General surgeons' attitudes towards COVID-19: A national survey during the SARS-CoV-2 virus outbreak.

IF 0.6 4区医学 Q4 SURGERY European Surgery-Acta Chirurgica Austriaca Pub Date : 2021-01-01 Epub Date: 2020-07-16 DOI:10.1007/s10353-020-00649-w

Justyna Rymarowicz, Tomasz Stefura, Piotr Major, Jacek Szeliga, Grzegorz Wallner, Michał Nowakowski, Michał Pędziwiatr

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Abstract

Background: The COVID-19 global pandemic left the unprepared health care systems struggling to mount a measured response. This gave rise to important questions about surgeons' attitude towards surgical practice and the level of preparation at work.

Methods: Cross-sectional web-based national survey distributed to general surgeons by e‑mail over a period of 7 days.

Results: Among 304 responders, 42.6% were working in the hospital with COVID-19 patients. Three quarters of all surgeons (74.5%) were afraid of contracting the disease. While 42% expressed a fear for their own life while caring for COVID-19 patients, 90.1% were afraid of transmitting the disease to family members. The average reported level of PPE provided at the workplace was significantly higher among the group which was not afraid of contracting COVID-19 than among the group afraid of contracting COVID-19 (4.0 vs. 3.12, p = 0.02). Nearly all surgeons (93.8%) agreed that cancer surgeries should be continued during the pandemic and 49% perceived laparoscopy as a safe approach when operating on COVID-19 positive patients.

Conclusion: A high proportion of surgeons admitted being afraid of working during the COVID-19 pandemic, which had various implications for their attitude towards surgical practice. Protecting health care workers is an important component of public health measures for addressing the epidemic.

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普通外科医生对 COVID-19 的态度：SARS-CoV-2 病毒爆发期间的全国调查。

背景：COVID-19 全球大流行使毫无准备的医疗系统难以采取有分寸的应对措施。这引发了有关外科医生对外科实践的态度以及工作准备水平的重要问题：方法：通过电子邮件向普通外科医生发放为期 7 天的横断面全国性网络调查：结果：在 304 名回复者中，42.6% 的人在医院工作，收治 COVID-19 患者。四分之三的外科医生（74.5%）害怕感染这种疾病。42%的外科医生表示在护理 COVID-19 患者时担心自己的生命安全，90.1%的外科医生则害怕将疾病传染给家人。不担心感染 COVID-19 的群体所报告的工作场所提供的个人防护设备的平均水平明显高于担心感染 COVID-19 的群体（4.0 vs. 3.12，p = 0.02）。几乎所有外科医生（93.8%）都同意在大流行期间继续进行癌症手术，49%的外科医生认为腹腔镜手术是为COVID-19阳性患者进行手术的安全方法：很大一部分外科医生承认害怕在 COVID-19 大流行期间工作，这对他们的手术态度产生了各种影响。保护医护人员是应对疫情的公共卫生措施的重要组成部分。

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来源期刊

European Surgery-Acta Chirurgica Austriaca 医学-外科

CiteScore

1.10

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The journal European Surgery – Acta Chirurgica Austriaca focuses on general surgery, endocrine surgery, thoracic surgery, heart and vascular surgery. Special features include new surgical and endoscopic techniques such as minimally invasive surgery, robot surgery, and advances in surgery-related biotechnology and surgical oncology. The journal especially addresses benign and malignant esophageal diseases, i.e. achalasia, gastroesophageal reflux disease, Barrett’s esophagus, and esophageal adenocarcinoma. In keeping with modern healthcare requirements, the journal’s scope includes inter- and multidisciplinary disease management (diagnosis, therapy and surveillance).