Isolation Compliance and Associated Factors Among COVID-19 Patients in North-West Iran: A Cross-Sectional Study
2020
Introduction: Coronavirus disease 2019 (COVID-19) has now turned into a public health
emergency. Isolation of patients is a possible solution for controlling epidemic infectious
diseases. We assessed the compliance of isolation and associated factors among patients with
COVID-19.
Methods: This cross-sectional study was conducted on 320 COVID-19 patients discharged from
hospitals of Qazvin province. Patients’ isolation, self-care health behaviors, reference to public
health services and possible related factors were assessed. Data were analyzed using multiple
logistic regression.
Results: In this study, 320 patients were enrolled, including 175 men (54.7%). Two hundred and
eighty-six patients (89.4%) had complete isolation. Factors such as phone tracking by health
center (OR = 1.30; 95% CI: 1.01 to 1.75) and dry cough (OR = 2.36; 95% CI: 1.09 to 5.09)
increased odds of complete isolation in COVID-19 patients, but having a COVID-19 patient in
the family (OR = 0.32; 95% CI: 0.15 to 0.71) and symptoms of disease like shortness of breath(OR = 0.39; 95% CI: 0.18 to 0.85) and muscle pain (OR = 0.43; 95% CI: 0.20 to 0.95) decreased
odds ratio for these patients.
Conclusion: Phone tracking by the health center was the most important factor to increase the
odds of patient isolation. Thus, the health system should consider improving health workers’
knowledge and skills through education
Keywords: COVID-19, isolation, self-care, compliance, Iran
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