Clinical characteristics of upper respiratory tract such as nose and pharynx and related factors of mental health in hospital staff infected with novel coronavirus
Objective To study the nasopharyngeal and pharyngeal clinical features of hospital staff infected with novel coronavirus,and to provide evidence for the treatment of novel coronavirus infected medical staff in the future. Methods Medical staff from some departments in our hospital (respiratory department,otolaryngology department,infectious department,gastroenterology department,hematology department,emergency department,critical care department,oral surgery department,burn department,pediatrics department,rheumatology and immunology department,anesthesia department,pharmacy department,disinfection supply room,hepatobiliary surgery department) were selected to investigate whether they were infected with novel coronavirus and its related clinical characteristics of nose and pharynx from December 1,2022 to January 14,2023. Statistical methods:Most clinical symptoms are multi-classified variables,and the correlation between each symptom and each group (epidemic-related departments and non-epidemic departments,with and without psychological problems) was analyzed by single factor logistic regression. The scores of psychological problems were transformed into numerical values,and the counting data of working environment,working intensity,age,education and occupation were expressed as percentages. Pearson Chi-square test was used for the comparison between groups,and two independent samples t-test was used for the comparison between COVID-19 continuous days. Results A total of 1212 questionnaires of effective medical staff were collected and classified according to different departments and mental health scores,and conclusions were drawn by comparison within and between groups. According to the classification of epidemic-related departments,people in non-epidemic departments have a longer course of disease,and are more likely to have symptoms such as chills,thirst and drinking water (P<0.05),while those in epidemic-related departments have more obvious symptoms such as loss/disappearance of sense of smell,taste and itchy throat,chest pain (P<0.05). By analyzing the correlation between the working environment and basic conditions of the staff and whether they have psychological problems,it is found that the surgical medical staff and the duration of COVID-19 are the risk factors for psychological problems (P<0.05). Conclusion The clinical features of upper respiratory tract such as nose and pharynx of medical staff in different departments are different in details,and attention should be paid to the psychological problems of medical staff after novel coronavirus infection.