关键词: evidence based medicine global surgery human factors study

Mesh : Humans COVID-19 / prevention & control Ambulatory Surgical Procedures SARS-CoV-2 Anxiety / prevention & control epidemiology psychology Mental Health Surveys and Questionnaires China / epidemiology

来  源:   DOI:10.1177/15533506221108858

Abstract:
BACKGROUND: As the 2019 Coronavirus Disease (COVID-19) repeated, the prevention and treatment will be normalized in a period. \"Large number of patients\" and \" Turnover quickly\" of the day surgery ward greatly increased the difficulty of policy formulation and implementation. The normalization also had a huge negative psychological impact on patients/family members. This study aims to introduce effective epidemic prevention and control measures in day surgery wards, and to clarify the influencing factors of anxiety and subjective discomfort of patients and their families during the normalization of COVID-19.
METHODS: To prepare for normalization of epidemic, research discuss improvements in the management of staff, environment, process. A total of 148 patients admitted to West China Hospital from December 2021 to March 2022 and their relatives were asked to complete a questionnaire effectively. Using the Self-rating Anxiety Scale, Social Support Rating Scale and Subjective Units of Distress scales to analyze anxiety and its risk factors.
RESULTS: Under normalized control measures, no staff was infected. The subjective discomfort score was higher in people with lower body mass index (BMI). Young and high social support score were risk factors for anxiety (P < .05), and social support was positively correlated with anxiety.
CONCLUSIONS: The normalization of epidemic is an inevitable trend in a period. A stable and safe medical environment needs to fully eliminate the policy defects, to fit the people and focus on mental health of the people. For patients/family members, who are younger,a lower BMI and higher social support should be attention more.
摘要:
背景:随着2019年冠状病毒病(COVID-19)的重复,预防和治疗将在一段时间内正常化。“病人数量大”和“转机快”的日间病房大大增加了政策制定和执行的难度。正常化也对患者/家庭成员产生了巨大的负面心理影响。本研究旨在介绍日间手术病房有效的疫情防控措施,明确COVID-19正常化过程中患者及家属焦虑和主观不适的影响因素。
方法:为疫情正常化做准备,研究讨论了员工管理的改进,环境,过程。2021年12月至2022年3月,华西医院共收治148名患者及其亲属被要求有效填写问卷。使用焦虑自评量表,社会支持评定量表和主观痛苦量表分析焦虑及其危险因素。
结果:在标准化控制措施下,没有工作人员被感染。体重指数(BMI)较低的人的主观不适评分较高。年轻和高社会支持评分是焦虑的危险因素(P<0.05)。社会支持与焦虑呈正相关。
结论:疫情正常化是一个时期内的必然趋势。一个稳定安全的医疗环境需要充分消除政策缺陷,以适应人们并关注人们的心理健康。对于患者/家庭成员,谁更年轻,较低的BMI和较高的社会支持应得到更多关注。
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