Physicians' Attitudes Towards Treating Patients in the Context of COVID-19 Pandemic in Pakistan.
Physicians' Attitudes Towards Treating Patients in the Context of COVID-19 Pandemic in Pakistan.
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DOI：
10.7759/cureus.10331
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发表时间：
2020-09-09
期刊：
影响因子：
--
通讯作者：
Khan SU
中科院分区：
文献类型：
--
作者：
Ayub M;Arshad D;Maqbool N;Zahid M;Malik RS;Rizvi ZA;Arshad U;Khan SU
背景与目的严重急性呼吸综合征冠状病毒2型（SARS-CoV-2）是全球范围内呼吸道疾病爆发的原因，世界卫生组织（WHO）已宣布其为2019年冠状病毒病（COVID-19）大流行。疫情给世界各国带来巨大挑战，导致全球封城。疫情尤其令医疗行业不堪重负，导致人手及设备短缺。沿着许多其他表现，它也导致了医生的压力和焦虑。此外，许多医护人员一直不愿意治疗COVID-19患者。本研究旨在探讨医生在COVID-19大流行背景下的担忧，并评估他们不愿治疗患者的原因。这项描述性横断面研究包括来自巴基斯坦七家医院的235名医生，他们在COVID-19大流行期间积极工作。数据收集时间为2020年3月1日至2020年5月30日，使用结构化在线问卷。参与者通过非概率方便抽样。208名受访者被纳入数据分析。SPSS Statistics 23.0版（IBM Corp.，阿尔蒙克，纽约）用于数据输入和分析。结果惊人的83.7%（n=174）的受访者表示不愿意治疗COVID-19患者。他们提出的担忧包括以下四个原因中的一个或多个：缺乏适当的个人防护设备（PPE），担心自我感染，工作量过大以及担心将感染传染给家人。值得注意的是，92%（n=161）的受访者报告缺乏个人防护设备，而74.1%（n=129）的受访者报告担心将感染传染给家人是他们不愿意的原因。绝大多数参与者报告需要心理训练来治疗患者的焦虑（95.2%，n=198）。许多参与者担心他们自己的焦虑可能会影响患者接受的护理质量（67.3%，n=140）。因此，大多数参与者报告应提供心理咨询（93.3%，n=194）。家庭成员年龄超过60岁的参与者不愿意治疗患者，因为有感染的风险（69.7%，n=145，p=0.001）。因此，大部分参与者（96.2%，n=200）认为医院应该为他们提供休息和暂时隔离的地方，以避免与家人接触。结论我们得出结论，一个主要比例的医生是不愿意治疗他们的病人，由于多种因素。大流行病的严重形势对他们的心理健康造成了损害，这可能会影响患者获得的护理质量。他们的关注应得到解决，不仅要为他们提供支持和改善他们的工作环境，而且要确保他们有充分的装备，在这些严重的时刻为病人提供最先进的护理。
Background and objectives Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has been the cause of a worldwide outbreak of respiratory illness, which has been declared as coronavirus disease 2019 (COVID-19) pandemic by the World Health Organization (WHO). The outbreak has posed a huge challenge to countries around the world and has resulted in a global lockdown. The pandemic has especially overburdened the healthcare sector, resulting in a shortage of personnel and equipment. Along with many other manifestations, it has resulted in stress and anxiety for the physicians as well. Furthermore, many healthcare workers have been reluctant in treating COVID-19 patients. This study aimed to explore the concerns of physicians in the context of the COVID-19 pandemic and to evaluate the reasons for their reluctance to treat the patients. Methodology This descriptive cross-sectional study included 235 physicians from seven hospitals of Pakistan who were actively working amid the COVID-19 pandemic. Data were collected from March 1, 2020, to May 30, 2020, using a structured online questionnaire. Participants were approached via non-probability convenient sampling. Two hundred and eight respondents were included in the data analysis. SPSS Statistics version 23.0 (IBM Corp., Armonk, NY) was used for data entry and analysis. Results A striking 83.7% (n=174) of the respondents expressed their reluctance to treat patients with COVID-19. Concerns they raised included one or more of the following four reasons; lack of proper personal protective equipment (PPE), fear of self-infection, excessive workload, and fear of transmitting the infection to their family members. Of note, 92% (n=161) of the respondents reported a lack of PPE while 74.1% (n=129) reported fear of transmitting the infection to their family members as reasons for their reluctance. The vast majority of the participants reported the need for psychological training to treat the patients' anxiety (95.2%, n=198). Many participants were afraid that their own anxiety might be affecting the quality of care patients were receiving (67.3%, n=140). Hence, most of the participants reported that psychological counseling should be provided (93.3%, n=194). Participants with family members older than 60 years were found to be reluctant to treat patients due to the risk of transmitting the infection to them (69.7%, n=145, p=0.001). Therefore, a major proportion of the participants (96.2%, n=200) felt that the hospitals should provide a place for them to rest and temporarily isolate themselves to avoid coming into contact with their family members. Conclusions We conclude that a major proportion of physicians is reluctant to treat their patients due to multiple factors. The grave situation of the pandemic has taken a toll on their mental health, which could be affecting the quality of care that the patients receive. Their concerns should be addressed to not only provide them with support and improve their working environment but also to ensure that they are fully equipped to provide state-of-the-art care to the patients in these grave times.
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