大流行对尼日利亚河流州教学医院医护人员的影响:大流行期间医护人员经验的视角

Kadiri, Aghiosikhaino Maureen, O. Lawal, Mmom, Prince Chinedu, Nwondah Chigozie
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引用次数: 0

摘要

背景:流行病是广泛发生的传染病,在广泛的地理区域内显著增加发病率和死亡率。该研究评估了尼日利亚河流州教学医院的卫生保健工作者所经历的流行病影响。材料与方法:本研究在尼日利亚河流州哈科特港大学教学医院(UPTH)和河流州立大学教学医院(RSUTH)的教学医院的医护人员中进行。本研究采用多阶段抽样方法,共招募754名医护人员,采用描述性横断面研究设计。设计并预先测试了一份结构化问卷。本研究问卷的信度采用内部一致性指数,采用Cronbach’s alpha系数计算,该系数的值为0.72。从参与者那里得到的回答被输入,并使用IBM社会科学统计软件包(SPSS)软件版本25进行分析。进行这项研究的伦理许可是由哈科特港大学的研究和伦理委员会获得的。每位参与者都获得了知情同意。结果:大多数(62.2%)的参与者经历了流行病的心理影响,(59.4%)的参与者经历了流行病的情感影响,(54.5%)的参与者经历了流行病对卫生保健工作者的影响,(58.2%)的参与者经历了流行病对卫生保健工作者的影响。此外,结果显示,婚姻(p=0.0001)、性别(p=0.003)、宗教(p=0.0001)、完成教育程度(p=0.039)、收入(p=0.0001)、专业类别(p=0.0001)、工作时间(p=0.0001)和流行病对参与者的总体影响之间存在统计学上显著的关联。我们预测,在参与者中,婚姻状况、性别、宗教、教育程度、收入、专业类别和工作时长(p≤0.05)显著影响了参与者对流行病影响的体验水平。结论:大多数卫生保健工作者报告了流行病的影响。然而,大流行的心理影响是参与本研究的卫生保健工作者所经历的最普遍的影响。卫生工作者所经历的流行病的影响程度在很大程度上受到其社会人口特征的影响。我们建议医院管理层改善工作环境,并为工人提供必要的支持。此外,卫生保健工作者应参加大流行期间应对策略的培训。
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Impacts of Pandemics on Healthcare Workers in Teaching Hospitals in Rivers State, Nigeria: Perspective from Healthcare Workers’ Experience during Pandemics
Background: Pandemics are wide-ranging incidences of infectious diseases that significantly increase morbidity and mortality in extensive geographic area. The study assessed impacts of pandemics experienced by healthcare workers in teaching hospitals in Rivers State, Nigeria. Materials and Methods: This study was conducted among healthcare workers in teaching hospitals (University of Port Harcourt Teaching Hospital (UPTH) and Rivers State University Teaching Hospital (RSUTH) in Rivers State Nigeria. Multi-stage sampling method was adopted to recruit 754 healthcare workers into the study, and a descriptive cross-sectional study design was used. A structured questionnaire was developed and pre-tested. The reliability of the questionnaire for this study was performed with the index of internal consistency and was calculated with Cronbach’s alpha coefficient which gave a considerable value of 0.72. The responses gotten from the participants were entered into, and analysed with IBM Statistical Package for Social Sciences (SPSS) software version 25. Ethical clearance to conduct the study was gotten from the Research and Ethics Committee of the University of Port Harcourt. Informed consents were obtained from each of the participants. Results: Most (62.2%) of the participants experienced psychological impact of pandemics, (59.4%) of the participants experienced emotional impact of pandemics, (54.5%) of the participants experienced financial impact of pandemics and the overall (58.2%) of experienced impact of pandemics on the HCWs was obtained. Also, the result revealed a statistically significant association between marital (p=0.0001), sex (p=0.003), religion (p=0.0001), level of education completed (p=0.039), income (p=0.0001), professional category (p=0.0001), duration of work (p=0.0001) and overall experienced impact of pandemics on the participants. We predicted that among the participants, marital status, sex, religion, education, income professional category, and work duration at (p≤ 0.05), significantly contributed to the level of experienced impact of pandemics among the participants. Conclusion: Majority of the healthcare workers reported impact of pandemics. However, psychological impact of the pandemics was most prevalent impact experienced by the healthcare workers who took part in this study. The level of impact of pandemics experienced by the health workers were substantially influenced by their socio-demographic characteristics. We recommend hospital management should improve the work setting and provide necessary support to the workers. Also, the healthcare workers should participant trainings on coping strategies during pandemics.
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