

Healthcare workers who recovered from COVID-19 for at least 12 weeks or more described their health status as comparable to their overall health one year before the infection. Physical and mental health symptoms reported 12 weeks post-recovery include fatigue, breathlessness, anxiety, and depression and were described in various levels of severity.

摘要

背景

感染新型冠状病毒2(SARS-CoV-2)会引发短期和长期并发症。康复后持续存在的症状以及对整体身心健康状况的认知是后续护理中需要解读的关键信息。

目的

描述在康复12周或更长时间后随访时从新冠病毒病(COVID-19)中康复的医院工作人员的临床特征、总体健康和心理健康结果。

方法

这是一项对从COVID-19中康复的医院工作人员进行随访的横断面研究。研究人群包括一家COVID-19转诊三级医院的工作人员或医护人员,他们通过逆转录聚合酶链反应(RT-PCR)确诊感染了COVID-19。通过电话和谷歌表单获得知情同意。数据收集通过自行填写的在线谷歌表单或电话访谈辅助问卷进行。使用Stata 17进行分析,采用频率、比例和交叉表。

结果

COVID-19康复数月后报告的持续症状包括疲劳(25%)、呼吸困难(23%)、肌肉无力(16%)、鼻塞(12%)、咳嗽(10%)、喉咙痛(5%)、嗅觉丧失(3%)和味觉丧失(2%)。25%(N = 93)的人报告了COVID-19后的身心疲劳症状,4名工作人员报告了极度疲劳。15%(N = 57)的人报告说他们觉得康复后工作量或日程安排需要调整。孤独感、抑郁和焦虑是报告的最常见心理健康问题。使用经过验证的工具进行筛查显示,45%(N = 145)的人存在抑郁症状,18%(N = 53)的人存在焦虑症状。

结论

从COVID-19中康复至少12周或更长时间的医护人员将他们的健康状况描述为与感染前一年的总体健康状况相当。康复12周后报告的身心健康症状包括疲劳、呼吸急促、焦虑和抑郁,且症状严重程度各不相同。

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