安曼市区私人全科医生(GP)诊所服务人员的临床概况、预后和COVID-19后疾病:临床病例系列研究

A. Esraa, Abuzayed Ishtaiwi
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摘要

背景:2019冠状病毒病(COVID-19)的临床表现因患者而异,有多器官受累的证据。许多患者在不同的时间段内继续有各种各样的症状。COVID-19感染(COVID-19后疾病或综合征)的长期影响尚未得到充分探讨。本研究旨在了解约旦安曼市区一家私人全科医生诊所服务人员急性COVID-19感染的临床表现和疾病的长期表现。方法:在约旦安曼市区我的私人全科医生诊所就诊的患者中抽取300例covid -19阳性病例进行临床病例系列研究。我们使用的结构化问卷主要基于世界卫生组织(WHO)病例报告表(CRF)对covid -19后的验证工具。所有COVID-19患者均纳入研究。通过电话收集数据,并使用社会科学统计软件包(SPSS)软件进行分析。结果:在本研究期间就诊的患者中COVID-19的发病率为25%。女性为135人(45%),男性为165人(55%)。平均年龄(SD)为34.2(5.0)岁。大多数感染人员(90%)出现症状,并出现急性症状。发烧、咳嗽、疲劳、关节疼痛、嗅觉和味觉丧失是最常见的症状。72%的研究人群已经完全从感染中恢复,而28%的人继续遭受许多长期症状的折磨。疲劳(28%)、活动时呼吸短促(18%)、社交退缩(18%)、焦虑(17%)、健忘(16%)、注意力不集中(15%)和情绪低落(14%)是最常见的长期症状。结论:我市新型冠状病毒感染后疾病患病率为28%,公共卫生负担沉重,需要公共卫生系统解决感染者的医疗和心理需求。心理健康和社会心理支持是管理病人的建议内容。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical profile, prognosis and post COVID-19 Illnesses among attendants to private general practitioner (GP) clinic at Urban Amman Area: a clinical case-series study
Background: The clinical manifestations of Corona Virus Disease of 2019 (COVID-19) varied from patient to patient with evidence of multi-organ involvement. Many patients continue to have a wide range of symptoms for variable periods of time. The long-term effects of COVID-19 infection (post-COVID-19 illness or syndrome) are not yet been fully explored. This study aims to highlight the clinical manifestations of the acute COVID-19 infection and the longer-term manifestations of the disease among the attendants to a private GP clinic in the Urban Amman Area, Jordan. Methods: A clinical case-series study was conducted on a sample of 300 COVID-19-positive cases among patients attending my private GP clinic in the Urban Amman Area, Jordan. We used the structured questionnaire based mainly on World Health Organization (WHO) Case Report Form (CRF) verified tool for post-COVID-19. All patients with COVID-19 were included in the study. Data collection was conducted through phone calls and analyzed using the Statistical Package for Social Sciences (SPSS) software. Results: The incidence of COVID-19 among patients attending the clinic during the period of this study was 25%. Females were 135 (45%) of the study population and males were 165 (55%). The mean (SD) of age was 34.2 (5.0) years. Most of the infected staff (90%) were symptomatic and developed acute COVID-19 symptoms. Fever, Cough, Fatigue, joint pain and loss of smell and taste were the most common symptoms. 72% of the study population had fully recovered from the infection, while 28% of them continued to suffer from many long symptoms. Fatigue (28%), shortness of breath on activity (18%), Social withdrawal (18%), anxiety (17%), forgetfulness (16%), trouble concentrating (15) and depressed mood (14%) were the most frequently reported long symptoms. Conclusion: The prevalence of Post COVID-19 illness was 28% with a high public health burden calling for the public health system to address the medical and psychological needs of affected persons. Mental health and psychosocial support are recommended elements for the management of patients.
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