Risk perception and impact of Severe Acute Respiratory Syndrome (SARS) on work and personal lives of healthcare workers in Singapore - What can we learn?
Risk perception and impact of Severe Acute Respiratory Syndrome (SARS) on work and personal lives of healthcare workers in Singapore - What can we learn?
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DOI：
10.1097/01.mlr.0000167181.36730.cc
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发表时间：
2005-07-01
期刊：
影响因子：
3
通讯作者：
Fones, C
中科院分区：
文献类型：
--
作者：
Koh, D;Lim, MK;Fones, C
引言：医护人员在对抗严重急性呼吸系统综合症（沙士）的前线工作。了解他们的恐惧和焦虑可能为处理未来的疫情提供教训，包括生物恐怖主义行为。方法：我们使用自填问卷和事件影响量表测量了新加坡SARS流行期间来自9家主要医疗机构的15，025名医护人员的风险感知及其对个人和工作生活的影响，并使用双变量和多变量统计分析了结果。从10，511份有效问卷（70%回应）中，我们发现，尽管大多数（76%）认为感染SARS的个人风险很大，但他们（69.5%）也接受风险是他们工作的一部分。临床工作人员（医生和护士），工作人员与SARS患者的日常接触，并从SARS影响机构的工作人员表达了显着较高的焦虑水平。超过一半的人报告工作压力（56%）和工作负荷（53%）增加。许多人经历了社会耻辱（49%）和家庭成员的排斥（31%），但大多数人（77%）感到受到社会的赞赏。大多数人认为实施的个人防护措施是有效的（96%），机构的政策和协议是明确的（93%）和及时的（90%）。结论：在疫情期间，医疗机构有责任保护医务人员，并帮助他们科普他们的个人恐惧和非常紧张的工作环境。新加坡的经验表明，基于合理流行病学原则的简单保护措施，如果及时实施，将大大有助于消除医务人员的疑虑。
Introduction: Healthcare workers (HCWs) were at the frontline during the battle against Severe Acute Respiratory Syndrome (SARS). Understanding their fears and anxieties may hold lessons for handling future outbreaks, including acts of bioterrorism.Method: We measured risk perception and impact on personal and work life of 15,025 HCWs from 9 major healthcare institutions during the SARS epidemic in Singapore using a self-administered questionnaire and Impact of Events Scale and analyzed the results with bivariate and multivariate statistics.Results: From 10,511 valid questionnaires (70% response), we found that although the majority (76%) perceived a great personal risk of falling ill with SARS, they (69.5%) also accepted the risk as part of their job. Clinical staff (doctors and nurses), staff in daily contact with SARS patients, and staff from SARS-affected institutions expressed significantly higher levels of anxiety. More than half reported increased work stress (56%) and work load (53%). Many experienced social stigmatization (49%) and ostracism by family members (3 1 %), but most (77%) felt appreciated by society. Most felt that the personal protective measures implemented were effective (96%) and that the institutional policies and protocols were clear (93%) and timely (90%).Conclusion: During epidemics, healthcare institutions have a duty to protect HCWs and help them cope with their personal fears and the very stressful work situation. Singapore's experience shows that simple protective measures based on sound epidemiological principles, when implemented in a timely manner, go a long way to reassure HCWs.