Perceived infection transmission routes, infection control practices, psychosocial changes, and management of COVID-19 infected healthcare workers in a tertiary acute care hospital in Wuhan: a cross-sectional survey

Ying-Hui Jin; Qiao Huang; Yun-Yun Wang; Xian-Tao Zeng; Li-Sha Luo; Zhen-Yu Pan; Yu-Feng Yuan; Zhi-Min Chen; Zhen-Shun Cheng; Xing Huang; Na Wang; Bing-Hui Li; Hao Zi; Ming-Juan Zhao; Lin-Lu Ma; Tong Deng; Ying Wang; Xing-Huan Wang

doi:10.1186/s40779-020-00254-8

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Perceived infection transmission routes, infection control practices, psychosocial changes, and management of COVID-19 infected healthcare workers in a tertiary acute care hospital in Wuhan: a cross-sectional survey

RESEARCH | Updated：2023-06-05

- Perceived infection transmission routes, infection control practices, psychosocial changes, and management of COVID-19 infected healthcare workers in a tertiary acute care hospital in Wuhan: a cross-sectional survey
- Perceived infection transmission routes, infection control practices, psychosocial changes, and management of COVID-19 infected healthcare workers in a tertiary acute care hospital in Wuhan: a cross-sectional survey
- MMR 2020年7卷第4期页码：418-429
- Affiliations：
  
  1.Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, 169 Donghu Road, Wuchang District, Wuhan 430071, Hubei, China.
  2.Department of Evidence-Based Medicine and Clinical Epidemiology, The Second Clinical College, Wuhan University, Wuhan 430071, Hubei, China.
  3.Division of Medical Affairs, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei, China.
  4.Department of Hepatopancreatobiliary Surgery, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei, China.
  5.Division of Social and Medical Development, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei, China.
  6.Department of Respiratory Medicine, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei, China.
  7.School of Nursing and Health, Henan University, Kaifeng 475000, Henan, China.
  8.Institute of Evidence-Based Medicine and Knowledge Translation, Henan University, Kaifeng 475000, Henan, China.
  9.Department of Infectious Diseases, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei, China.
  10.Leishenshan Hospital in Wuhan, Wuhan 430200, Hubei, China.
- Author bio：
  
  * wangxinghuan1965@163.com
- Funds：
  
  Special Project for Emergency of Hubei Province(2020FCA008)
- DOI：10.1186/s40779-020-00254-8
  中图分类号：
- 纸质出版：2020-12
- Accepted：
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Perceived infection transmission routes, infection control practices, psychosocial changes, and management of COVID-19 infected healthcare workers in a tertiary acute care hospital in Wuhan: a cross-sectional survey[J]. MMR, 2020,7(4):418-429.

Jin et al.: Perceived infection transmission routes, infection control practices, psychosocial changes, and management of COVID-19 infected healthcare workers in a tertiary acute care hospital in Wuhan: a crosssectional survey. Mil Med Res, 2020, 7: 24.
Perceived infection transmission routes, infection control practices, psychosocial changes, and management of COVID-19 infected healthcare workers in a tertiary acute care hospital in Wuhan: a cross-sectional survey[J]. MMR, 2020,7(4):418-429. DOI： 10.1186/s40779-020-00254-8.

Jin et al.: Perceived infection transmission routes, infection control practices, psychosocial changes, and management of COVID-19 infected healthcare workers in a tertiary acute care hospital in Wuhan: a crosssectional survey. Mil Med Res, 2020, 7: 24. DOI： 10.1186/s40779-020-00254-8.

摘要

Abstract

Background:

Many healthcare workers were infected by coronavirus disease 2019 (COVID-19) early in the epidemic posing a big challenge for epidemic control. Hence

this study aims to explore perceived infection routes

influencing factors

psychosocial changes

and management procedures for COVID-19 infected healthcare workers.

Methods:

This is a cross-sectional

single hospital-based study. We recruited all 105 confirmed COVID-19 healthcare workers in the Zhongnan Hospital of Wuhan University from February 15 to 29

2020. All participants completed a validated questionnaire. Electronic consent was obtained from all participants. Perceived causes of infection

infection prevention

control knowledge and behaviour

psychological changes

symptoms and treatment were measured.

Results:

Finally

103 professional staff with COVID-19 finished the questionnaire and was included (response rate:98.1%). Of them

87 cases (84.5%) thought they were infected in working environment in hospital

one (1.0%) thought their infection was due to the laboratory environment

and 5(4.9%) thought they were infected in daily life or community environment. Swab of throat collection and physical examination were the procedures perceived as most likely causing their infection by nurses and doctors respectively. Forty-three (41.8%) thought their infection was related to protective equipment

utilization of common equipment (masks and gloves). The top three first symptoms displayed before diagnosis were fever (41.8%)

lethargy (33.0%) and muscle aches (30.1%). After diagnosis

88.3% staff experienced psychological stress or emotional changes during their isolation period

only 11.7% had almost no emotional changes. Arbidol (Umifenovir; an anti-influza drug; 69.2%) was the drug most commonly used to target infection in mild and moderate symptoms.

Conclusion:

The main perceived mode of transmission was not maintaining protection when working at a close distance and having intimate contact with infected cases. Positive psychological intervention is necessary.

关键词

Keywords

references

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