Journal of Mazandaran University of Medical Sciences
مجله دانشگاه علوم پزشکی مازندران
J Mazandaran Univ Med Sci
Medical Sciences
http://jmums.mazums.ac.ir
1
admin
1735-9260
1735-9279
fa
jalali
1402
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2023
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fa
ویژگیهای دموگرافیکی، کلینیکی و پیامد نهایی بیماران
مبتلا به کووید-19 تحت درمان با رویکرد بستری موقت
Demographic and Clinical Characteristics and the Outcome of Patients with COVID-19 Treated with Temporary Hospitalization Approach
اپیدمیولوژی
Epidemiology
گزارش کوتاه
Brief Report
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span b="" style="font-family:" zar=""> </span></b></span></span></span><span style="line-height:92%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="FA" style="line-height:92%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt">سابقه</span></span></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt"> و هدف:</span></span></span></span> <span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar"">کرونا ویروس<span style="color:black"></span></span></span><span lang="FA" style="line-height:92%"><span style="font-family:"B Zar"">ها </span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar"">خانواده<span style="color:black"></span>ای بزرگ از ویروس<span style="color:black"></span>ها هستند که باعث عفونت<span style="color:black"></span>های شدید دستگاه تنفسی می<span style="color:black"></span>شوند. </span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""><span style="color:black">حدود 15 درصد از بیماران نیاز به بستری دارند</span></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar"">. تعداد بالای مبتلایان کووید-19 نیازمند بستری</span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""><span style="color:black">، سبب تکمیل شدن سریع ظرفیت بیمارستانها می</span></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""><span style="color:black">شود، بنابراین</span></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""> مدیریت تختهای بیمارستانی ضروری به نظر می<span style="color:black"></span>رسد.</span></span><span lang="FA" style="line-height:92%"><span style="font-family:"B Zar""><span style="color:#0e101a"></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:92%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt">مواد و روش</span></span></span></span><span lang="FA" style="line-height:92%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt">ها:</span></span></span></span> <span lang="AR-SA" style="font-family:"B Zar""><span style="color:black">مطالعه حاضر با رویکرد توصیفی از اول تیر تا پایان مرداد 1400 در 40 بیمارستان تحت پوشش دانشگاه علوم پزشکی مازندران اجرا شد. </span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""><span style="color:black">داده</span></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""><span style="color:black">ها از سامانه اطلاعات بیماران و پرونده بیماران مبتلا به کووید-19 که در قالب بستری موقت تحت درمان داروها</span></span></span><span lang="FA" style="line-height:92%"><span style="font-family:"B Zar""><span style="color:black">ی </span></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""><span style="color:black">تزریقی طبق پروتکل کشوری درمان قرار گرفته بودند، وارد پرسشنامه شد. روش تحلیل داده</span></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""><span style="color:black">ها </span></span></span><span lang="FA" style="line-height:92%"><span style="font-family:"B Zar"">از آمار توصیفی(تعداد، درصد فراوانی و میانگین) </span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""><span style="color:black">و با استفاده از نرم</span></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""><span style="color:black">افزار اکسل 2010 و </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:92%"><span style="color:black">SPSS24</span></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""><span style="color:black"> بوده است.</span></span></span><span lang="FA" style="line-height:92%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:92%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt">یافته</span></span></span></span><span lang="FA" style="line-height:92%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt">ها:</span></span></span></span> <span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt">تعداد کل بیماران بستری کووید-19، 34835 نفر بود که 14415 نفر(41/38 درصد) به</span></span></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt">صورت بستری موقت </span></span></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt">پذیرش شدند. از این میان، 1802 نفر (12/50 درصد) در بیمارستان بستری دائم شدند که </span></span></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""><span style="letter-spacing:-.2pt">12536 نفر (86/96 درصد) </span></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt">با بهبودی</span></span></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt"> نسبی </span></span></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""><span style="letter-spacing:-.1pt">ترخیص و 77 نفر (0/54 درصد) فوت نمودند. بیش</span></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""><span style="letter-spacing:-.1pt">تر بیماران </span></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""><span style="letter-spacing:-.1pt">44/16 درصد،</span></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""><span style="letter-spacing:-.1pt"> در گروه سنی </span></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""><span style="letter-spacing:-.1pt">41 تا 60 سال </span></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""><span style="letter-spacing:-.1pt">قرار داشتند.</span></span></span><span lang="FA" style="line-height:92%"><span style="font-family:"B Zar""><span style="letter-spacing:-.1pt"></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:92%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Koodak""><span style="letter-spacing:-.2pt">استنتاج:</span></span></span> <span lang="AR-SA" style="font-family:"B Zar"">درمان سرپایی با </span><span lang="AR-SA" style="font-family:"B Zar"">داروها</span><span lang="FA" style="font-family:"B Zar"">ی </span><span lang="AR-SA" style="font-family:"B Zar"">تزریقی طبق پروتکل کشوری درمان دارویی </span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar"">دارای کارایی و اثربخشی بسیار مناسبی است و در<span style="color:black"> زمان بحران می</span></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""><span style="color:black">تواند علاوه بر مدیریت تخت، نیروی انسانی و افزایش ظرفیت بستری(</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:92%"><span style="color:black">surge capacity</span></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""><span style="color:black">)، بسیاری از هزینه</span></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""><span style="color:black">ها را در نظام سلامت کاهش دهد</span></span></span><span lang="FA" style="line-height:92%"><span style="font-family:"B Zar"">.</span></span><span lang="AR-SA" style="line-height:92%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:150%"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:150%"><span style="font-family:"Arial","sans-serif""><span style="letter-spacing:-.2pt">Background and purpose:</span></span></span></span></b><span lang="EN" style="font-size:10.0pt"><span style="line-height:150%"> Coronaviruses are a large family of viruses that cause severe respiratory infections. About 15% of affected patients need hospitalization. By the high number of COVID-19 patients in need of hospitalization a high percentage of beds are occupied, so the management of hospital beds seems necessary.</span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:150%"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:150%"><span style="font-family:"Arial","sans-serif"">Materials and methods:</span></span></span></b><b> </b><span lang="EN" style="font-size:10.0pt"><span style="line-height:150%">A descriptive-analytical study was carried out between June 22 and August 22</span></span><span style="font-size:8.0pt"><span style="line-height:150%">, </span></span><span lang="EN" style="font-size:10.0pt"><span style="line-height:150%">2021 in 40 hospitals under the auspices of Mazandaran University of Medical Sciences. Data were extracted from the Patient Information System and the records of patients with COVID-19 who received injectable drugs according to the national treatment protocol for temporary hospitalization. Descriptive statistics were applied in Excel 2010 and SPSS V24.</span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:150%"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:150%"><span style="font-family:"Arial","sans-serif"">Results:</span></span></span></b><b> </b><span lang="EN" style="font-size:10.0pt"><span style="line-height:150%">Total number of COVID-19 patients was 34,835 of whom 14,415 (41.38%) were admitted as temporary patients. Among these, 1802 (12.50%) were permanently hospitalized, of whom 12,536 (86.96%) were discharged with relative improvements and 77 (0.54%) patients died. Most patients aged 41 to 60 years old (44.16%).</span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:150%"><span style="vertical-align:top"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:150%"><span style="font-family:"Arial","sans-serif"">Conclusion:</span></span></span></b> <span lang="EN" style="font-size:10.0pt"><span style="line-height:150%">The national treatment protocol for temporary hospitalization was found to be highly efficient during crisis and can help in bed management, human resources, surge capacity, and reduce many of the costs of the health system.</span></span><span dir="RTL" lang="AR-SA" style="font-size:10.0pt"><span style="line-height:150%"></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span new="" roman="" style="font-family:" times=""><span lang="EN" style="font-size:10.0pt"><span style="color:#222222"> </span></span></span></span></span></span>
بیماری کووید-19, بیمارستان, مراقبت مدیریت شده, بستری موقت
COVID-19 disease, hospital, managed care, temporary hospitalization
144
149
http://jmums.mazums.ac.ir/browse.php?a_code=A-10-5912-4&slc_lang=fa&sid=1
Touraj
Assadi
تورج
اسدی
touraj.assadi@yahoo.com
1003194753284600158045
1003194753284600158045
No
Associate Professor, Department of Emergency Medicine, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
دانشیار، گروه طب اورژانس، دانشکده پزشکی، دانشگاه علوم پزشکی مازندران، ساری، ایران
Seyed Abbas
Mousavi
سید عباس
موسوی
mmm89099@gmail.com
1003194753284600158046
1003194753284600158046
No
Professor, Department of Psychiatry, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
استاد، گروه روانپزشکی، دانشکده پزشکی، دانشگاه علوم پزشکی مازندران، ساری، ایران
Mahmood
Moosazadeh
محمود
موسی زاده
mmoosazadeh1351@gmail.com
1003194753284600158047
1003194753284600158047
No
Associate Professor, Gastrointestinal Cancer Research Center, Non-communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran
دانشیار، مرکز تحقیقات سرطان دستگاه گوارش، پژوهشکده بیماری های غیرواگیر، دانشگاه علوم پزشکی مازندران، ساری، ایران
Seyede Fateme
Hoseini Damiri
سیده فاطمه
حسینی دامیری
f.hosseyni70@gmail.com
1003194753284600158048
1003194753284600158048
No
MSc in Emergency Nursing, Mazandaran University of Medical Sciences, Sari, Iran
کارشناسی ارشد پرستاری اورژانس، دانشگاه علوم پزشکی مازندران، ساری، ایران
Mohammad
Fallah Kharyeki
محمد
فلاح خاریکی
mo.fallah59@gmail.com
1003194753284600158049
1003194753284600158049
Yes
کارشناسی ارشد مدیریت خدمات بهداشتی درمانی، دانشگاه علوم پزشکی مازندران، ساری، ایران