Separating the Physician and Patient: A Paradigm Shift for Routine Otolaryngology Examinations in COVID-19-Like Aerosol-Contaminated Environments.

Autor: Sayin, Ibrahim, Yazıcı, Zahide Mine, Abakay, Mehmet Akif, Gülüstan, Filiz, Devecioğlu, İbrahim, Akgül, Ahmet
Předmět:
Zdroj: ENT: Ear, Nose & Throat Journal; Feb2023, Vol. 102 Issue 2, pNP89-NP94, 6p
Abstrakt: Objective: To evaluate the attitudes of physicians and patients toward physical examination in physically separated environments using a laryngoscopic examination model. Materials and Methods: Six experienced laryngologists performed laryngoscopic examinations in 30 patients in a closed-chamber examination unit. The physicians and patients were asked to compare all domains with their previous standard laryngoscopic examination experience using a 10-point visual analog scale (0, poor performance; 10, good performance), including effectiveness of communication, difficulty of examination, perception of safety against airborne transmission of COVID-19, applicability of the unit for future examinations, perception of protective environment, and overall comfort. Results: All laryngoscopic examinations were performed successfully. Effectiveness of communication, difficulty of examination, perception of protective environment, and overall comfort did not differ between physicians and patients (P >.05 for all comparisons). However, both physicians and patients found the examination to be difficult. While physicians evaluated the system as safe against airborne transmission of COVID-19, patients were not confident that the system was safe (8.70 ± 1.93 vs 2.87 ± 2.37, respectively, P =.001). Physicians also gave a higher score to future applicability of the unit for examinations than patients (8.90 ± 1.42 vs 7.10 ± 2.62, respectively, P =.001). Conclusion: Physically separating the physician and patient is a feasible method of physical examination in aerosol-contaminated environments. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index