PDF(Pubmed)
Abstract：
UNASSIGNED: Although minimal is known about coronavirus disease 2019 (COVID-19)\'s impact on patient healthcare perceptions, improved understanding can guide healthcare providers to adequately address patient concerns. This cross-sectional study investigated how fear induced by COVID-19 impacted nephrolithiasis patients\' perceptions, decision-making, and preferences for care delivery.
UNASSIGNED: Utilizing the validated Fear of COVID-19 Scale (FCV-19S), patients were surveyed at a single stone clinic during part of the COVID-19 pandemic, 03/2021-04/2022. One-way analysis of variance (ANOVA), Chi-square tests, and multinomial logistic regression evaluated the effect of sociodemographics on responses.
UNASSIGNED: Two hundred and four surveys were completed. Mean age was 58±16 years, and 112 (54.9%) were women. Mean FCV-19S was 14.8±5.8 points (range, 7-33). Women and non-Caucasian races were associated with higher fear scores (P<0.01 and P=0.01 respectively). Stone prevention effort was not associated with fear (P=0.38). Poorer self-assessed health status was associated with increased stone prevention efforts (P=0.04). Preference for in-person care was reported in 89% of patients. Willingness to seek care varied by age and education, with decreased likelihood to seek care for middle-aged patients (P=0.04) and increased education (P=0.01).
UNASSIGNED: Perceived fear during the COVID-19 pandemic was highly variable in nephrolithiasis patients, with higher fear scores in women and non-Caucasians. Willingness to seek care during the pandemic varied with age, education level, symptom severity, COVID-19 fear, current stone status, and health status. Stone patients greatly preferred in-person medical care over telemedicine during COVID-19. Future studies are needed to further evaluate these health disparities, discrepancies in fear, and comfort in seeking stone-related healthcare to help us better inform health policymakers and provide patient-centered care.
UNASSIGNED: Utilizing the validated Fear of COVID-19 Scale (FCV-19S), patients were surveyed at a single stone clinic during part of the COVID-19 pandemic, 03/2021-04/2022. One-way analysis of variance (ANOVA), Chi-square tests, and multinomial logistic regression evaluated the effect of sociodemographics on responses.
UNASSIGNED: Two hundred and four surveys were completed. Mean age was 58±16 years, and 112 (54.9%) were women. Mean FCV-19S was 14.8±5.8 points (range, 7-33). Women and non-Caucasian races were associated with higher fear scores (P<0.01 and P=0.01 respectively). Stone prevention effort was not associated with fear (P=0.38). Poorer self-assessed health status was associated with increased stone prevention efforts (P=0.04). Preference for in-person care was reported in 89% of patients. Willingness to seek care varied by age and education, with decreased likelihood to seek care for middle-aged patients (P=0.04) and increased education (P=0.01).
UNASSIGNED: Perceived fear during the COVID-19 pandemic was highly variable in nephrolithiasis patients, with higher fear scores in women and non-Caucasians. Willingness to seek care during the pandemic varied with age, education level, symptom severity, COVID-19 fear, current stone status, and health status. Stone patients greatly preferred in-person medical care over telemedicine during COVID-19. Future studies are needed to further evaluate these health disparities, discrepancies in fear, and comfort in seeking stone-related healthcare to help us better inform health policymakers and provide patient-centered care.
摘要：
■尽管对2019年冠状病毒病(COVID-19)对患者医疗保健观念的影响知之甚少，提高理解可以指导医疗保健提供者充分解决患者的担忧。这项横断面研究调查了COVID-19引起的恐惧如何影响肾结石患者的认知，决策,以及对护理服务的偏好。
■利用对COVID-19量表（FCV-19S）的有效恐惧，在部分COVID-19大流行期间，在一家结石诊所对患者进行了调查，03/2021-04/2022。单因素方差分析(ANOVA)卡方检验,和多项逻辑回归评估了社会人口统计对反应的影响。
■完成了两百四次调查。平均年龄58±16岁,112名(54.9%)为女性。平均FCV-19S为14.8±5.8点(范围，7-33).女性和非高加索种族与较高的恐惧得分相关（分别为P<0.01和P=0.01）。预防结石的努力与恐惧无关（P=0.38）。自我评估的健康状况较差与预防结石的努力增加有关（P=0.04）。据报道，89%的患者倾向于亲自护理。寻求护理的意愿因年龄和教育而异，中年患者寻求治疗的可能性降低（P=0.04），受教育程度增加（P=0.01）。
■COVID-19大流行期间的恐惧在肾结石患者中变化很大，女性和非高加索人的恐惧得分更高。在大流行期间寻求护理的意愿随年龄而变化，教育水平,症状严重程度,COVID-19恐惧，目前的石头状态，和健康状况。在COVID-19期间，结石患者更喜欢面对面医疗，而不是远程医疗。未来的研究需要进一步评估这些健康差异，恐惧的差异，以及寻求与石头相关的医疗保健的安慰，以帮助我们更好地告知卫生政策制定者并提供以患者为中心的护理。
■利用对COVID-19量表（FCV-19S）的有效恐惧，在部分COVID-19大流行期间，在一家结石诊所对患者进行了调查，03/2021-04/2022。单因素方差分析(ANOVA)卡方检验,和多项逻辑回归评估了社会人口统计对反应的影响。
■完成了两百四次调查。平均年龄58±16岁,112名(54.9%)为女性。平均FCV-19S为14.8±5.8点(范围，7-33).女性和非高加索种族与较高的恐惧得分相关（分别为P<0.01和P=0.01）。预防结石的努力与恐惧无关（P=0.38）。自我评估的健康状况较差与预防结石的努力增加有关（P=0.04）。据报道，89%的患者倾向于亲自护理。寻求护理的意愿因年龄和教育而异，中年患者寻求治疗的可能性降低（P=0.04），受教育程度增加（P=0.01）。
■COVID-19大流行期间的恐惧在肾结石患者中变化很大，女性和非高加索人的恐惧得分更高。在大流行期间寻求护理的意愿随年龄而变化，教育水平,症状严重程度,COVID-19恐惧，目前的石头状态，和健康状况。在COVID-19期间，结石患者更喜欢面对面医疗，而不是远程医疗。未来的研究需要进一步评估这些健康差异，恐惧的差异，以及寻求与石头相关的医疗保健的安慰，以帮助我们更好地告知卫生政策制定者并提供以患者为中心的护理。
