Division of Primary Care Medicine, Geneva University Hospitals, Geneva, Switzerland.
Division of Occupational Medicine, Geneva University Hospital, Geneva, Switzerland.
Sci Rep. 2023 Jul 4;13(1):10759. doi: 10.1038/s41598-023-37568-1.
Experts have warned against the pandemic burden on healthcare workers early on, however little is known about the evolution of this burden with time, in addition to the long-term effects of post-COVID symptoms in healthcare workers. Staff at the Geneva University Hospitals in Switzerland had an online follow-up in July and December 2021, on their physical and mental health, quality of life and functional capacity using validated scales. Descriptive analyses compared the prevalence of symptoms, functional impairment and quality of life in SARS-CoV-2 positive and negative individuals at baseline and at follow-up. Out of the initial n = 3,083 participants that answered at baseline in July 2021, n = 900 (mean age of 46.4 years, 70.1% women) completed the follow-up in December 2021. With time, more individuals reported fatigue (+ 9.4%), headache (+ 9.0%), insomnia (+ 2.3%), cognitive impairment (+ 1.4%), stress/burnout (+ 8.8%), pain (+ 8.3%), digestive symptoms (+ 3.6%), dyspnea (+ 1.0%), and cough (+ 7.7%) compared to baseline, with a differentially larger increase in symptoms in the SARS-CoV-2 negative group. Individuals had more functional impairment (12.7% at baseline and 23.9% at follow-up), with more absenteeism and worsening quality of life. Healthcare workers are potentially suffering from long term consequences of the pandemic burden, calling for urgent action and solutions.
专家早就对医护人员面临的疫情负担发出警告,但除了医护人员感染新冠病毒后出现的长期症状之外,人们对这一负担随时间推移的演变情况知之甚少。瑞士日内瓦大学医院的工作人员在 2021 年 7 月和 12 月对其身心健康、生活质量和功能能力使用经过验证的量表进行了在线随访。描述性分析比较了在基线和随访时 SARS-CoV-2 阳性和阴性个体症状、功能障碍和生活质量的患病率。在 2021 年 7 月首次回答基线问题的初始 3083 名参与者中,有 900 名(平均年龄 46.4 岁,70.1%为女性)完成了 2021 年 12 月的随访。随着时间的推移,更多的人报告出现疲劳(增加 9.4%)、头痛(增加 9.0%)、失眠(增加 2.3%)、认知障碍(增加 1.4%)、压力/倦怠(增加 8.8%)、疼痛(增加 8.3%)、消化症状(增加 3.6%)、呼吸困难(增加 1.0%)和咳嗽(增加 7.7%),而 SARS-CoV-2 阴性组的症状增加幅度更大。人们的功能障碍更为严重(基线时为 12.7%,随访时为 23.9%),缺勤率更高,生活质量恶化。医护人员可能正在遭受疫情负担带来的长期影响,这呼吁采取紧急行动和解决方案。