Abstract
This study aimed to (1) describe the characteristics of community residents who used coronavirus disease 2019 (COVID-19)-related telephone consultation systems by public health nurses (PHNs) and (2) analyze the concerns they had during the first wave of COVID-19 in Japan. Among 1126 telephone consultations, PHNs recorded telephone consultations between 25 March, and 30 April, 2020, in City A, Japan. We analyzed 1017 consultations involving 799 (79%) community residents (resident group) and 218 (21%) organizational representatives (organization group) located in City A. Half of the consultations were made during midmorning, and most of the consultations were regarding COVID-19 symptoms. Among the resident group, visiting a primary care doctor was the most common recommendation by the PHNs; there was no difference in provision of consultation by sex. Health- and welfare-related organizations mainly consulted PHNs about “having COVID-19-related symptoms” and “undergoing PCR testing,” and PHNs’ recommended them to visit a primary care doctor and coordinate PCR testing. The results suggest that public health centers should provide more helpful information on COVID-19 that accurately reflects the concerns of the population.
Highlights
The spread of coronavirus disease 2019 (COVID-19) has gradually increased worldwide since January 2020 [1]
In February 2020, public health nurses (PHNs) established a free telephone consultation hotline regarding COVID-19 for community residents; this service was provided in the disease-prevention section of the Public health centers (PHCs)
ROefsuthltes 1126 telephone consultations recorded by the PHNs, 109 were excluded due to 3i.n1c. oCmhapralectteeridstaictsao(fsCeOx,VcIoDn-s1u9-lRtaetlaiotend FrereseuTltesle,pchoonnesuClotnastuioltnatidoentsails, and date were not recorded iOnf7th3e, 2141,296,taelnedph3ocnaesceosn, sruesltpateicotnisverelyco).rdTehdubsy, wtheeaPnHaNlysz, e1d091w01e7receoxnclsuudlteadtidounest(oFigure t1h).eTiinnTaccba7oobl3menl,es1p2u14lsel,htst9aeoh,twdoiaoawsntndtashs(,t3esh7eccex9ha,9csachero(saa7n,cr9srta%euecrsltit)pseaetwtriicicostesintrvioecrefeslfystrohu)o.felmttTsch,ohectnuhocssneou,snlwruteasletustaiialotdtinnaoeasntnl.iyotdOznegeftsrdat.ohiOl1ues0,fp11at07nha1dnec7od1dpn0aas21ttue1i7el8wtpna(etat2sirtoe1iwne%nnhso)ot(tsFwrriweegeccuhroeerrioevdfree1reddo)c.meivtehde orgthaencizoantsiuolntagtiroonusp, 7. 9A9p(p79r%ox)iwmearteeflryoamqtuhaerrteesridoefnatllgcroonuspualntadti2o1n8s(w21e%re) wpreorevifdroemd ttohepeople agoerdga6n0izyaetiaornsgaronudpo
Summary
The spread of coronavirus disease 2019 (COVID-19) has gradually increased worldwide since January 2020 [1]. The national government declared a state of emergency in Tokyo and six prefectures on 7 April 2020, and subsequently extended it nationwide [3]. This was different from lockdown, which was based on regulations followed in other countries and required citizens to voluntarily stay at home to decrease social contact by at least 70%. This strategy was effective in decreasing the number of COVID-19 cases, and the first state of emergency in Japan was lifted on 25 May 2020 [2]
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