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Liu L, Deng Y, Xia S, Sun Z, Zhu Z, Chen W, Xiao D, Sheng W, Chen K. A "safety cap" for improving hospital sanitation and reducing potential disease transmission. BMC Infect Dis 2023; 23:589. [PMID: 37679704 PMCID: PMC10486032 DOI: 10.1186/s12879-023-08566-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2023] [Accepted: 08/25/2023] [Indexed: 09/09/2023] Open
Abstract
BACKGROUND During endotracheal intubation, extubation, tracheotomy, and tracheotomy tube replacement, the splashed airway secretions of patients will increase the risk of transmission of SARS-CoV-2 and many other potential viral and bacterial diseases, such as influenza virus, adenovirus, respiratory syncytial virus, rhinovirus, Middle East respiratory coronavirus syndrome (MERS-CoV), Streptococcus pneumoniae, and Mycobacterium tuberculosis. Therefore, it is necessary to establish a barrier between patients and medical workers to reduce the risk of operators' infection with potentially pathogenic microorganisms. METHODS We designed a "safety cap" that can be connected to the opening of an endotracheal tube or tracheotomy tube to reduce the diffusion area of respiratory secretions during the process of endotracheal intubation, extubation and tracheotomy tube replace, so as to reduce the infection risk of medical workers. RESULTS Through a series of hydrodynamic simulation analysis and experiments, we demonstrated that the use of "safety cap" can substantially limit the spatter of airway secretions, so as to improve the hospital sanitation. CONCLUSION The "safety cap" can effectively limit the dissemination of patients' respiratory secretions, thus reducing the risk of potential diseases transmission and may have certain application prospects.
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Affiliation(s)
- Lilong Liu
- Department of Urology, TongJi Hospital of TongJi Medical College, Huazhong University of Science and Technology, No. 1095 Jiefang Avenue, Wuhan, Hubei, 430030, China
| | - Yan Deng
- Research Center for Tissue Engineering and Regenerative Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Shouli Xia
- Department of Radiology, the First Affiliated Hospital of Wannan Medical College, Wuhu, China
| | - Zengpeng Sun
- Department of Anesthesiology, Affiliated Drum Tower Hospital of Medical Department of Nanjing University, Nanjing, China
| | - Zhipeng Zhu
- School of Mechanical Engineering and Automation, Northeastern University, Shenyang, China
| | - Weiyi Chen
- Department of Emergency Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Dongdong Xiao
- Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1277 Jiefang Avenue, Wuhan, Hubei, 430022, China.
| | - Weiyong Sheng
- Department of Cardiothoracic Surgery, the First Affiliated Hospital of Wannan Medical College, No. 2 Zheshan West Road, Wuhu, Anhui, 241001, China.
| | - Ke Chen
- Department of Urology, TongJi Hospital of TongJi Medical College, Huazhong University of Science and Technology, No. 1095 Jiefang Avenue, Wuhan, Hubei, 430030, China.
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Ji H, Zhao X, Dang J. Relationship between leadership-member exchange (LMX) and flow at work among medical workers during the COVID-19: the mediating role of job crafting. BMC Psychol 2023; 11:162. [PMID: 37198695 DOI: 10.1186/s40359-023-01194-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2022] [Accepted: 04/28/2023] [Indexed: 05/19/2023] Open
Abstract
Based on relational leadership theory and self-determination theory, this study aims to investigate the relationship between leader-member exchange (LMX), job crafting, and flow at work among medical workers in the context of the COVID-19 pandemic. Participants in the study consisted of 424 hospital employees. The results showed that: (1) the LMX positively predicted flow at work; (2) two types of job crafting (increasing structural job resources and challenging job demands) played a mediating role between the LMX and flow at work; and (3) gender did not moderate these mediating effects as suggested by previous studies. These results indicate that the LMX can not only directly predict flow at work, but also indirectly predict work-related flow through job crafting by increasing structural job resources and challenging job demands, thus providing new insights for enhancing flow experiences of medical workers.
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Affiliation(s)
- Huazhen Ji
- Xuzhou Medical University, Xuzhou, China
- Faculty of Education, Huaibei Normal University, Huaibei, China
| | - Xiaoyun Zhao
- Faculty of Education, Huaibei Normal University, Huaibei, China.
- Anhui Engineering Research Center for Intelligent Computing and Application on Cognitive Behavior (ICACB), Huaibei, Anhui, China.
| | - Junhua Dang
- Institute of Social Psychology, School of Humanities and Social Sciences, Xi'an Jiaotong University, Xi'an, China.
- Uppsala University, Uppsala, Sweden.
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Sun W, Xia L, Ji C, Wei Q, Zhang J, He S, Wang X, Shen X, Zhang X, Li C. Relationship between covid-pandemic anxiety and sleep disorder with menstrual disorders among female medical workers. BMC Womens Health 2023; 23:210. [PMID: 37118730 PMCID: PMC10147349 DOI: 10.1186/s12905-023-02314-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2022] [Accepted: 03/29/2023] [Indexed: 04/30/2023] Open
Abstract
BACKGROUND It has been more than 2 years since the 2019 novel coronavirus disease (COVID-19) pandemic destabilized the world, adversely affecting not only physical health, but also mental health. During this time, frontline medical workers were at a greater health risk, especially female medical workers. Changes or abnormalities in the menstrual cycle-an important indicator of women's health-may jeopardize female reproductive functioning. Considering that emotional health and sleep status may be related to the menstrual cycle, this study aimed to investigate the association between menstrual cycle changes, anxiety, sleep dysfunction, and other factors among female medical workers during the COVID-19 pandemic. METHODS A cross-sectional survey was conducted by distributing online questionnaires to female medical workers in China from February to May 2022. The study included 160 women aged 18-45 years old. The questionnaires covered data related to the participants' sociodemographic characteristics, medical and reproductive history, and lifestyle. The Rating Scale for Clinical Manifestations of Menopathy (SCMM), Self-Rating Anxiety Scale (SAS), and Sleep Dysfunction Rating Scale (SDRS) were utilized. Data were analyzed using chi-square tests, t-tests, and linear regression analysis. RESULTS A total of 160 female medical staff were randomly selected in this research, of whom seven scored less than 3 points, 85 scored 3-11 points, and 68 scored more than 11 points on the total score of the SCMM. Compared to pre-pandemic scores, scores of dizziness and tinnitus were significantly higher during the COVID-19 pandemic. Scores corresponding to the following clinical symptoms were also higher during the pandemic: Menopathy, including hypaphrodisia, dim complexion, abnormal urination, languidness, dim menstruation, thin menstruation, dysmenorrhea, and empty or saggy lower abdomen (p < 0.05). However, pre-pandemic scores of vaginal bleeding quantity were significantly higher than those found during the COVID-19 pandemic (p < 0.05). Scores of vaginal bleeding quantity were significantly lower in cabin hospitals than other types of hospitals, and a similar finding was observed for vaginal bleeding duration (all p < 0.05). Moreover, the findings of the univariable and multivariable linear regression analysis revealed a link between consistent exercise, the underlying illness, the SDRS score, the SAS score, and the total score of SCMM (p < 0.05). CONCLUSIONS In this study, we found that menstruation in female medical workers was affected by the COVID-19 pandemic. Furthermore, regular exercise and good physical condition were protective factors, while anxiety and insomnia were risk factors for menstrual abnormalities.
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Affiliation(s)
- Wenxi Sun
- Psychiatry department of Suzhou Guangji Hospital, Affiliated Guangji Hospital of Soochow University, Suzhou, 215137, Jiangsu Province, China
| | - Liping Xia
- Psychiatry department of Suzhou Guangji Hospital, Affiliated Guangji Hospital of Soochow University, Suzhou, 215137, Jiangsu Province, China
| | - Caifang Ji
- Psychiatry department of Suzhou Guangji Hospital, Affiliated Guangji Hospital of Soochow University, Suzhou, 215137, Jiangsu Province, China
| | - Qianqian Wei
- Psychiatry department of Suzhou Guangji Hospital, Affiliated Guangji Hospital of Soochow University, Suzhou, 215137, Jiangsu Province, China
| | - Jun Zhang
- Psychiatry department of Suzhou Guangji Hospital, Affiliated Guangji Hospital of Soochow University, Suzhou, 215137, Jiangsu Province, China
| | - Sidi He
- Psychiatry department of Suzhou Guangji Hospital, Affiliated Guangji Hospital of Soochow University, Suzhou, 215137, Jiangsu Province, China
| | - Xuqin Wang
- Psychiatry department of Suzhou Guangji Hospital, Affiliated Guangji Hospital of Soochow University, Suzhou, 215137, Jiangsu Province, China
| | - Xueqin Shen
- The Affiliated Jiangsu Shengze Hospital of Nanjing Medical University, Suzhou, 215100, Jiangsu Province, China
| | - Xiaobin Zhang
- Psychiatry department of Suzhou Guangji Hospital, Affiliated Guangji Hospital of Soochow University, Suzhou, 215137, Jiangsu Province, China.
| | - Chuanwei Li
- Psychiatry department of Suzhou Guangji Hospital, Affiliated Guangji Hospital of Soochow University, Suzhou, 215137, Jiangsu Province, China.
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Abstract
BACKGROUND Estimates of radiation risks following prolonged exposures at low doses and low-dose rates are uncertain. Medical radiation workers are a major component of the Million Person Study (MPS) of low-dose health effects. Annual personal dose equivalents, HP(10), for individual workers are available to facilitate dose-response analyses for lung cancer, leukemia, ischemic heart disease (IHD) and other causes of death. MATERIALS AND METHODS The Landauer, Inc. dosimetry database identified 109,019 medical and associated radiation workers first monitored 1965-1994. Vital status and cause of death were determined through 2016. Mean absorbed doses to red bone marrow (RBM), lung, heart, and other organs were estimated by adjusting the recorded HP(10) for each worker by scaling factors, accounting for exposure geometry, the energy of the incident photon radiation, sex of the worker and whether an apron was worn. There were 4 exposure scenarios: general radiology characterized by low-energy x-ray exposure with no lead apron use, interventional radiologists/cardiologists who wore aprons, nuclear medicine personnel and radiation oncologists exposed to high-energy photon radiation, and other workers. Standardized mortality ratio (SMR) analyses were performed. Cox proportional hazards models were used to estimate organ-specific radiation risks. RESULTS Overall, 11,433 deaths occurred (SMR 0.60; 95%CI 0.59,0.61), 126 from leukemia other than chronic lymphocytic leukemia (CLL), 850 from lung cancer, and 1654 from IHD. The mean duration of monitoring was 23.7 y. The excess relative rate (ERR) per 100 mGy was estimated as 0.10 (95% CI -0.34, 0.54) for leukemia other than CLL, 0.15 (0.02, 0.27) for lung cancer, and -0.10 (-0.27, 0.06) for IHD. The ERR for lung cancer was 0.16 (0.01, 0.32) among the 55,218 male workers and 0.09 (-0.19, 0.36) among the 53,801 female workers; a difference that was not statistically significant (p-value = 0.23). CONCLUSIONS Medical radiation workers were at increased risk for lung cancer that was higher among men than women, although this difference was not statistically significant. In contrast, the study of Japanese atomic bomb survivors exposed briefly to radiation in 1945 found females to be nearly 3 times the radiation risk of lung cancer compared with males on a relative scale. For medical workers, there were no statistically significant radiation associations with leukemia excluding CLL, IHD or other specific causes of death. Combining these data with other cohorts within the MPS, such as nuclear power plant workers and nuclear submariners, will enable more precise estimates of radiation risks at relatively low cumulative doses.
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Affiliation(s)
- John D Boice
- National Council on Radiation Protection and Measurements, Bethesda, MD, USA.,Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center and Vanderbilt-Ingram Cancer Center, Vanderbilt University, Nashville, TN, USA
| | | | - Michael T Mumma
- International Epidemiology Institute, Rockville, MD, USA.,Vanderbilt University Medical Center, Nashville, TN, USA
| | - Sara C Howard
- ORISE Health Studies Program, Oak Ridge Associated Universities, Oak Ridge, TN, USA
| | | | - Lawrence T Dauer
- Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY, USA
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Zhao Y, Wang Y, Zhang T, Wang M, Ye X, Wang X, Sun H. Development and preliminary validation of a public health emergency competency model for medical staffs of national health emergency teams in China. BMC Health Serv Res 2022; 22:1033. [PMID: 35962357 PMCID: PMC9374485 DOI: 10.1186/s12913-022-08361-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2022] [Accepted: 07/20/2022] [Indexed: 01/08/2023] Open
Abstract
Background In the present study, we attempted to develop and validate a participatory competency model for medical workers and then evaluate the current status of competency characteristics of Chinese medical workers. Methods The competency model was constructed in a multistage process, including literature review, expert consultation, critical incident and focus group interview. A pilot study was conducted to refine the initial model among 90 participators and the viability and reliability were evaluated by a questionnaire survey among 121 medical workers. Then, the current status of competency characteristics was measured based on the final version of competency model. Results In the pilot study, ten questionnaires were dropped for the poor quality and thus the eligible rate was 92% (138/150). KMO value was 0.785 and Bartlett test showed that the χ2 = 6464.546 (df = 903) and p value < 0.001. Then, 10 items with double loading and factor loading < 0.4 were deleted. Finally, 33 items were retained with the lowest factor loading value of 0.465. The validity and reliability of competency model were determined with Cronbach’s α coefficient of 0.975 and ICC value of 0.933. Finally, a revised competency model with 5 dimensions and 31 items was obtained. The overall competencies of current medical workers were in a high level, except for emergency knowledge related competencies. Age was an independent factor affecting the competencies. Conclusions Our competency model was a reliable and validated tool for assessing the competences of medical staffs against public health emergencies, and the overall competencies of current medical workers in China were in a high level, except for emergency knowledge related competencies. Supplementary Information The online version contains supplementary material available at 10.1186/s12913-022-08361-z.
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Affiliation(s)
- Yuhan Zhao
- Department of Teacher Education, Weifang University, Weifang, 261600, Shandong Province, China
| | - Yuanyuan Wang
- Department of Teacher Education, Weifang University, Weifang, 261600, Shandong Province, China
| | - Ting Zhang
- School of Population Medicine and Public Health, Peking Union Medical College, Beijing, 10010, China
| | - Miaomiao Wang
- Department of Teacher Education, Weifang University, Weifang, 261600, Shandong Province, China
| | - Xiaojun Ye
- Department of Psychology, Weifang Medical University, Fuyanshan Campus, No. 7166, West Baotong Street, Weicheng District, Weifang, 261053, Shandong, China
| | - Xintian Wang
- Department of Psychology, Weifang Medical University, Fuyanshan Campus, No. 7166, West Baotong Street, Weicheng District, Weifang, 261053, Shandong, China
| | - Hongwei Sun
- Department of Psychology, Weifang Medical University, Fuyanshan Campus, No. 7166, West Baotong Street, Weicheng District, Weifang, 261053, Shandong, China.
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Huang Y, Su X, Xiao W, Wang H, Si M, Wang W, Gu X, Ma L, Li L, Zhang S, Yang C, Yu Y, Qiao Y. COVID-19 vaccine hesitancy among different population groups in China: a national multicenter online survey. BMC Infect Dis 2022; 22:153. [PMID: 35164700 PMCID: PMC8845236 DOI: 10.1186/s12879-022-07111-0] [Citation(s) in RCA: 20] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2021] [Accepted: 01/31/2022] [Indexed: 12/21/2022] Open
Abstract
Background COVID-19 vaccine has been available in China since the beginning of the 2021, however, certain numbers of people are reluctant for some reasons to vaccinate. The high vaccine coverage is crucial for controlling disease transmission, however, the vaccine hesitancy might be a barrier to the establishment of sufficient herd immunization. This study aims to investigate the prevalence of the COVID-19 vaccine hesitancy among different population groups, and explore common barriers and facilitators to vaccination decisions. Methods The current survey was performed among Chinese students, public health professionals, medical workers and general population from January to March 2021 from seven cities in China. The questionnaire contained sociodemographic information, concerns about infection with COVID-19, general vaccination behaviors and attitudes, the General Vaccine Hesitancy Scale, the COVID-19 Vaccine Hesitancy Scale and other potential factors. Univariate analysis was conducted by chi-squared test, and variables significant at P < 0.10 were then included in a multivariable regression model. Results The prevalence of COVID-19 vaccine hesitancy was 15.6% in our study, and 23.9% of students, 21.2% of the general population, 13.1% of medical workers, and 10.4% of public health professionals had vaccine hesitancy. The results of multivariate analysis indicated that participants who had received negative information of COVID-19 vaccine (OR: 1.563, 95% CI: 1.229–1.986) and who had doubts about the information source (OR: 2.157, 95% CI: 1.697–2.742) were more likely to have vaccine hesitancy. While those who needed transparent information about COVID-19 vaccine (OR: 0.722, 95% CI: 0.535–0.973) and who would get COVID-19 vaccine if doctors recommended (OR: 0.176, 95% CI: 0.132–0.234) were less likely to have COVID-19 vaccine hesitancy. Conclusions Given recommendations from medical workers about vaccination can motivate people to accept COVID-19 vaccination, appropriate training in knowledge about vaccines and communication skills are necessary for them to increase public’s willingness of vaccination. Reducing the spread of misinformation and disseminating facts in a timely and accurate way will likely reduce vaccine hesitancy. Moreover, to establish suitable communication strategies and information exchange platforms between the government and the public and a warning system on infodemic would be helpful to improve public’s confidence in vaccination. Supplementary Information The online version contains supplementary material available at 10.1186/s12879-022-07111-0.
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Affiliation(s)
- Yiman Huang
- School of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Xiaoyou Su
- School of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
| | - Weijun Xiao
- School of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Hao Wang
- School of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Mingyu Si
- School of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Wenjun Wang
- School of Nursing, Jining Medical University, Jining, Shandong, China
| | - Xiaofen Gu
- Affiliated Tumor Hospital, Xinjiang Medical University, Urumqi, China
| | - Li Ma
- Public Health School, Dalian Medical University, Dalian, China
| | - Li Li
- Department of Clinical Research, The First Affiliated Hospital, Jinan University, Guangzhou, China
| | - Shaokai Zhang
- Henan Cancer Hospital, Affiliate Cancer Hospital of Zhengzhou University, Zhengzhou, China
| | - Chunxia Yang
- Department of Epidemiology and Biostatistics, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Yanqin Yu
- School of Public Health, Department of Clinical Research, Baotou Medical College, Baotou, China
| | - Youlin Qiao
- Department of Cancer Epidemiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 17 South Panjiayuan, Chaoyang District, Beijing, China
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Kotera Y, Ozaki A, Miyatake H, Tsunetoshi C, Nishikawa Y, Tanimoto T. Mental health of medical workers in Japan during COVID-19: Relationships with loneliness, hope and self-compassion. Curr Psychol 2021; 40:6271-6274. [PMID: 33642837 PMCID: PMC7896170 DOI: 10.1007/s12144-021-01514-z] [Citation(s) in RCA: 30] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/16/2021] [Indexed: 11/28/2022]
Abstract
The current pandemic of the coronavirus disease 2019 (COVID-19) has negatively impacted medical workers’ mental health in many countries including Japan. Although research identified poor mental health of medical workers in COVID-19, protective factors for their mental health remain to be appraised. Accordingly, this study aimed to investigate relationships between mental health problems, loneliness, hope and self-compassion among Japanese medical workers, and compare with the general population. Online self-report measures regarding those four constructs were completed by 142 medical workers and 138 individuals in the general population. T-tests and multiple regression analysis were performed. Medical workers had higher levels of mental health problems and loneliness, and lower levels of hope and self-compassion than the general population. Loneliness was the strongest predictor of mental health problems in the medical workers. Findings suggest that Japanese medical workplaces may benefit from targeting workplace loneliness to prevent mental health problems among the medical staff.
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Affiliation(s)
| | - Akihiko Ozaki
- Jyoban Hospital of Tokiwa Foundation, Iwaki, Fukushima Japan.,Medical Governance Research Institute, Minato-ku, Tokyo Japan
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Kua J, Patel R, Nurmi E, Tian S, Gill H, Wong DJN, Moorley C, Nepogodiev D, Ahmad I, El-Boghdadly K. healthcareCOVID: a national cross-sectional observational study identifying risk factors for developing suspected or confirmed COVID-19 in UK healthcare workers. PeerJ 2021; 9:e10891. [PMID: 33604201 PMCID: PMC7868068 DOI: 10.7717/peerj.10891] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Accepted: 01/12/2021] [Indexed: 11/20/2022] Open
Abstract
Objective To establish the prevalence, risk factors and implications of suspected or confirmed coronavirus disease 2019 (COVID-19) infection among healthcare workers in the United Kingdom (UK). Design Cross-sectional observational study. Setting UK-based primary and secondary care. Participants Healthcare workers aged ≥18 years working between 1 February and 25 May 2020. Main outcome measures A composite endpoint of laboratory-confirmed diagnosis of SARS-CoV-2, or self-isolation or hospitalisation due to suspected or confirmed COVID-19. Results Of 6,152 eligible responses, the composite endpoint was present in 1,806 (29.4%) healthcare workers, of whom 49 (0.8%) were hospitalised, 459 (7.5%) tested positive for SARS-CoV-2, and 1,776 (28.9%) reported self-isolation. Overall, between 11,870 and 21,158 days of self-isolation were required by the cohort, equalling approximately 71 to 127 working days lost per 1,000 working days. The strongest risk factor associated with the presence of the primary composite endpoint was increasing frequency of contact with suspected or confirmed COVID-19 cases without adequate personal protective equipment (PPE): 'Never' (reference), 'Rarely' (adjusted odds ratio 1.06, (95% confidence interval: [0.87-1.29])), 'Sometimes' (1.7 [1.37-2.10]), 'Often' (1.84 [1.28-2.63]), 'Always' (2.93, [1.75-5.06]). Additionally, several comorbidities (cancer, respiratory disease, and obesity); working in a 'doctors' role; using public transportation for work; regular contact with suspected or confirmed COVID-19 patients; and lack of PPE were also associated with the presence of the primary endpoint. A total of 1,382 (22.5%) healthcare workers reported lacking access to PPE items while having clinical contact with suspected or confirmed COVID-19 cases. Conclusions Suspected or confirmed COVID-19 was more common in healthcare workers than in the general population and is associated with significant workforce implications. Risk factors included inadequate PPE, which was reported by nearly a quarter of healthcare workers. Governments and policymakers must ensure adequate PPE is available as well as developing strategies to mitigate risk for high-risk healthcare workers during future COVID-19 waves.
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Affiliation(s)
- Justin Kua
- Department of Targeted Intervention, Centre for Perioperative Medicine, UCL Division of Surgery and Interventional Science, University College London, University of London, London, United Kingdom.,Health Services Research Centre, National Institute of Academic Anaesthesia, Royal College of Anaesthetists, London, UK
| | - Reshma Patel
- Department of Targeted Intervention, Centre for Perioperative Medicine, UCL Division of Surgery and Interventional Science, University College London, University of London, London, United Kingdom.,Health Services Research Centre, National Institute of Academic Anaesthesia, Royal College of Anaesthetists, London, UK
| | - Eveliina Nurmi
- Department of Anaesthesia, University College London Hospitals NHS Foundation Trust, London, UK
| | - Sarah Tian
- Department of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, London, UK
| | - Harpreet Gill
- Department of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, London, UK
| | - Danny J N Wong
- Health Services Research Centre, National Institute of Academic Anaesthesia, Royal College of Anaesthetists, London, UK.,Department of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, London, UK
| | - Calvin Moorley
- School of Health and Social Care/Adult Nursing & Midwifery Studies, London South Bank University, London, UK
| | - Dmitri Nepogodiev
- National Institute for Health Research Global Health Research Unit on Global Surgery, University of Birmingham, Birmingham, UK
| | - Imran Ahmad
- Department of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, London, UK.,King's College London, University of London, London, UK
| | - Kariem El-Boghdadly
- Department of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, London, UK.,King's College London, University of London, London, UK
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9
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Abbas S, Al-Abrrow H, Abdullah HO, Alnoor A, Khattak ZZ, Khaw KW. Encountering Covid-19 and perceived stress and the role of a health climate among medical workers. Curr Psychol 2021; 41:9109-9122. [PMID: 33519147 PMCID: PMC7823189 DOI: 10.1007/s12144-021-01381-8] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/14/2021] [Indexed: 12/23/2022]
Abstract
Due to the outbreak of Covid-19 epidemic, work stress among health sector employees has risen too high. The study aims at determining the effect of the current coronavirus epidemic in the form of stress perceived among the medical workers in Pakistan and to discover the moderating role played by a healthy climate in offsetting it. The data was collected from 255 medical workers through a self-administered online questionnaire. Multiple Hierarchical Regression was used as a tool to test the hypotheses of the study. The results obtained indicate a correlation between the pandemic and the stress caused by it among the health workers, whereas, the role of a wholesome climate in the reduction of stress among them was found lacking. Sub-hypotheses indicate that the healthy environment provided by supervisors is effective in reducing the impact of workers' handling of the Covid-19 epidemic and perceived stress, while the healthy environment provided by hospitals in general or by workgroups fails to cause such positive change. This revelation necessitates the adoption of compulsory precautionary measures on the part of relevant authorities, because increase in stress caused by the pandemic can prove more lethal than the pandemic itself. The threat of the coronavirus pandemic has emerged as a massive socio-economic challenge for the global community, especially for the developing countries like Pakistan which faces serious socio-economic challenges in the current scenario. On account of the similarity of situations, the results obtained through this study can be safely generalized to other developing countries, particularly from the South Asian region.
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Affiliation(s)
- Sammar Abbas
- Institute of Business Studies, Kohat University of Science and Technology, Kohat, Pakistan
| | - Hadi Al-Abrrow
- Department of Business Administration, College of Administration and Economic, University of Basrah, Basrah, Iraq
| | - Hasan Oudah Abdullah
- Department of Business Administration, Basrah University College for Science and Technology, Basrah, Iraq
| | - Alhamzah Alnoor
- Southern Technical University, Management Technical College, Universiti Sains Malaysia, School of Management, George Town, Penang Malaysia
| | - Zeeshan Zaib Khattak
- Institute of Business Studies, Kohat University of Science and Technology, Kohat, Pakistan
| | - Khai Wah Khaw
- School of Management, Universiti Sains Malaysia, 11800 George Town, Pulau Pinang Malaysia
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Zheng Y, Wang L, Feng L, Ye L, Zhang A, Fan R. Sleep quality and mental health of medical workers during the coronavirus disease 2019 pandemic. Sleep Biol Rhythms 2021; 19:173-180. [PMID: 33456342 PMCID: PMC7797025 DOI: 10.1007/s41105-020-00304-7] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2020] [Accepted: 12/24/2020] [Indexed: 01/01/2023]
Abstract
The purpose of this study is to assess the sleep quality, mental health status, and associated factors among medical workers during the coronavirus disease 2019 (COVID-19) pandemic. A cross-sectional study was conducted and medical workers in Ningbo, China were recruited. Sleep quality was evaluated by Pittsburgh Sleep Quality Index (PSQI). Mental health status was evaluated by Symptom Checklist 90 (SCL-90). Logistic regression and generalized multi-factor dimensionality reduction (GMDR) analysis were utilized to explore the risk factors and their interactions on sleep quality and mental health status. 207 participants were surveyed, and 34.30% were found with poor sleep quality (total PSQI score > 10), mainly manifested as sleep disturbance (92.75%). 27.05% were found with mental symptoms (Global severity index > 1.50), mainly manifested as obsessive–compulsive (25.60%). Multivariate logistic analysis showed that male (OR 3.89, 95% CI 1.06–14.24, P = 0.04), working years > 15 years (OR 4.51, 95% CI 1.56–13.00, P = 0.01), nurse (OR 5.64, 95% CI 1.35–23.63, P = 0.02), more night shifts (OR 3.10, 95% CI 1.31–7.34, P = 0.01), and supporting Wuhan (OR 3.41, 95% CI 1.12–10.40, P = 0.03) were associated with poor sleep quality. GMDR analysis showed that there was a two-factor interaction between working years and working shifts (P = 0.01). No significant factors and interactions were found associated with mental symptoms. In conclusions, about one-third of medical workers suffered from sleep and mental problems during the COVID-19 pandemic in the current study. Interventions for sleep and mental problems among medical workers were needed based on related factors.
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Affiliation(s)
- Yahua Zheng
- Nursing Department, Ningbo Medical Center Lihuili Hospital, Ningbo, 315040 Zhejiang China
| | - Lili Wang
- Neurosurgery Department, Ningbo Medical Center Lihuili Hospital, Ningbo, 315040 Zhejiang China
| | - Lingfei Feng
- Pediatrics Department, Cixi Maternity and Child Health Care Hospital, Ningbo, 315300 Zhejiang China
| | - Lingxiao Ye
- Cardiology Department, Ningbo Medical Center Lihuili Hospital, Ningbo, 315040 Zhejiang China
| | - Aiping Zhang
- Department of Chronic Disease Control and Prevention, Zhenhai Center for Disease Control and Prevention, Ningbo, 315200 Zhejiang China
| | - Rui Fan
- Medical Quality Management Office, Ningbo Medical Center Lihuili Hospital, Ningbo, 315040 Zhejiang China
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Cai Q, Feng H, Huang J, Wang M, Wang Q, Lu X, Xie Y, Wang X, Liu Z, Hou B, Ouyang K, Pan J, Li Q, Fu B, Deng Y, Liu Y. The mental health of frontline and non-frontline medical workers during the coronavirus disease 2019 (COVID-19) outbreak in China: A case-control study. J Affect Disord 2020; 275:210-215. [PMID: 32734910 PMCID: PMC7329671 DOI: 10.1016/j.jad.2020.06.031] [Citation(s) in RCA: 157] [Impact Index Per Article: 39.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/12/2020] [Revised: 06/14/2020] [Accepted: 06/23/2020] [Indexed: 02/05/2023]
Abstract
BACKGROUND AND OBJECTIVE Coronavirus disease 2019 (COVID-19) is a new infectious disease with high transmissibility and morbidity. It has caused substantial mental distress to medical professionals. We aimed to compare the psychological impact of the COVID-19 outbreak between frontline and non-frontline medical workers in China. METHODS This case-control study recruited 1173 frontline and 1173 age- and sex-matched non-frontline medical workers during the COVID-19 outbreak (February 11 to 26, 2020). A set of online questionnaires were used to measure mental problems (i.e., anxiety, insomnia, and depressive symptoms), and help-seeking behavior and treatment for these mental problems. RESULTS Frontline medical workers had higher rates of any mental problem (52.6% vs. 34.0%, adjusted OR=1.88, 95% CI=1.57-2.25), anxiety symptoms (15.7% vs. 7.4%, adjusted OR=1.95, 95% CI=1.46-2.61), depressed mood (marginally insignificant; 14.3% vs. 10.1%, adjusted OR=1.32, 95% CI=0.99-1.76) and insomnia (47.8% vs. 29.1%, adjusted OR=1.96, 95% CI=1.63-2.36) than non-frontline medical workers. No significant difference was observed in terms of suicidal ideation (12.0% vs. 9.0%, adjusted OR=1.25, 95% CI=0.92-1.71), help-seeking (4.5% vs. 4.5%, adjusted OR=1.00, 95% CI=0.53-1.87) or treatment (3.4% vs. 2.3%, adjusted OR=1.38, 95% CI=0.54-3.52) for mental problems. LIMITATIONS The case-control nature of the data precludes causal inferences, and there is a possibility of bias related to self-reports. CONCLUSIONS Frontline medical workers had more mental problems but comparable help-seeking behaviors and treatment for these problems than non-frontline medical workers. These findings highlight the timely mental support and intervention for medical workers, especially for those on the frontline.
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Affiliation(s)
- Qi Cai
- Department of Neurology, Zhongnan hospital of Wuhan University, 169 Donghu Road, Wuchang District, Wuhan 430071, Hubei, PR China
| | - Hongliang Feng
- Sleep Assessment Unit, Department of Psychiatry, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong, China
| | - Jing Huang
- Department of Neurology, Zhongnan hospital of Wuhan University, 169 Donghu Road, Wuchang District, Wuhan 430071, Hubei, PR China
| | - Meiyao Wang
- Department of Ultrasonography, Zhongnan hospital of Wuhan University, Wuhan 430071, Hubei, PR China
| | - Qunfeng Wang
- Department of Neurology, Zhongnan hospital of Wuhan University, 169 Donghu Road, Wuchang District, Wuhan 430071, Hubei, PR China; Sleep Assessment Unit, Department of Psychiatry, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong, China
| | - Xuanzhen Lu
- Department of Neurology, Zhongnan hospital of Wuhan University, 169 Donghu Road, Wuchang District, Wuhan 430071, Hubei, PR China
| | - Yu Xie
- Department of Neurology, Zhongnan hospital of Wuhan University, 169 Donghu Road, Wuchang District, Wuhan 430071, Hubei, PR China
| | - Xing Wang
- Department of Neurology, Tianyou Hospital Affiliated to Wuhan University of Science and Technology, Wuhan, Hubei, PR China
| | - Zhenxing Liu
- Department of Neurology, Zhongnan hospital of Wuhan University, 169 Donghu Road, Wuchang District, Wuhan 430071, Hubei, PR China
| | - Botong Hou
- Department of Neurology, Zhongnan hospital of Wuhan University, 169 Donghu Road, Wuchang District, Wuhan 430071, Hubei, PR China
| | - Keni Ouyang
- Department of Neurology, Zhongnan hospital of Wuhan University, 169 Donghu Road, Wuchang District, Wuhan 430071, Hubei, PR China
| | - Jing Pan
- Department of Infectious Diseases, Xiaogan hospital affiliated to Wuhan university of science and technology, Xiaogan, Hubei, PR China
| | - Qin Li
- Department of Neurology, The Third people's hospital of Hubei province Affiliated to Wuhan University, Wuhan, Hubei, PR China
| | - Beibei Fu
- Department of Neurology, Shiyan people's hospital, Hubei University of Medicine, ShiYan, Hubei, PR China
| | - Yongchao Deng
- Department of Neurology, The second people's hospital of Jingzhou, Jingzhou, Hubei, PR China
| | - Yumin Liu
- Department of Neurology, Zhongnan hospital of Wuhan University, 169 Donghu Road, Wuchang District, Wuhan 430071, Hubei, PR China.
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Lin J, Ren YH, Gan HJ, Chen Y, Huang YF, You XM. Factors associated with resilience among non-local medical workers sent to Wuhan, China during the COVID-19 outbreak. BMC Psychiatry 2020; 20:417. [PMID: 32831045 PMCID: PMC7443813 DOI: 10.1186/s12888-020-02821-8] [Citation(s) in RCA: 42] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/06/2020] [Accepted: 08/13/2020] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND To investigate the resilience of non-local medical workers sent to support local medical workers in treating the outbreak of 2019 novel coronavirus disease (COVID-19). METHODS In February 2020, non-local medical workers who had been sent to Wuhan as support staff to respond to the COVID-19 outbreak were asked to complete an online survey composed of the Connor Davidson Resilience Scale (CD-RISC), Hospital Anxiety Depression Scale (HADS) and Simplified Coping Style Questionnaire (SCSQ). RESULTS Survey responses from 114 non-local medical workers were analyzed. CD-RISC scores were high (67.03 ± 13.22). The resilience level was highest for physicians (73.48 ± 11.49), followed by support staff, including health care assistants, technicians (67.78 ± 12.43) and nurses (64.86 ± 13.46). Respondents differed significantly in the levels of education, training/support provided by the respondent's permanent hospital (where he or she normally works), and in their feelings of being adequately prepared and confident to complete tasks (P < 0.05). Resilience correlated negatively with anxiety (r = -.498, P < 0.01) and depression (r = -.471, P < 0.01) but positively with active coping styles (r = .733, P < 0.01). Multiple regression analysis showed that active coping (β = 1.314, p < 0.05), depression (β = -.806, p < 0.05), anxiety (β = - 1.091, p < 0.05), and training/support provided by the respondent's permanent hospital (β = 3.510, p < 0.05) were significant associated with resilience. CONCLUSION Our data show that active coping, depression, anxiety, and training/support provided by the respondent's permanent hospital are associated with resilience. Managers of medical staff should use these data to develop psychosocial interventions aimed at reinforcing the resilience of medical workers during highly stressful and prolonged medical emergencies, as seen during the COVID-19 outbreak.
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Affiliation(s)
- Jing Lin
- grid.256607.00000 0004 1798 2653Nursing Department, Guangxi Medical University Affiliated Tumor Hospital, He Di Rd #71, Nanning, 530021 China
| | - Yun-Hong Ren
- grid.256607.00000 0004 1798 2653Nursing Department, Guangxi Medical University Affiliated Tumor Hospital, He Di Rd #71, Nanning, 530021 China
| | - Hai-Jie Gan
- grid.256607.00000 0004 1798 2653Nursing Department, Guangxi Medical University Affiliated Tumor Hospital, He Di Rd #71, Nanning, 530021 China
| | - Ying Chen
- grid.256607.00000 0004 1798 2653Nursing Department, Guangxi Medical University Affiliated Tumor Hospital, He Di Rd #71, Nanning, 530021 China
| | - Ying-Fan Huang
- grid.256607.00000 0004 1798 2653Nursing Department, Guangxi Medical University Affiliated Tumor Hospital, He Di Rd #71, Nanning, 530021 China
| | - Xue-Mei You
- Nursing Department, Guangxi Medical University Affiliated Tumor Hospital, He Di Rd #71, Nanning, 530021, China.
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Qi J, Xu J, Li BZ, Huang JS, Yang Y, Zhang ZT, Yao DA, Liu QH, Jia M, Gong DK, Ni XH, Zhang QM, Shang FR, Xiong N, Zhu CL, Wang T, Zhang X. The evaluation of sleep disturbances for Chinese frontline medical workers under the outbreak of COVID-19. Sleep Med 2020; 72:1-4. [PMID: 32502844 PMCID: PMC7244440 DOI: 10.1016/j.sleep.2020.05.023] [Citation(s) in RCA: 80] [Impact Index Per Article: 20.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Revised: 05/11/2020] [Accepted: 05/13/2020] [Indexed: 12/20/2022]
Abstract
OBJECTIVE To evaluate sleep disturbances of Chinese frontline medical workers (FMW) under the outbreak of coronavirus disease 2019 (COVID-19), and make a comparison with non-FMW. METHODS The medical workers from multiple hospitals in Hubei Province, China, volunteered to participate in this cross-sectional study. An online questionnaire, including Pittsburgh Sleep Quality Index (PSQI), Athens Insomnia Scale (AIS) and Visual Analogue Scale (VAS), was used to evaluate sleep disturbances and mental status. Sleep disturbances were defined as PSQI>6 points or/and AIS>6 points. We compared the scores of PSQI, AIS, anxiety and depression VAS, as well as prevalence of sleep disturbances between FMW and non-FMW. RESULTS A total of 1306 subjects (801 FMW and 505 non-FMW) were enrolled. Compared to non-FMW, FMW had significantly higher scores of PSQI (9.3 ± 3.8 vs 7.5 ± 3.7; P < 0.001; Cohen's d = 0.47), AIS (6.9 ± 4.3 vs 5.3 ± 3.8; P < 0.001; Cohen's d = 0.38), anxiety (4.9 ± 2.7 vs 4.3 ± 2.6; P < 0.001; Cohen's d = 0.22) and depression (4.1 ± 2.5 vs 3.6 ± 2.4; P = 0.001; Cohen's d = 0.21), as well as higher prevalence of sleep disturbances according to PSQI > 6 points (78.4% vs 61.0%; relative risk [RR] = 1.29; P < 0.001) and AIS > 6 points (51.7% vs 35.6%; RR = 1.45; P < 0.001). CONCLUSION FMW have higher prevalence of sleep disturbances and worse sleep quality than non-FMW. Further interventions should be administrated for FMW, aiming to maintain their healthy condition and guarantee their professional performance in the battle against COVID-19.
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Affiliation(s)
- Jing Qi
- School of Medicine, Nankai University, Tianjin, 300071, China; Department of Neurology, The Secondary Medical Center, Sleep Medicine Research Center, Chinese PLA General Hospital, Beijing, 100853, China
| | - Jing Xu
- Department of Neurology, The Secondary Medical Center, Sleep Medicine Research Center, Chinese PLA General Hospital, Beijing, 100853, China
| | - Bo-Zhi Li
- Department of Neurology, The Secondary Medical Center, Sleep Medicine Research Center, Chinese PLA General Hospital, Beijing, 100853, China
| | - Jin-Sha Huang
- Department of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, Hubei, 430022, China
| | - Yuan Yang
- Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, Hubei, 430030, China
| | - Zhen-Tao Zhang
- Department of Neurology, Renmin Hospital of Wuhan University, Wuhan, Hubei, 430060, China
| | - Dong-Ai Yao
- Department of Neurology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, 430071, China
| | - Qun-Hui Liu
- Department of Neurology, The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi, Hubei, 445000, China
| | - Min Jia
- Department of Neurology, The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi, Hubei, 445000, China
| | - Dao-Kai Gong
- Department of Neurology, Jingzhou Central Hospital, Jingzhou, Hubei, 434000, China
| | - Xiao-Hong Ni
- Department of Neurology, Huanggang Central Hospital, Huanggang, Hubei, 438000, China
| | - Qi-Mei Zhang
- Department of Neurology, People's Hospital of Yichang Central, Yichang, Hubei, 443003, China
| | - Fu-Rong Shang
- Department of Neurology, Xiangyang Central Hospital, Xiangyang, Hubei, 441021, China
| | - Nian Xiong
- Department of Neurology, Red Cross Hospital of Wuhan, Wuhan, Hubei, 430015, China
| | - Chun-Li Zhu
- Department of Neurology, Red Cross Hospital of Wuhan, Wuhan, Hubei, 430015, China
| | - Tao Wang
- Department of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, Hubei, 430022, China.
| | - Xi Zhang
- Department of Neurology, The Secondary Medical Center, Sleep Medicine Research Center, Chinese PLA General Hospital, Beijing, 100853, China; School of Medicine, Nankai University, Tianjin, 300071, China.
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Liu M, He P, Liu HG, Wang XJ, Li FJ, Chen S, Lin J, Chen P, Liu JH, Li CH. [Clinical characteristics of 30 medical workers infected with new coronavirus pneumonia]. Zhonghua Jie He He Hu Xi Za Zhi 2020; 43:209-214. [PMID: 32164090 DOI: 10.3760/cma.j.issn.1001-0939.2020.03.014] [Citation(s) in RCA: 63] [Impact Index Per Article: 15.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
Objective: To investigate the clinical characteristics of medical staff with novel coronavirus pneumonia(NCP). Methods: 30 patients infected with novel coronavirus referred to jianghan university hospital between January 11, 2020 and January 3, 2020 were studied. The data reviewed included those of clinical manifestations, laboratory investigation and Radiographic features. Results: The patients consisted of 10 men and 20 women, including 22 doctors and 8 nurses,aged 21~59 years(mean 35±8 years).They were divided to 26 common type and 4 severe cases, all of whom had close(within 1m) contact with patients infected of novel coronavirus pneumonia. The average contact times were 12 (7,16) and the average cumulative contact time was 2 (1.5,2.7) h.Clinical symptoms of these patients were fever in 23 patients (76.67%) , headache in 16 petients (53.33%) , fatigue or myalgia in 21patients (70%) , nausea, vomiting or diarrhea in 9 petients (30%) , cough in 25 petients (83.33%) , and dyspnea in 14 petients (46.67%) .Routine blood test revealed WBC<4.0×10(9)/L in 8 petients (26.67%) , (4-10) ×10(9)/L in 22 petients (73.33%) , and WBC>4.0×10(9)/L in 4 petients (13.33%) during the disease.Lymphocyte count<1.0×10(9)/L occurred in 12 petients (40%),abnormal liver function in 7 petients (23.33%) ,myocardial damage in 5 petients(16.67%), elevated D-dimer (>0.5mg/l) in 5 patients (16.67%). Compared with normal patients, the average exposure times, cumulative exposure time, BMI, Fever time, white blood cell count, liver enzyme, LDH, myoenzyme and D-dimer were significantly increased in severe patients, while the lymphocyte count and albumin levels in peripheral blood were significantly decreased.Chest CT mainly showed patchy shadows and interstitial changes.According to imaging examination, 11 patients (36.67%) showed Unilateral pneumonia and 19 patients (63.33%) showed bilateral pneumonia,4 patients (13.33%) showed bilateral multiple mottling and ground-glass opacity.Compared with the patients infected in the protected period, the proportion of severe infection and bilateral pneumonia were both increased in the patients infected in unprotected period. Conclusion: Medical staffs are at higher risk of infection.Infection rates are associated with contact time, the amount of suction virus. Severe patients had BMI increased, heating time prolonged, white blood cell count, lymphocyte count, D-dimer and albumin level significantly changed and were prone to be complicated with liver damage and myocardial damage.Strict protection measures is important to prevent infection for medical workers.
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Affiliation(s)
- M Liu
- Department of Respiratory and Critical Care Medicine, the Affiliated Hospital of Jianghan University, Wuhan430015, China
| | - P He
- Department of geriatrics, the Affiliated Hospital of Jianghan University, Wuhan430015, China
| | - H G Liu
- Department of Respiratory and Critical Care Medicine, Tongji Hospital Affiliated to Tongji Medical College of HUST, Wuhan430030, China
| | - X J Wang
- Department of Respiratory and Critical Care Medicine, the Affiliated Hospital of Jianghan University, Wuhan430015, China
| | - F J Li
- Department of Respiratory and Critical Care Medicine, the Affiliated Hospital of Jianghan University, Wuhan430015, China
| | - S Chen
- Department of Respiratory and Critical Care Medicine, the Affiliated Hospital of Jianghan University, Wuhan430015, China
| | - J Lin
- Department of generalization, the Affiliated Hospital of Jianghan University, Wuhan430015, China
| | - P Chen
- Department of generalization, the Affiliated Hospital of Jianghan University, Wuhan430015, China
| | - J H Liu
- Department of generalization, the Affiliated Hospital of Jianghan University, Wuhan430015, China
| | - C H Li
- Department of Respiratory and Critical Care Medicine, the Affiliated Hospital of Jianghan University, Wuhan430015, China
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Liu M, He P, Liu HG, Wang XJ, Li FJ, Chen S, Lin J, Chen P, Liu JH, Li CH. [Clinical characteristics of 30 medical workers infected with new coronavirus pneumonia]. Zhonghua Jie He He Hu Xi Za Zhi 2020; 43:E016. [PMID: 32062957 DOI: 10.3760/cma.j.issn.1001-0939.2020.0016] [Citation(s) in RCA: 44] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To investigate the clinical characteristics of medical staff with novel coronavirus pneumonia(NCP). Methods: 30 patients infected with novel coronavirus referred to jianghan university hospital between January 11, 2020 and January 3, 2020 were studied. The data reviewed included those of clinical manifestations, laboratory investigation and Radiographic features. Results: The patients consisted of 10 men and 20 women, including 22 doctors and 8 nurses,aged 21~59 years(mean 35±8 years).They were divided to 26 common type and 4 severe cases, all of whom had close(within 1m) contact with patients infected of novel coronavirus pneumonia. The average contact times were 12 (7,16) and the average cumulative contact time was 2 (1.5,2.7) h.Clinical symptoms of these patients were fever in 23 patients (76.67%) , headache in 16 petients (53.33%) , fatigue or myalgia in 21patients (70%) , nausea, vomiting or diarrhea in 9 petients (30%) , cough in 25 petients (83.33%) , and dyspnea in 14 petients (46.67%) .Routine blood test revealed WBC <4.0×10(9)/L in 8 petients (26.67%) , (4-10) ×10(9)/L in 22 petients (73.33%) , and WBC>4.0×10(9)/L in 4 petients (13.33%) during the disease.Lymphocyte count <1.0×10(9)/L occurred in 12 petients (40%),abnormal liver function in 7 petients (23.33%) ,myocardial damage in 5 petients(16.67%), elevated D-dimer (>0.5mg/l) in 5 patients (16.67%). Compared with normal patients, the average exposure times, cumulative exposure time, BMI, Fever time, white blood cell count, liver enzyme, LDH, myoenzyme and D-dimer were significantly increased in severe patients, while the lymphocyte count and albumin levels in peripheral blood were significantly decreased.Chest CT mainly showed patchy shadows and interstitial changes.According to imaging examination, 11 patients (36.67%) showed Unilateral pneumonia and 19 patients (63.33%) showed bilateral pneumonia,4 patients (13.33%) showed bilateral multiple mottling and ground-glass opacity.Compared with the patients infected in the protected period, the proportion of severe infection and bilateral pneumonia were both increased in the patients infected in unprotected period. Conclusion: Medical staffs are at higher risk of infection.Infection rates are associated with contact time, the amount of suction virus. Severe patients had BMI increased, heating time prolonged , white blood cell count, lymphocyte count, D-dimer and albumin level significantly changed and were prone to be complicated with liver damage and myocardial damage.Strict protection measures is important to prevent infection for medical workers.
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Affiliation(s)
- M Liu
- Department of Respiratory and Critical Care Medicine, the Affiliated Hospital of Jianghan University, Wuhan430015, China
| | - P He
- Department of geriatrics, the Affiliated Hospital of Jianghan University, Wuhan430015, China
| | - H G Liu
- Department of Respiratory and Critical Care Medicine, Tongji Hospital Affiliated to Tongji Medical College of HUST, Wuhan430030, China
| | - X J Wang
- Department of Respiratory and Critical Care Medicine, the Affiliated Hospital of Jianghan University, Wuhan430015, China
| | - F J Li
- Department of Respiratory and Critical Care Medicine, the Affiliated Hospital of Jianghan University, Wuhan430015, China
| | - S Chen
- Department of Respiratory and Critical Care Medicine, the Affiliated Hospital of Jianghan University, Wuhan430015, China
| | - J Lin
- Department of generalization, the Affiliated Hospital of Jianghan University, Wuhan430015, China
| | - P Chen
- Department of generalization, the Affiliated Hospital of Jianghan University, Wuhan430015, China
| | - J H Liu
- Department of generalization, the Affiliated Hospital of Jianghan University, Wuhan430015, China
| | - C H Li
- Department of Respiratory and Critical Care Medicine, the Affiliated Hospital of Jianghan University, Wuhan430015, China
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XU W, CENG M, YAO J, CHEN L. Influence of the Exercise-psychology Adjustment Mode on the Mental Health of Medical Workers. Iran J Public Health 2017; 46:782-791. [PMID: 28828320 PMCID: PMC5558071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
BACKGROUND Chinese medical workers suffer from a high incidence of mental health problems, resulting in reduced efficiency, increased medical malpractice, rising medical costs, and other issues. The effective alleviation of mental health problems among medical workers is therefore an important focus of research and social attention. METHODS The mental health of 842 medical workers from the First Affiliated Hospital of Fujian Medical University and the Second Affiliated Hospital of Fujian Medical University in Fuzhou, China was evaluated between February 2016 and March 2016. Sixty-two workers with positive SCL-90 screening results were selected as the subjects to be investigated in the intervention experiment, with 31 in the intervention group and 31 in the control group. The control group did not participate in any regular physical exercise activity for the 4-month duration of the study, whereas the exercise-psychology adjustment mode was applied to the intervention group. RESULTS Medical workers had a higher total SCL-90 score and number of positive items than the national norm (P < 0.05). After the intervention, the SCL-90 score, number of positive results, somatization, obsessive-compulsive symptoms, sensitivity, depression, anxiety, and hostility of the intervention group were significantly lower than they were before the intervention (P < 0.05) and lower than those of the control group (P < 0.05). CONCLUSION The alleviation of mental health problems, which are increasingly serious among medical workers, should be a matter of societal focus. The exercise-psychology adjustment is an effective intervention mode for the mental health of medical workers.
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Affiliation(s)
- Wenxin XU
- Institute of Physical Education and Sport Science, Fujian Normal University, Fuzhou, Fujian, 350117, China,Corresponding Author:
| | - Mengjuan CENG
- Physical Education College, Hunan University of Science and Technology, Xiangtan, Hunan, 411201, China
| | - Jiwei YAO
- Physical Education College, Hunan University of Science and Technology, Xiangtan, Hunan, 411201, China
| | - Longfei CHEN
- The First Affiliated Hospital Fujian Medical University, Fuzhou, Fujian, 350005, China
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Wang HX, Li YX, Zhou RZ, Zhao JJ. Medical workers' cognition of using 50% nitrous oxide in children with burns: a qualitative study. Burns 2015; 41:1275-80. [PMID: 25681958 DOI: 10.1016/j.burns.2015.01.009] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2014] [Revised: 12/01/2014] [Accepted: 01/15/2015] [Indexed: 11/23/2022]
Abstract
Pain caused by dressing among children with burns is an issue worth discussing. Medical workers' understanding of pain during dressing in children with burns is correlated with the quality of pain management. Effective pain management is significant to improve anxiety and reduce pain and psychological distress during dressing for children with burns. We aimed to investigate medical workers' understanding of current pain management during dressing among children with burns and their attitudes toward the application of 50% nitrous oxide in pain management. Interviews were conducted with seven doctors and nurses from a burn center in East China. Data were collected by in-depth interviews and qualitative description after full transcription of each interview. Three themes were identified: (1) Medical workers felt sympathy for children with burns and believed that a gap existed between the current and expected situation in pain management. In addition, the prescription of analgesics during dressing for children with burns was not favored. (2) Given the fact that 50% nitrous oxide is effective in pain management for adult patients with burns, medical workers tended to apply it to children with burns during dressing after being provided the literature on the use of 50% nitrous oxide in children. (3) Guidelines for the application of 50% nitrous oxide during dressing for children with burns require further modification. Medical workers deemed the pain management for children with burns unsatisfactory, and they supported the application of 50% nitrous oxide during dressing for children with burns. Meanwhile, they hoped that administrators would also support it.
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