Impact of SARS on avian influenza preparedness in healthcare workers
Impact of SARS on avian influenza preparedness in healthcare workers
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DOI：
10.1007/s15010-007-6353-z
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发表时间：
2007-10-01
期刊：
影响因子：
7.5
通讯作者：
Lee, S. S.
中科院分区：
文献类型：
--
作者：
Tam, D. K. P.;Lee, S.;Lee, S. S.
SARS是一场前所未有的爆发，在香港造成1，755人感染，302人死亡。本研究以999名香港护士为研究对象，采用自填式问卷调查方法，调查护士对禽流感的态度、风险认知及其与SARS患者暴露水平的关系。约半数受访者认为香港会爆发禽流感。大多数人接受工作过程中的个人感染风险（72.7%），并准备照顾禽流感患者（84.0%）。根据是否在SARS病房或医院工作过，被调查者被分为两组：高暴露组（44.1%）和低暴露组（55.9%）。高暴露的护士不太可能避免病人，不太倾向于改变他们的工作，如果他们被要求照顾感染的病人，因此有一个更积极的态度，即将到来的禽流感疫情。约一半的护士曾经常非自愿地回忆与SARS有关的事件，其次数与认识患有SARS长期并发症的人呈正相关。曾积极参与SARS工作的医护人员对即将到来的禽流感疫情的反应较为“积极”。备灾水平是否能够维持，还需要进一步探讨。
SARS was an unprecedented outbreak which brought about 1,755 infections and 302 deaths in Hong Kong. The similarity of SARS and avian influenza prompted us to examine the relationship between SARS experience and preparedness on a potential avian influenza outbreak.A self-administered questionnaire was delivered to nurses in Hong Kong to assess their attitude towards avian influenza; risk perception, and their relationships with previous level of exposure to SARS patients.Nine hundred and ninety-nine respondents were included in data analysis. About half of them perceived there would be an avian influenza outbreak in Hong Kong. The majority accepted a personal risk of infection in the course of their work (72.7%), and prepared to take care of patients infected with avian influenza (84.0%). Respondents were classified into two groups: high exposure (44.1%) and low exposure (55.9%) as defined by having worked in SARS ward or hospitals. High exposure nurses were less likely to avoid patients, less inclined to change their job if they were required to take care of infected patients, and had therefore a more positive attitude towards an impending avian influenza epidemic. About half of the nurses had frequent involuntary recalls of incidents relating to SARS, the frequency of which was positively correlated with knowing a person suffering from long-term complications of SARS.Healthcare workers who had been actively involved in SARS work were more "positive" in responding to the impending avian influenza epidemic. Whether the level of preparedness can be sustained would need to be further explored.