A comparative study of the psychological impacts of tasks related and unrelated to COVID-19 on nurses: a cross-sectional study
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background: This study assessed the psychological impact of the outbreak of coronavirus disease 2019 (COVID-19) on university hospital nurses. It provides an assessment of mental health issues, including depression, anxiety, distress, and burnout of nurses dealing directly and indirectly with COVID-19. Methods: In a web-based, cross-sectional study, 111 nurses from Daegu Catholic University Hospital in Korea were enrolled from August 4 to August 9, 2020. Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, Impact of Event Scale-Revised, and Maslach Burnout Inventory were used to assess the psychological symptoms of depression, anxiety, psychological distress, and burnout among the study participants. Results: Of 111 nurses, 35 (31.5%), nine (8.1%), 26 (23.4%), and 49 (44.1%) experienced depression, anxiety, distress, and burnout, respectively. Nurses who performed COVID-19–related tasks were more likely to have moderate depression (related vs. unrelated, 52.0% vs. 25.6%; p=0.037). There were no differences in anxiety, distress, and burnout between nurses with and without COVID-19–related tasks. More than 50% of the participants showed receptive and positive attitudes toward caring for COVID-19 patients. Conclusion: Nurses who performed COVID-19–related tasks had a higher risk of depression. There were no significant differences in anxiety, distress, and burnout between the two groups. Since nurses who perform COVID-19–related tasks are more prone to psychological distress, continued psychiatric interventions are required for infectious disease outbreaks with a high mortality rate for healthcare workers who are emotionally vulnerable.
Abstract
Background: This study assessed the psychological impact of the outbreak of coronavirus disease 2019 (COVID-19) on university hospital nurses. It provides an assessment of mental health issues, including depression, anxiety, distress, and burnout of nurses dealing directly and indirectly with COVID-19. Methods: In a web-based, cross-sectional study, 111 nurses from Daegu Catholic University Hospital in Korea were enrolled from August 4 to August 9, 2020. Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, Impact of Event Scale-Revised, and Maslach Burnout Inventory were used to assess the psychological symptoms of depression, anxiety, psychological distress, and burnout among the study participants. Results: Of 111 nurses, 35 (31.5%), nine (8.1%), 26 (23.4%), and 49 (44.1%) experienced depression, anxiety, distress, and burnout, respectively. Nurses who performed COVID-19–related tasks were more likely to have moderate depression (related vs. unrelated, 52.0% vs. 25.6%; p=0.037). There were no differences in anxiety, distress, and burnout between nurses with and without COVID-19–related tasks. More than 50% of the participants showed receptive and positive attitudes toward caring for COVID-19 patients. Conclusion: Nurses who performed COVID-19–related tasks had a higher risk of depression. There were no significant differences in anxiety, distress, and burnout between the two groups. Since nurses who perform COVID-19–related tasks are more prone to psychological distress, continued psychiatric interventions are required for infectious disease outbreaks with a high mortality rate for healthcare workers who are emotionally vulnerable.
참고문헌 (31)
- Li Q, "Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia", N Engl J Med, 382, pp.1199~1207 (2020)
- "WHO director-General’s opening remarks at the media briefing on COVID-19" (2020)[URL]
- Xiong J, "Impact of COVID-19 pandemic on mental health in the general population : a systematic review", J Affect Disord, 277, pp.55~64 (2020)
- Salazar de Pablo G, "Impact of coronavirus syndromes on physical and mental health of health care workers : systematic review and meta-analysis", J Affect Disord, 275, pp.48~57 (2020)
- Koh D, "health care work can be hazardous to health", Occup Med(Lond), 53, pp.241~243 (2003)
- Moazzami B, "COVID-19 and telemedicine : Immediate action required for maintaining healthcare providers well-being", J Clin Virol, 126, pp.104345~ (2020)
- Vieta E, "Psychiatry in the aftermath of COVID-19", Rev Psiquiatr Salud Ment(Engl Ed), 13, pp.105~110 (2020)
- Chew NW, "A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak", Brain Behav Immun, 88, pp.559~565 (2020)
- "Global strategic directions for strengthening nursing and midwifery 2016-2020" (2016)[URL]
- Chong MY, "Psychological impact of severe acute respiratory syndrome on health workers in a tertiary hospital", Br J Psychiatry, 185, pp.127~133 (2004)
- 김지수, "Factors Influencing Emergency Nurses' Burnout During an Outbreak of Middle East Respiratory Syndrome Coronavirus in Korea", Asian Nursing Research, 10(4), pp.295~299 (2016), 한국간호과학회
- Korean Society of Infectious Diseases, "Report on the Epidemiological Features of Coronavirus Disease 2019 (COVID-19) Outbreak in the Republic of Korea from January 19 to March 2, 2020", Journal of Korean Medical Science, 35(10), pp.1~11 (2020), 대한의학회[DOI]
- 박승진, "한글판 우울증 선별도구(Patient Health Questionnaire-9, PHQ-9)의 신뢰도와 타당도", 대한불안의학회지, 6(2), pp.119~124 (2010), 대한불안의학회
- Kroenke K, "The PHQ-9 : validity of a brief depression severity measure", J Gen Intern Med, 16, pp.606~613 (2001)
- Spitzer RL, "A brief measure for assessing generalized anxiety disorder : the GAD-7", Arch Intern Med, 166, pp.1092~1097 (2006)
- Plummer F, "Screening for anxiety disorders with the GAD-7 and GAD-2 : a systematic review and diagnostic metaanalysis", Gen Hosp Psychiatry, 39, pp.24~31 (2016)
- Lee SH, "Validation of the Korean version of the Generalized Anxiety Disorder 7 self-rating scale", Asia Pac Psychiatry, 14, pp.e12421~ (2022)
- Weiss DS, "Cross-cultural assessment of psychological trauma and PTSD", pp.219~238 (2007), Springer
- 은헌정, "한국판 사건충격척도 수정판의 신뢰도 및 타당도 연구", 신경정신의학, 44(3), pp.303~310 (2005), 대한신경정신의학회
- Maslach C, "The measurement of experienced burnout", J Organ Behav, 2, pp.99~113 (1981)
- 신강현, "일반직 종사자를 위한 직무 소직 척도(MBI-GS)에 대한 타당화 연구", 한국심리학회지: 산업 및 조직, 16(3), pp.1~17 (2003), 한국산업및조직심리학회
- Schutte N, "The factorial validity of the Maslach Burnout Inventory-General Survey(MBI-GS)across occupational groups and nations", J Occup Organ Psychol, 73, pp.53~66 (2000)
- Pappa S, "Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic : a systematic review and meta-analysis", Brain Behav Immun, 88, pp.901~907 (2020)
- 박철용, "COVID-19 Outbreak and Its Association with Healthcare Workers' Emotional Stress: a Cross-Sectional Study", Journal of Korean Medical Science, 35(41), pp.1~10 (2020), 대한의학회[DOI]
- Salari N, "Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic : a systematic review and meta-analysis", Global Health, 16, pp.57~ (2020)
- Shaukat N, "Physical and mental health impacts of COVID-19 on healthcare workers : a scoping review", Int J Emerg Med, 13, pp.40~ (2020)
- Jo SH, "The psychological impact of the coronavirus disease pandemic on hospital workers in Daegu, South Korea", Compr Psychiatry, 103, pp.152213~ (2020)
- Sareen J, "Risk factors for post-injury mental health problems", Depress Anxiety, 30, pp.321~327 (2013)
- "The update of COVID-19 in Korea" (2021)[URL]
- Chong MY, "Psychological impact of severe acute respiratory syndrome on health workers in a tertiary hospital", Br J Psychiatry, 185, pp.127~133 (2004)
- Zhang Y, "The psychological change process of frontline nurses caring for patients with COVID-19 during its outbreak", Issues Ment Health Nurs, 41, pp.525~530 (2020)