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
1401
10
1
gregorian
2023
1
1
32
217
online
1
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fa
شیوع و شدت بیماری کووید-١٩ و فرصتهای شغلی از دست رفته در بین کارکنان بهداشتی و درمانی استان مازندران
از بهمن ١٣٩٨ تا خرداد ١٣٩٩
Prevalence and Severity of COVID-19 and Missed Job Opportunities among Healthcare Workers in Mazandaran Province, February-June 2020
عفوني
infection
پژوهشي-کامل
Research(Original)
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:80%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="FA" style="line-height:80%"><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:80%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt"> و هدف:</span></span></span></span> <span lang="FA" style="line-height:80%"><span style="font-family:"B Zar"">همهگیری کووید-١٩ با ویروس </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:80%">-CoV-2</span></span><span lang="FA" style="line-height:80%"><span style="font-family:"B Zar""> (</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:80%">SARS</span></span><span lang="FA" style="line-height:80%"><span style="font-family:"B Zar"">)، منجر به بار بیماری کنترل نشده بر روی کارکنان سیستم سلامت (</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:80%">HCW</span></span><span lang="FA" style="line-height:80%"><span style="font-family:"B Zar"">) در سراسر جهان شد. این مطالعه با هدف بررسی شیوع و شدت کووید-١٩ در میان </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:80%">HCWs</span></span><span lang="FA" style="line-height:80%"><span style="font-family:"B Zar""> بیمارستان<span style="letter-spacing:-.2pt"></span>های منتخب استان مازندران و بررسی ارتباط کووید-١٩ با روزهای کاری از دست رفته </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:80%">HCWs</span></span><span lang="FA" style="line-height:80%"><span style="font-family:"B Zar"">، انجام پذیرفت.<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:80%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="line-height:80%"><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:80%"><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:80%"><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:80%"><span style="font-family:"B Zar"">در این مطالعه </span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar"">توصیفی- تحلیلی</span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar""> گذشتهنگر، ١١٠٥ نفر از </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:80%">HCWs</span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar""> بیمارستانهای رازی و فاطمه</span></span><span lang="FA" style="line-height:80%"><span style="font-family:"B Zar"">ا</span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar"">لزهرا(س)، از بهمن ماه ١٣٩٨ تا خرداد ١٣٩٩ بررسی شدند. به منظور بررسی فراوانی و شدت بیماری، تظاهرات بالینی و پاراکلینیکی بیماران، توسط کارمند آموزش دیده ثبت شد. داده</span></span><span lang="FA" style="line-height:80%"><span style="font-family:"B Zar""><span style="letter-spacing:-.2pt"></span></span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar"">ها توسط نرمافزار </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:80%">SPSS</span></span><span style="line-height:80%"><span style="font-family:"B Zar""> نسخه ١٨ تفسیر شدند و سطح معناداری، 05/0</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:80%">P<</span></span><span style="line-height:80%"><span style="font-family:"B Zar""> در نظر گرفته شد</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:80%">.</span></span><span lang="FA" style="line-height:80%"><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:80%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.2pt">یافته</span></span></span></span><span lang="FA" style="line-height:80%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.2pt">ها:</span></span></span></span> <span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar"">مطالعه نشان داد، فراوانی کووید-١٩، 19/16 درصد در میان </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:80%">HCWs</span></span><span style="line-height:80%"><span style="font-family:"B Zar""> بیمارستان</span></span><span lang="FA" style="line-height:80%"><span style="font-family:"B Zar""><span style="letter-spacing:-.2pt"></span></span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar"">های مورد مطالعه بود. بیماران شامل ١١٣ نفر (13/63 درصد) پرستار، ٤٧ نفر (26/26 درصد) ارائهدهنده خدمات و پرسنل اداری و ١٩ نفر (61/10 درصد) پزشک بودند. مدت مرخصی استعلاجی و شدت کووید-١٩ در </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:80%">HCWs</span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar""> ارتباط معنی</span></span><span lang="FA" style="line-height:80%"><span style="font-family:"B Zar""><span style="letter-spacing:-.2pt"></span></span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar"">داری داشت (006/0=</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:80%">P</span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar"">).</span></span> <span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar"">همچنین بین مدت مرخصی استعلاجی در </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:80%">HCWs</span></span> <span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar"">بیمارستان</span></span><span lang="FA" style="line-height:80%"><span style="font-family:"B Zar""><span style="letter-spacing:-.2pt"></span></span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar"">های مورد مطالعه و وضعیت شغلی آنها رابطه معنی</span></span><span lang="FA" style="line-height:80%"><span style="font-family:"B Zar""><span style="letter-spacing:-.2pt"></span></span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar"">داری وجود داشت <span style="letter-spacing:-.1pt">و این مدت در پرستاران بیشتر بود(013/0=</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:80%"><span style="letter-spacing:-.1pt">P</span></span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar""><span style="letter-spacing:-.1pt">). بین میزان پایبندی به تجهیزات حفاظت فردی (</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:80%"><span style="letter-spacing:-.1pt">PPE</span></span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar""><span style="letter-spacing:-.1pt">) و شدت </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:80%"><span style="letter-spacing:-.1pt">COVID-19</span></span></span><span style="line-height:80%"><span style="font-family:"B Zar""> در </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:80%">HCWs</span></span><span style="line-height:80%"><span style="font-family:"B Zar""> رابطه معناداری وجود </span></span><span lang="FA" style="line-height:80%"><span style="font-family:"B Zar"">داشت (001/0=</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:80%">P</span></span><span lang="FA" style="line-height:80%"><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:80%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.2pt">استنتاج:</span></span></span></span> <span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar"">کووید-۱۹ میتواند تأثیر قابل توجهی بر کیفیت کار </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:80%">HCWs</span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar"">، به ویژه در میان پرستاران داشته باشد و آموزش موثر </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:80%">HCWs</span></span><span style="line-height:80%"><span style="font-family:"B Zar""> در مورد دستورالعمل </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:80%">PPE</span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar"">، منجر به محافظت مناسب در برابر اشکال شدید بیماری میگردد.<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="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="letter-spacing:-.2pt"></span></span></b></span></span><br>
<span style="font-size:12pt"><span style="line-height:115%"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"Arial","sans-serif""><span style="letter-spacing:-.2pt">Background and purpose:</span></span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="line-height:115%">The COVID-19 pandemic resulted in an uncontrolled disease burden on healthcare workers (HCWs) worldwide. We aimed to investigate the prevalence and severity of COVID-19 in HCWs of selected hospitals in Mazandaran province and examine the association between COVID-19 and missed opportunities of HCWs.</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:115%"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"Arial","sans-serif"">Materials and methods:</span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="line-height:115%">In this retrospective descriptive-analytical study, 1105 HCWs in Qaemshahr Razi Hospital and Sari Fatemeh-Zahra Hospital were studied between February 2020 and June 2020. In order to evaluate the frequency and severity of the disease, clinical and paraclinical manifestations were recorded by a trained HCW. Data were analyzed in SPSS V18.</span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:115%"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"Arial","sans-serif"">Results:</span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="line-height:115%">The frequency of COVID-19 was 16.19% among HCWs. The patients included 113 (63.13%) nurses, 47(26.26%) service providers and administrative personnel, and 19(10.61%) physicians. </span></span><span style="font-size:10.0pt"><span style="line-height:115%">Duration of sick leave was found to be significantly associated with severity of COVID-19 (P=0.006). This length was also significantly associated with the job and was longer in nurses (P=0.013). Our findings revealed a significant relationship between the level of adherence to personal protective equipment</span></span><span style="font-size:10.0pt"><span style="line-height:115%"> (PPE) and the severity of COVID-19 (P=0.001).</span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:115%"><span style="vertical-align:top"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"Arial","sans-serif"">Conclusion:</span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:115%"><span style="letter-spacing:-.2pt">COVID-19 could exert remarkable impact on the quality of work in HCWs, especially </span></span></span><span style="font-size:10.0pt"><span style="line-height:115%">among nurses. Effective training of HCWs regarding PPE instructions results in suitable protection against severe forms of the disease.</span></span><i><span style="font-size:10.0pt"><span style="line-height:115%"></span></span></i></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:135%"><span style="tab-stops:121.45pt"><span style="font-family:"Times New Roman","serif""><b><i><span style="font-size:10.0pt"><span style="line-height:135%"></span></span></i></b></span></span></span></span>
COVID-19, کارکنان مراقبتهای بهداشتی(HCW), تجهیزات حفاظت فردی (PPE)
COVID-19, healthcare worker, personal protective equipment
87
95
http://jmums.mazums.ac.ir/browse.php?a_code=A-10-13748-4&slc_lang=fa&sid=1
Farhang
Babamahmoodi
فرهنگ
بابامحمودی
fbabamahmoudi@mazums.ac.ir
1003194753284600151583
1003194753284600151583
No
Professor, Department of Infectious Diseases, Antimicrobial Resistance Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran
استاد، گروه بیماریهای عفونی، مرکز تحقیقات مقاومت میکروبی و بیماریهای قابل انتقال، دانشگاه علوم پزشکی مازندران، ساری، ایران
Ahmad
Alikhani
احمد
علیخانی
ahalikhani@yahoo.com
1003194753284600151584
1003194753284600151584
No
Associate Professor, Department of Infectious Diseases, Antimicrobial Resistance Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran
دانشیار، گروه بیماریهای عفونی، مرکز تحقیقات مقاومت میکروبی و بیماریهای قابل انتقال، دانشگاه علوم پزشکی مازندران، ساری، ایران
Masoud
Maboudi
مسعود
معبودی
maboudi_m55@yahoo.com
1003194753284600151587
1003194753284600151587
Yes
Assistant Professor, Antimicrobial Resistance Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran
استادیار، گروه بیماریهای عفونی، مرکز تحقیقات مقاومت میکروبی و بیماریهای قابل انتقال، دانشگاه علوم پزشکی مازندران، ساری، ایران
Jamshid
Yazdani Charati
جمشید
یزدانی چراتی
jamshid.charati@gmail.com
1003194753284600151585
1003194753284600151585
No
Professor, Department of Biostatistics and Epidemiology, Health Sciences Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran
استاد، گروه آمار زیستی و اپیدمیولوژی، مرکز تحقیقات علوم بهداشتی، پژوهشکده اعتیاد، دانشگاه علوم پزشکی مازندران، ساری، ایران
Bita
Paknezhad
بیتا
پاک نژاد
bitapaknejad1980@gmail.com
1003194753284600151586
1003194753284600151586
No
Pediatric Specialist, Department of Pediatrics, Faculty of Medicine, Golestan University of Medical Sciences, Gorgan, Iran
متخصص اطفال، گروه اطفال، دانشکده پزشکی، دانشگاه علوم پزشکی گرگان، گرگان، ایران
Amir Hossein
Gharib
امیر حسین
غریب
besmelah1353@gmail.com
1003194753284600151588
1003194753284600151588
No
Infectious Disease Specialist, Antimicrobial Resistance Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran
متخصص عفونی، گروه بیماریهای عفونی، مرکز تحقیقات مقاومت میکروبی و بیماریهای قابل انتقال، دانشکده پزشکی، دانشگاه علوم پزشکی مازندران، ساری، ایران
Azadeh
Khalatbari
آزاده
خلعت بری
az_kh562@yahoo.com
1003194753284600151589
1003194753284600151589
No
General Practitioner, Antimicrobial Resistance Research Centre and Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran
پزشک عمومی، مرکز تحقیقات مقاومت میکروبی و بیماریهای قابل انتقال، دانشکده پزشکی، دانشگاه علوم پزشکی مازندران، ساری، ایران