Impact of COVID-19 Outbreak on Healthcare Workers in Italy: Results from a National E-Survey

Impact of COVID-19 Outbreak on Healthcare Workers in Italy: Results from a National E-Survey
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DOI:
10.1007/s10900-020-00845-5
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发表时间:
2020-05-22
影响因子:
5.9
通讯作者:
Grossi, Ugo
Grossi, Ugo
中科院分区:
医学4区
文献类型:
--
作者:
Felice, Carla;Di Tanna, Gian Luca;Grossi, Ugo

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意大利是第一个面临2019冠状病毒病(COVID-19)爆发的欧洲国家。这项调查的目的是深入评估疫情对医护人员(HCW)的影响。通过社交媒体传播了一项40项在线调查,邀请意大利HCW,问题探讨受访者的人口统计学,健康状况和工作环境。2020年3月,共有527名受访者被邀请参与调查,其中74%(n = 388)回应了调查。其中235人(61%)为妇女。HCW主要是医生(74%),来自高流行地区(52%)。25%的人在调查完成前的最后14天内出现典型症状,其中只有45%的人接受了COVID-19检测。在接受检测的人群中,18人(18%)对COVID-19呈阳性,33%无症状。只有22%的保健妇女认为个人防护设备在质量和数量上是足够的。在高风险部门工作的女性和受访者更有可能将心理支持评为有用(OR分别为1.78 [CI 95%1.14 -2.78] P = 0.012和2.02 [1.12-3.65] P = 0.020)和工作量增加(平均增加,分别为0.38 [0.06-0.69] P = 0.018;和0.54 [0.16-0.92] P = 0.005)。这项调查的见解可能有助于尚未爆发COVID-19疫情的国家的当局。应及时采取管理策略,以提高安全性并优化资源配置。
Italy has been the first-hit European country to face the outbreak of coronavirus disease 2019 (COVID-19). Aim of this survey was to assess in depth the impact of the outbreak on healthcare workers (HCW). A 40-item online survey was disseminated via social media inviting Italian HCW, with questions exploring demographics, health status and work environment of respondents. A total of 527 were invited to take part in March 2020, of whom 74% (n = 388) responded to the survey. Of these, 235 (61%) were women. HCW were mostly physicians (74%), from high-prevalence regions (52%). 25% experienced typical symptoms during the last 14 days prior to survey completion, with only 45% of them being tested for COVID-19. Among the tested population, 18 (18%) resulted positive for COVID-19, with 33% being asymptomatic. Only 22% of HCW considered personal protective equipment adequate for quality and quantity. Females and respondents working in high-risk sectors were more likely to rate psychological support as useful (OR, 1.78 [CI 95% 1.14-2.78] P = 0.012, and 2.02 [1.12-3.65] P = 0.020, respectively) and workload as increased (mean increase, 0.38 [0.06-0.69] P = 0.018; and 0.54 [0.16-0.92] P = 0.005, respectively). The insights from this survey may help authorities in countries where COVID-19 epidemic has not yet broken out. Management strategies should be promptly undertaken in order to enhance safety and optimise resource allocation.