监测乌克兰冠状病毒疫情前半年的生活质量

O. Fedorenko, K.V. Koladenko, L. Sologub
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引用次数: 0

摘要

2019冠状病毒病大流行、政治和经济因素、最新技术进步、世界环境变化——所有这些都极大地影响了大多数人对生活质量的认识。对于我们来说,作为Bogomolets国立医科大学皮肤科和性病科美容课程的临床医生和讲师,在2020年3月Zoom被迫放弃通常的“现场”教学并过渡到远程学习之后,这一点变得明显,同时重新分析了该部门的临床基础,仅住院治疗COVID-19患者,同时出院专科皮肤科患者。在大流行期间,我们实际上被剥夺了与皮肤病专科患者进一步专业接触的可能性。我们只有技术上的能力可以在线联系到北大的四年级学生。我们决定利用这个机会,不仅对他们进行皮肤性病学基础知识的远程教学,而且通过适当的测试来确定(澄清)他们的精神状态。目的:针对新冠肺炎大流行导致青年医务工作者(学生)被迫长期停留在封锁和严格隔离的紧张局面下,媒体带来的负面信息影响,对青年医务工作者(学生)的生活质量指标进行远程监测研究。材料和方法。使用健康状况调查(SF36)评估生活质量,这是一般(非专业)问卷之一。结果和讨论。在3月至6月期间,身体相当健康的四年级医学生的自尊在自己的生活质量方面都有明显的变化,无论是在几个SF-36量表上还是在总体上。尽管他们及其家人在所有3个月内都没有感染COVID-19或出现任何该疾病的临床表现。总的来说,在这段时间内,现有的变化是消极的,尽管根据个人尺度程度不同。在远程接触的情况下,在统计上显著的自愿受访者样本中,使用问卷来确定生活质量在技术上是可能的,在科学上也是合理的。结论。我们发现,假设有可能考虑总体生活质量自尊的变化,并根据个人SF-36量表作为一种非常规但相当客观和直观的诊断测试,用于临床前(早期)确定任何看过家庭医生的成年患者心身疾病形成和发展的威胁。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Monitoring quality of life in the first half­year period of coronaviral infodemy in Ukraine
The COVID-19 pandemic, political and economic factors, the latest technological advances, environmental changes in the world — all this significantly influenced the awareness of the quality of life by most of the population. For us, as clinicians and lecturers of the Department of Dermatology and Venereology with a course of cosmetology at Bogomolets National Medical University, this became obvious after the forced abandonment of the usual «live» teaching and the transition to distance learning at Zoom in March 2020, and at the same time the re-profiling of the clinical base of the department for inpatient treatment of only COVID-19 patients with the simultaneous discharge of specialized dermatological patients.During the pandemic, we were in fact deprived of the possibility of further professional contact with specialized patients with dermatological diseases. We only had the technical ability to contact the 4th year students of NMU online. It was decided to take advantage of this opportunity not only for their distance teaching of the basics of dermatovenerology, but also for determining (clarifying) their psychostatus with the help of appropriate tests. Objective — to conduct a remote monitoring study of the quality of life (QOL) indicators in young medical workers (students) against the background of the negative informative influence of the media due to the forced long-term stay in a stressful situation of lockdown and strict multi-week quarantine caused by the COVID19 pandemic. Materials and methods. QOL was assessed using the Health Status Survey (SF36) which is one of general (non-specialized) questionnaires. Results and discussion. During the period from March to June, there were noticeable changes in the self-esteem of somatically quite healthy fourth-year medical students of their own QOL, both on several SF-36 scales and in general. This was despite the fact that none of them and their family members were infected with COVID-19 or had any clinical manifestations of this disease for all 3 months. In general, during this time, the existing changes were negative, albeit to varying degrees, according to individual scales. In conditions of remote contact, it became technically possible and scientifically justified to use questionnaires to determine QOL in statistically significant samples of voluntary respondents. Conclusions. We find it hypothetically possible to consider changes in QOL self-esteem in general and according to individual SF-36 scales as a kind of unconventional but quite objective and visual diagnostic test for preclinical (early) determination of the threat of formation and development of psychosomatic disorders in any adult patient who saw a family doctor.
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