COVID-19: a study about the impact of coronavirus on physicians of La Plata, Argentina

M. Croce, E. Chiappa, A. Moiso, M. Rabassa
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Abstract

Background: In Argentina, the burden of COVID-19 on health systems and physicians was substantial with difficulties on daily triage decisions which have to be made in the context of grave shortages of basic equipment and consumables. Purpose: this study was performed to understand what physicians were experiencing during the COVID-19 pandemic in La Plata (capital city of Buenos Aires province, Argentina). Methods: A cross-sectional study was performed; a questionnaire was sent by e-mail to physicians who work in this city during November 2020. The questionnaire was made based on Medscape US and International Physicians COVID-19 Experience Report: Risk, Burnout, Loneliness. Statistical analysis: test for normality was performed employing the Kolmogorov-Smirnov test while Chi-square test of independence to examine the relationship between sex and workplace with nominal variables. For categorical variables, Kendall tau correlation was performed to test for independence. ANOVA was developed to examine differences between physician age. Statistical significance was set to p < 0.05 in all cases. All statistical analysis was done employing SPSS Statistics, Version 24 (IBM, USA). Results: 203 physicians answered the questionnaire; the majority of physicians (96%) considered stressful their experience during pandemic and reported distress episodes being for more than 60% the most stressful of their practices, 30% presented depression and were medically treated, while 32.7% felt loneliness with 4 physicians with suicidal thoughts. Conclusion: The results highlight the need to protect the psychological well-being of the healthcare community, and to invest resources to significantly promote the mental health of professionals.
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COVID-19:关于冠状病毒对阿根廷拉普拉塔医生影响的研究
背景:在阿根廷,2019冠状病毒病给卫生系统和医生带来了沉重负担,在基本设备和耗材严重短缺的情况下,必须做出日常分诊决定。目的:本研究旨在了解拉普拉塔(阿根廷布宜诺斯艾利斯省首府)的医生在COVID-19大流行期间的经历。方法:横断面研究;2020年11月,通过电子邮件向在该市工作的医生发送了一份调查问卷。问卷是根据Medscape美国和国际医生COVID-19经验报告:风险,倦怠,孤独制作的。统计分析:使用Kolmogorov-Smirnov检验进行正态性检验,使用名义变量进行独立性卡方检验检验性别与工作场所的关系。对于分类变量,采用肯德尔tau相关来检验独立性。采用方差分析来检验医生年龄之间的差异。所有病例的差异均有统计学意义p < 0.05。所有统计分析采用SPSS Statistics, Version 24 (IBM, USA)。结果:203名医生参与问卷调查;大多数医生(96%)认为他们在大流行期间的经历压力很大,60%以上的医生报告说,痛苦发作是他们实践中压力最大的一次,30%的医生表现出抑郁并接受了治疗,而32.7%的医生感到孤独,有4名医生有自杀念头。结论:本研究结果表明,应切实保护医务工作者的心理健康,投入资源,大力促进医务人员的心理健康。
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