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上海方舱医院医护人员在抗击新型冠状病毒肺炎疫情期间的身心状况和药物需求调查分析
濮世俊1,王超群2,吴红3,沈乐2,邱娇娜2*
0
(1. 海军军医大学(第二军医大学)第一附属医院移植胸外科, 上海 200433;
2. 海军军医大学(第二军医大学)第一附属医院内分泌科, 上海 200433;
3. 海军军医大学(第二军医大学)第一附属医院关节骨病外科, 上海 200433
*通信作者)
摘要:
目的 调查上海方舱医院医护人员在抗击新型冠状病毒肺炎(COVID-19)疫情期间的身心状况及各类药物的使用情况。方法 通过线上问卷的形式,调查分析2022年4月4日至5月12日某三甲医院144名抗击COVID-19疫情的援沪医疗队医护人员在援沪前和援沪1个月后的体重变化,援沪抗疫期间的失眠情况、其他躯体疾病状况和药物使用情况。结果 抗击COVID-19疫情的一线医师在援沪前和援沪1个月后的体重分别为(69.80±8.35)kg和(68.60±7.37)kg,护士在援沪前和援沪1个月后的体重分别为(55.36±8.27)kg和(53.80±7.38)kg。援沪1个月后医师和护士的体重有下降趋势,但援沪前后比较差异均无统计学意义(P均>0.05)。一线医护人员中有63.89%(92/144)的人员出现失眠,其中27.08%(39/144)需药物干预。抗疫一线医护人员的常见疾病中发生率排前5位的是睡眠障碍(63.89%,92/144)、皮肤破损(25.69%,37/144)、躯体疼痛(23.61%,34/144)、口腔溃疡(13.19%,19/144)、急性上呼吸道感染(9.72%,14/144)。共155人次使用了药物,常见药物中使用人次排名前5位的是皮肤敷贴(16.77%,26/155)、感冒安颗粒(12.26%,19/155)、酒石酸唑吡坦片(11.61%,18/155)、康复新液(11.61%,18/155)、塞来昔布胶囊(8.39%,13/155)。结论 方舱医院抗疫医护人员易出现体重变化、失眠以及发生皮肤破损、躯体疼痛、口腔溃疡、急性上呼吸道感染等情况,提示在今后类似大型卫勤保障工作中应对一线人员身体状态给予适当关注,并提供相关药物保障。
关键词:  新型冠状病毒肺炎  方舱医院  医护人员  身心状况  药物需求
DOI:10.16781/j.CN31-2187/R.20220461
投稿时间:2022-06-01修订日期:2022-11-06
基金项目:上海市青年科技英才扬帆计划项目(21YF1458800),海军军医大学(第二军医大学)第一附属医院第四期护理科研立项课题(2021HLCY06).
Physical and mental condition and medicine consumption of frontline medical staff of shelter hospitals in Shanghai during the fight against the epidemic of coronavirus disease 2019
PU Shi-jun1,WANG Chao-qun2,WU Hong3,SHEN Le2,QIU Jiao-na2*
(1. Department of Transplantation Thoracic Surgery, The First Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200433, China;
2. Department of Endocrinology, The First Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200433, China;
3. Department of Osteoarthropathy, The First Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200433, China
*Corresponding author)
Abstract:
Objective To investigate the physical and mental condition and medicine consumption of medical staff of shelter hospitals in Shanghai during the fight against the epidemic of coronavirus disease 2019 (COVID-19). Methods A total of 144 frontline medical staff who fighting against the COVID-19 epidemic from a tertiary first-class hospital from Apr. 4 to May 12, 2022 were surveyed by questionnaires online. Their physical condition including body weight change before the medical work and one month later, sleep quality and the medicine consumption during the medical work were collected and analyzed. Results The mean body weight of frontline doctors before the medical work and one month later were (69.80±8.35) kg and (68.60±7.37) kg, while those of nurses were (55.36±8.27) kg and (53.80±7.38) kg, both showing a decreasing trend but without significant difference (all P>0.05). A total of 63.89% (92/144) frontline medical staff suffered from insomnia, of which 27.08% (39/144) needed drug intervention. The top 5 common diseases among frontline medical staff were sleep disorder (63.89%, 92/144), skin injury (25.69%, 37/144), body pain (23.61%, 34/144), oral ulcer (13.19%, 19/144), and acute upper respiratory tract infection (9.72%, 14/144). A total of 155 medical staff used drugs, and the top 5 common drugs were skin application (16.77%, 26/155), Ganmao'an granule (12.26%, 19/155), zolpidem tartrate tablets (11.61%, 18/155), Kangfuxin liquid (11.61%, 18/155), and celecoxib capsules (8.39%, 13/155). Conclusion Frontline medical staff in shelter hospitals are prone to have body weight change, sleep disorder, skin injury, body pain, oral ulcer, acute upper respiratory tract infection and so on, which suggests that in future similar large-scale medical support, it is necessary to pay sufficient attention to the physical condition of frontline medical staff and provide them sufficient medicine.
Key words:  coronavirus disease 2019  shelter hospital  medical staff  physical and mental condition  medicine consumption