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The prevalence and associated factors responsible for delayed return to work after the mandatory isolation period post-Covid-19 at Tygerberg Hospital, 2020 a cross-sectional study
Thesis (MMed)--Stellenbosch University, 2022.
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| Format: | Thesis |
| Language: | en_ZA |
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Stellenbosch : Stellenbosch University
2022
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| _version_ | 1867614080940900352 |
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| access_status_str | Open Access |
| author | Weinand, Fredrick John |
| author2 | Meintjes, Willem Albertus Jacobus |
| author_browse | Meintjes, Willem Albertus Jacobus Weinand, Fredrick John |
| author_facet | Meintjes, Willem Albertus Jacobus Weinand, Fredrick John |
| author_sort | Weinand, Fredrick John |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MMed)--Stellenbosch University, 2022. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/125946 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:46:21.556Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2022 |
| publishDateRange | 2022 |
| publishDateSort | 2022 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/125946 The prevalence and associated factors responsible for delayed return to work after the mandatory isolation period post-Covid-19 at Tygerberg Hospital, 2020 a cross-sectional study Weinand, Fredrick John Meintjes, Willem Albertus Jacobus Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Global Health. Health Systems and Public Health. Viruses -- Isolation -- Cape (South Africa) Viruses -- Recovery -- Cape (South Africa) COVID-19 (Disease) -- Prevention -- Cape (South Africa) UCTD Thesis (MMed)--Stellenbosch University, 2022. ENGLISH SUMMARY: Background: Covid-19 had a negative impact not only on the individuals but also on the organisation. While most employers wish the employee to resume duty just after the employee is out of isolation that might unfortunately not be the case. Some employees may continue to be unfit even after completing the isolation period. Aim: To determine the prevalence and associated factors responsible for delayed return to work post-COVID-19 isolation at Tygerberg Hospital. Methods: A cross-sectional study was conducted by extracting clinical information of the health care worker files of employees who attended Tygerberg Hospital Occupational Health Clinic. Data were collected from patient folders, symptom monitoring forms, compensation forms and the Covid-19 questionnaires completed during the return to work assessments. Results: A total of 1014 participants were analysed; 43% (436/1014) had delayed return to work post Covid-19 isolation, 95% CI (39.98-46.07) with the median days of 14.0 (IQR=12-17). Factors associated with the delayed return in the multivariate analysis included: Being hospitalised (OR 4.58, 95%CI=1.56-13.45; p= 0.006), having ongoing Covid-19 symptoms (OR=1.72, 95%CI=1.05-2.82; p=0.031) the professional nurse (OR 1.38, 95%CI=1.00-1.91; p=0.049) and employees from obstetrics and gynaecology section (OR 1.68, 95%CI=1.06-2.66; p=0.026). Other factors included employees with diabetes (OR 2.02, 95% CI=1.34-3.06; p= 0.001), hypertension (OR 1.76, 95%CI=1.30-2.38; p=0.020), the symptoms of shortness of breath (OR 2.22, 95%CI=1.69-2.93; p<0.001. Additional factors included employees above 60 years of age, (OR 3.52, 95%CI=1.44-8.57; p= 0.006) and the Covid-19 testing facility attended: public vs private (OR 0.64, 95%CI=0.47-0.88; p=0.004). Conclusions: Various, in some cases several, factors were found to affect employees' return to work post-Covid-19 isolation. A holistic approach, rather than a focus on the pathophysiology of the virus, should be encouraged. Follow up studies on the long-term impact of Covid-19 infection on the employees' health is advised. AFRIKAANSE OPSOMMING: Agtergrond: Covid-19 het nie net 'n negatiewe impak op die individue nie, maar ook op organisasies. Terwyl die meeste werkgewers wil he dat werknemers diens moet hervat direk na die werknemer uit isolasie is, is dit ongelukkig nie altyd die geval nie. Sommige werknemers bly ongeskik vir werk selfs nadat hulle die isolasietydperk voltooi het. Doelstelling: Om die voorkoms en gepaardgaande faktore wat verantwoordelik is vir vertraagde terugkeer na werk post-Covid-19 by Tygerberg Hospitaal te bepaal. Metodes: 'n Deursnitstudie is uitgevoer deur kliniese inligting te gebruik van die gesondheidsorgwerkers wat die Tygerberg Hospitaal Beroepsgesondheidskliniek bygewoon het. Data is ingesamel uit pasientleers, simptoommoniteringvorms, vergoedingsvorms en die Covid-19-vraelyste wat ingevul was tydens die geskiktheid vir werk assesserings. Resultate: 'n Totaal van 1014 deelnemers is ontleed; 43% (436/1014) het vertraagde terugkeer na werk gehad na Covid-19-infeksie, 95% VI (39.98-46.07) met ‘n mediaan van van 14.0 (IVW=12-17) dae. Faktore wat met vertraagde terugkeer in die meerveranderlike analise geassosieer word, sluit in: Om in die hospitaal opgeneem te word (WV 4.58, 95%VI=1.56-13.45; p= 0.006), voortdurende Covid-19 simptome (WV=1.72, 95%VI=1.05-2.82; p=0.031) professionele verpleegsters as beroep (WV 1.38, 95%VI=1.00-1.91; p=0.049) en werknemers van die verloskunde en ginekologie afdeling (WV 1.68, 95%VI=1.06-2.66; p=0.026). Ander faktore het werknemers met diabetes (WV 2,02, 95% VI=1,34-3,06; p= 0,001), hipertensie (WV 1,76, 95%VI=1,30-2,38; p=0,020), die simptome van kortasem (WV 2,22) ingesluit , 95%VI=1,69-2,93; p<0,001. Bykomende faktore het werknemers ouer as 60 jaar ingesluit (WV 3, 52, 95%VI=1,44-8,57; p=0,006) en of die Covid-19-toetsfasiliteit wat bygewoon is in die openbarie of private sector is (WV 0.64, 95%VI=0.47-0.88; p=0.004). Gevolgtrekkings: Verskeie, in sommige gevalle baie, faktore is gevind wat werknemers se terugkeer na werk na Covid-19 isolasie beinvloed. ‘n Holistiese benadering, eerder as 'n fokus op die patofisiologie van die virus, moet aangemoedig word. Opvolgstudies oor die langtermyn-impak van Covid-19-infeksie op werknemers se gesondheid word aangeraai. Masters 2022-11-08T07:07:18Z 2023-01-16T12:42:29Z 2022-11-08T07:07:18Z 2023-01-16T12:42:29Z 2022-12 Thesis http://hdl.handle.net/10019.1/125946 en_ZA Stellenbosch University xi, 65 pages : illustrations, includes annexures application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Viruses -- Isolation -- Cape (South Africa) Viruses -- Recovery -- Cape (South Africa) COVID-19 (Disease) -- Prevention -- Cape (South Africa) UCTD Weinand, Fredrick John The prevalence and associated factors responsible for delayed return to work after the mandatory isolation period post-Covid-19 at Tygerberg Hospital, 2020 a cross-sectional study |
| title | The prevalence and associated factors responsible for delayed return to work after the mandatory isolation period post-Covid-19 at Tygerberg Hospital, 2020 a cross-sectional study |
| title_full | The prevalence and associated factors responsible for delayed return to work after the mandatory isolation period post-Covid-19 at Tygerberg Hospital, 2020 a cross-sectional study |
| title_fullStr | The prevalence and associated factors responsible for delayed return to work after the mandatory isolation period post-Covid-19 at Tygerberg Hospital, 2020 a cross-sectional study |
| title_full_unstemmed | The prevalence and associated factors responsible for delayed return to work after the mandatory isolation period post-Covid-19 at Tygerberg Hospital, 2020 a cross-sectional study |
| title_short | The prevalence and associated factors responsible for delayed return to work after the mandatory isolation period post-Covid-19 at Tygerberg Hospital, 2020 a cross-sectional study |
| title_sort | prevalence and associated factors responsible for delayed return to work after the mandatory isolation period post covid 19 at tygerberg hospital 2020 a cross sectional study |
| topic | Viruses -- Isolation -- Cape (South Africa) Viruses -- Recovery -- Cape (South Africa) COVID-19 (Disease) -- Prevention -- Cape (South Africa) UCTD |
| url | http://hdl.handle.net/10019.1/125946 |
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