PDF(Pubmed)
Abstract：
Persistent symptoms after the coronavirus disease 2019 (COVID-19, known as post-COVID syndrome (PCS), presented an ongoing health burden among COVID-19 survivors, including health workers. The existence of fatigue in mild COVID-19 survivors has not been widely reported. The aim of this study was to present the symptoms of fatigue in healthcare workers who experienced mild COVID-19 and the factors associated with fatigue. A cross-sectional study was conducted at H. Adam Malik General Hospital in Medan, Indonesia, from September to December 2022, included doctors, nurses, ancillary workers, and medical support workers who experienced mild COVID-19. Fatigue was measured by a fatigue assessment scale (FAS). The assessed possible risk factors were gender, age, vaccination history, comorbid, presence of PCS, duration of PCS symptoms, and number of PCS symptoms. The Chi-squared or Fisher\'s exact tests were used to assess the association between the incidence of fatigue and risk factors. A total of 100 healthcare workers of mild COVID-19 survivors were included. Most of them were nurses (58%), women (81%), and aged 19-30 years old (36%). The majority had incomplete vaccination history (64%), experienced PCS (71%), no comorbidities (61%), and experienced <3 months of PCS symptoms (55%). Mild to moderate fatigue was found in 23% of healthcare workers and only 1% experienced severe fatigue. No significant association was found between gender, vaccination history, and comorbidities with the incidence of fatigue. However, a significant association was observed between age (p=0.021), the presence of PCS (p=0.041), and the number of PCS symptoms (p=0.047) with fatigue incidence. Furthermore, there were significant associations between symptoms of PCS (confusion (p=0.004), insomnia (p=0.001), myalgia (p=0.035), arthralgia (p=0.028), throat pain (p=0.042), headache (p=0.042), and chest pain (p=0.011)) with fatigue. These findings can contribute to providing the necessary support for mild COVID-19 survivors and persistent fatigue.
摘要：
2019年冠状病毒病后的持续症状(COVID-19，被称为后COVID综合征(PCS)，在COVID-19幸存者中呈现持续的健康负担，包括卫生工作者。尚未广泛报道轻度COVID-19幸存者中存在疲劳。这项研究的目的是介绍经历轻度COVID-19的医护人员的疲劳症状以及与疲劳相关的因素。在棉兰的H.AdamMalik总医院进行了一项横断面研究，印度尼西亚,从2022年9月到12月，包括医生，护士,辅助工人，以及经历过轻度COVID-19的医疗支持工作者。通过疲劳评估量表(FAS)测量疲劳。评估的可能危险因素为性别,年龄,疫苗接种史,共病，PCS的存在，PCS症状的持续时间，和PCS症状的数量。卡方检验或Fisher精确检验用于评估疲劳发生率与危险因素之间的关联。共包括100名轻度COVID-19幸存者的医护人员。其中大多数是护士（58%），女性（81%）19-30岁(36%)。大多数人的疫苗接种史不完整(64%)，经验丰富的PCS（71%），无合并症(61%)，经历<3个月的PCS症状（55％）。23％的医护人员发现轻度至中度疲劳，只有1％的人经历了严重的疲劳。没有发现性别之间的显著关联，疫苗接种史,和合并症与疲劳的发生率。然而,观察到年龄之间存在显着关联（p=0.021），PCS的存在（p=0.041），和PCS症状的数量（p=0.047）与疲劳的发生率。此外，PCS症状之间存在显着关联（混淆（p=0.004），失眠（p=0.001），肌痛（p=0.035），关节痛（p=0.028），喉痛（p=0.042），头痛（p=0.042），和胸痛（p=0.011））伴有疲劳。这些发现有助于为轻度COVID-19幸存者和持续性疲劳提供必要的支持。
