The Psychological Impact of COVID-19 Disease is more Severe on Intensive Care Unit Healthcare Providers: A Cross-sectional Study
2
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Objective: Fear, anxiety, depression and sleep deprivation are common mental health disorders in COVID-19 disease. We aimed to analyse the risk for healthcare providers during COVID-19 pandemic in a university hospital. Methods: Anesthesiologists, nurses and nurse anesthetists were invited to fill out the survey. The survey was consist of questions from ‘’The Fear of COVID-19 Scale’’, ‘’Patient Health Questionnaire’’ and ‘’Pittsburgh Sleep Quality Index’’ (PSQI). Each question was worth a point. Results: The data of 208 participants were analyzed. Mean age was 29 ± 7.748 years, 72.1% were male, 67.3% were nurses, 62% were working in intensive care units, 38% were in hospital wards, 62% of all participants were living alone. Moderate depression was the most frequently detected outcome (n = 90, 43.3%). Mean The Fear of COVID-19 Scale for all participants was 18.56 ± 7.731. The mean PSQI of patients was 6.18 ± 4.356 with a 45.7% rate of poor sleep quality. PSQI was found significantly higher in nurses (7.1 ± 4.7, p = 0.000). Nurses were the group with the highest deterioration in sleep quality (53.6%, p = 0.003). The rate of moderate-to-severe depressive symptoms was significantly higher in intensive care unit nurses and physicians (p = 0.018). PSQI score was found significantly higher in intensive care unit nurses and physicians than hospital ward co-workers (7.02 ± 4.59 vs. 4.81 ± 3.57 respectively, p = 0.001). A significant positive correlation was observed between PSQI and The Fear of COVID-19 Scale total score in all patients (p ＜ 0.005). Conclusion: Depression, anxiety, fear and sleep disorders may occur in healthcare workers during COVID-19 outbreak. Intensive care unit nurses were at highest risk.
Abstract
Objective: Fear, anxiety, depression and sleep deprivation are common mental health disorders in COVID-19 disease. We aimed to analyse the risk for healthcare providers during COVID-19 pandemic in a university hospital. Methods: Anesthesiologists, nurses and nurse anesthetists were invited to fill out the survey. The survey was consist of questions from ‘’The Fear of COVID-19 Scale’’, ‘’Patient Health Questionnaire’’ and ‘’Pittsburgh Sleep Quality Index’’ (PSQI). Each question was worth a point. Results: The data of 208 participants were analyzed. Mean age was 29 ± 7.748 years, 72.1% were male, 67.3% were nurses, 62% were working in intensive care units, 38% were in hospital wards, 62% of all participants were living alone. Moderate depression was the most frequently detected outcome (n = 90, 43.3%). Mean The Fear of COVID-19 Scale for all participants was 18.56 ± 7.731. The mean PSQI of patients was 6.18 ± 4.356 with a 45.7% rate of poor sleep quality. PSQI was found significantly higher in nurses (7.1 ± 4.7, p = 0.000). Nurses were the group with the highest deterioration in sleep quality (53.6%, p = 0.003). The rate of moderate-to-severe depressive symptoms was significantly higher in intensive care unit nurses and physicians (p = 0.018). PSQI score was found significantly higher in intensive care unit nurses and physicians than hospital ward co-workers (7.02 ± 4.59 vs. 4.81 ± 3.57 respectively, p = 0.001). A significant positive correlation was observed between PSQI and The Fear of COVID-19 Scale total score in all patients (p ＜ 0.005). Conclusion: Depression, anxiety, fear and sleep disorders may occur in healthcare workers during COVID-19 outbreak. Intensive care unit nurses were at highest risk.
참고문헌 (23)
- "WHO director-general’s opening remarks at the media briefing on COVID-19—11 March 2020" (2020)[URL]
- Li S, "The impact of COVID-19epidemic declaration on psychological consequences : a study on active Weibo users", Int J Environ Res Public Health, 17, pp.2032~ (2020)
- El-Hage W, "Health professionals facing the coronavirus disease 2019 (COVID-19) pandemic: what are the mental health risks?", Encephale, 46(3 Suppl), pp.S73~S80 (2020)
- Kiecolt-Glaser JK, "Emotions, morbidity, and mortality : new perspectives from psychoneuroimmunology", Annu Rev Psychol, 53, pp.83~107 (2002)
- Chew QH, "Narrative synthesis of psychological and coping responses towards emerging infectious disease outbreaks in the general population : practical considerations for the COVID-19 pandemic", Singapore Med J, 61, pp.350~356 (2020)
- Tzur Bitan D, "Fear of COVID-19 scale : psychometric characteristics, reliability and validity in the Israeli population", Psychiatry Res, 289, pp.113100~ (2020)
- Sim K, "The psychological impact of SARS : a matter of heart and mind", CMAJ, 170, pp.811~812 (2004)
- Wu P, "The psychological impact of the SARS epidemic on hospital employees in China : exposure, risk perception, and altruistic acceptance of risk", Can J Psychiatry, 54, pp.302~311 (2009)
- Levis B, "Accuracy of Patient Health Questionnaire-9 (PHQ-9) for screening to detect major depression:individual participant data meta-analysis", BMJ, 365, pp.1476~ (2019)
- Borghero F, "Screening depressive episodes in adolescents. Validation of the Patient Health Questionnaire-9 (PHQ-9)", Rev Med Chil, 146, pp.479~486 (2018)
- Buysse DJ, "The Pittsburgh Sleep Quality Index : a new instrument for psychiatric practice and research", Psychiatry Res, 28, pp.193~213 (1989)
- Daniel Kwasi Ahorsu, "The Fear of COVID-19 Scale: Development and Initial Validation", International Journal of Mental Health and Addiction (2020), Springer Science and Business Media LLC[DOI]
- Tuck AN, "The 9-Item Patient Health Questionnaire(PHQ-9) : an aid to assessment of patient-reported functional outcomes after spinal surgery", Spine J, 18, pp.1398~1405 (2018)
- Lee SY, "Factors associated with poor sleep quality in the Korean general population : providing information from the Korean version of the Pittsburgh Sleep Quality Index", J Affect Disord, 271, pp.49~58 (2020)
- Zhu B, "Adaptation of the Pittsburgh Sleep Quality Index in Chinese adults with type 2diabetes", J Chin Med Assoc, 81, pp.242~247 (2018)
- Shacham M, "COVID-19 factors and psychological factors associated with elevated psychological distress among dentists and dental hygienists in Israel", Int J Environ Res Public Health, 17, pp.2900~ (2020)
- Zhang Y, "Impact of the COVID-19 pandemic on mental health and quality of life among local residents in liaoning province, China : a cross-sectional study", Int J Environ Res Public Health, 17, pp.2381~ (2020)
- Paolo Soraci, "Validation and Psychometric Evaluation of the Italian Version of the Fear of COVID-19 Scale", International Journal of Mental Health and Addiction (2020), Springer Science and Business Media LLC[DOI]
- Zangrillo A, "Characteristics, treatment, outcomes and cause of death of invasively ventilated patients with COVID-19 ARDS in Milan, Italy", Crit Care Resusc (2020)
- Wen Lu, "Psychological status of medical workforce during the COVID-19 pandemic: A cross-sectional study", Psychiatry Research, 288, pp.112936~ (2020), Elsevier BV[DOI]
- Shen X, "Psychological stress of ICU nurses in the time of COVID-19", Crit Care, 24, pp.200~ (2020)
- Huang Y, "Chinese mental health burden during the COVID-19 pandemic", Asian J Psychiatr, 51, pp.102052~ (2020)
- Li X, "Prevalence, risk factors, and clinical correlates of insomnia in volunteer and at home medical staff during the COVID-19", Brain Behav Immun, 87, pp.140~141 (2020)