Challenges and Strategies to deal with COVID-19 from the perspective of physicians and nurses in southern of Sistan and Baluchestan, Iran

Document Type : Original Research

Authors

1 Iranshahr University of Medical Sciences, Iran

2 Health Promotion Research Center, Zahedan University of Medical Sciences

3 Nursing Department, School of nursing and Midwifery Iranshahr University of medical sciences

Abstract

Background and Aim: COVID-19 has widely spread around the world and has a high mortality rate. The aim of this study was to determine the challenges and strategies to deal with SARS-CoV-2 from the perspective of physicians and nurses in Iranshahr, southern of Sistan and Baluchestan, Iran.
Methods: In this descriptive-analytical study, 100 physicians and nurses have participated who working in the wards related to COVID-19 (respiratory isolation ward, intensive care unit and emergency department) of Iran and Khatam-ul-Anbia hospitals in Iranshahr. They were included by available methods from 21 March, 2020 to 8 April 2020. The researcher-made questionnaire assessed the challenges and strategies to deal with COVID-19 from the perspective of nurses and physicians. The reliability and validity of the questionnaire were confirmed. 
Results: The mean age of samples was 31.94±7.4 and the average work experience was 5.6±5.6 years. In answer to the question, what are the challenges related to COVID-19? The results showed that the lowest mean responses were related to "people's lack of access to social networks and mass communication" and the highest mean was related to "not taking the disease seriously in the general public." In response to the question "What do you think are the main obstacles to controlling the COVID-19 epidemic?" Non-quarantine of infected cities is the most common obstacle. In response to the question "What solution do you suggest to fight the COVID-19?" The quarantine of cities and stay at home were the most prevalent.
Conclusion:  In order to break the chain of COVID-19 transmission, it is necessary to observe such issues as quarantine and stay at home, restriction of travels, observe personal hygiene, identify suspicious cases, provide livelihood for the people and a provide medical staff, and raise the level of awareness and attitude of the people through training.

Keywords


1. World Health Organization. WHO Statement Regarding Cluster of Pneumonia Cases in Wuhan C, https://www.who.int/china/news/detail/09-01-2020-who-statement-regarding-cluster-ofpneumonia-cases-in-wuhan-china Ao. 2020. 2. Josh S, Stanway D. "Germany 'heading for epidemic' as virus spreads faster outside China". Thomson Reuters. Archived from the original on 26 February 2020. 3. Liu X, Na R, Bi Z. [Challenges to prevent and control the outbreak of Novel Coronavirus Pneumonia (COVID-19)]. Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi. . 2020;41(0):E029. 4. Farnoosh G, Ghanei M, Khorramdelazad H, Alishiri G, Shahriary A, Hosseini Zijoud SR. Are Iranian Sulfur mustard-exposed survivors more vulnerable to SARS-CoV-2: some similarity in their pathogenesis. Disaster medicine and public health preparedness. 2020:1-12. doi:10.1017/dmp.2020.156 5. Ashrafi-rizi H, Kazempour Z. Information Typology in Coronavirus (COVID-19) Crisis; a Commentary. Archives of Academic Emergency Medicine. 2020;8(1):19. 6. Ashrafi-rizi H, Kazempou Z. The Challenges of Information Service related to the COVID-19 Crisis. J Mil Med. 2020;22(2):207-9. doi: 10.30491/JMM.22.2.207 7. Bright D, Brown G, Roberts RJ, Cottrell S, Gould A, Jesurasa A, Daniels P, Davies L. COVID-19 Contact Tracing: The Welsh Experience. Public Health in Practice. 2020:100035. 8. Wu Y, Chen C, Chan Y. The outbreak of COVID19: An overview. Journal of the Chinese Medical Association. 2020;83(3):20-217. doi:10.1097/JCMA.0000000000000270 9. Koh D, Lim M, Chia S, Ko S, Qian F, Ng V, et al. Risk Perception and Impact of Severe Acute Respiratory Syndrome (SARS) on Work and Personal Lives of Healthcare Workers in Singapore What Can We Learn? Medical Care 2005(82-676). doi:10.1097/01.mlr.0000167181.36730.cc 10. Shahyad S, Mohammadi M. Psychological Impacts of Covid-19 Outbreak on Mental Health Status of Society Individuals: A Narrative Review Journal of Military Medicine. 2020;22(2):184-92. doi: 10.30491/JMM.22.2.184 11. Yang Y, Shang W, Rao X. Facing the COVID‐19 outbreak: What should we know and what could we do? Journal of Medical Virology. 2020. doi:10.1002/jmv.25720 12. WHO. Global surveillance for human infection with coronavirus disease (COVID-19). WHO: Switzerland G. 2020. 13. Doshmangir L, Mahbub Ahari A, Qolipour K, Azami-Aghdash S, Kalankesh L, Doshmangir P, et al. East Asia's Strategies for Effective Response to COVID-19: Lessons Learned for Iran. Management Strategies in Health System. 2020;4(4):370-3. 14. Meskarpour-Amiri M, Shams L, Nasiri T. Identifying and Categorizing the Dimensions of Iran's Health System Response to the Covid-19 Pandemic. Journal of Military Medicine. 2020;22(2):108-14. doi: 10.30491/JMM.22.2.108 15. Amiri P. The Role of Electronic Health During the Covid-19 Crisis: A Systematic Review of Literatures. J Mil Med. 2020;6(4):358-67.