Mental Health and Quality of Life for Healthcare Workers in a University Hospital Under COVID-19
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Objective The aim of this study was to assess the psychosocial characteristics of the employees working at a university hospital and investigated the factors affecting their quality of life (QOL) under COVID-19.Methods This study enrolled 1,191 healthcare workers from a university hospital, including doctors, nurses, administrative officer and technicians. Besides demographic information, depression, anxiety, somatization, insomnia, resilience, and QOL were assessed.Results The nurses presented significantly higher scores for anxiety, depression and showed significantly higher insomnia scores and significantly lower resilience scores. The occupations showed significant differences in the QOL and sub-groups, including the overall quality of life and general health (F=4.774, p<0.001), psychological domain (F=6.230, p<0.001), and environment domain (F=5.254, p<0.001). There was a positive correlation between the QOL and resilience (r=0.608, p<0.01). However, depression (r=-0.502, p<0.01), anxiety (r=-0.425, p<0.01), somatization (r=-0.364, p<0.01), and insomnia (r=-0.385, p<0.01) showed negative correlations with the QOL. Resilience was the most important factor influencing the QOL.Conclusion The results of this study showed that low resilience adversely affected the QOL and the mental health of the healthcare workers, which consequently had a direct effect on the quality of medical care given to patients.
Abstract
Objective The aim of this study was to assess the psychosocial characteristics of the employees working at a university hospital and investigated the factors affecting their quality of life (QOL) under COVID-19.Methods This study enrolled 1,191 healthcare workers from a university hospital, including doctors, nurses, administrative officer and technicians. Besides demographic information, depression, anxiety, somatization, insomnia, resilience, and QOL were assessed.Results The nurses presented significantly higher scores for anxiety, depression and showed significantly higher insomnia scores and significantly lower resilience scores. The occupations showed significant differences in the QOL and sub-groups, including the overall quality of life and general health (F=4.774, p<0.001), psychological domain (F=6.230, p<0.001), and environment domain (F=5.254, p<0.001). There was a positive correlation between the QOL and resilience (r=0.608, p<0.01). However, depression (r=-0.502, p<0.01), anxiety (r=-0.425, p<0.01), somatization (r=-0.364, p<0.01), and insomnia (r=-0.385, p<0.01) showed negative correlations with the QOL. Resilience was the most important factor influencing the QOL.Conclusion The results of this study showed that low resilience adversely affected the QOL and the mental health of the healthcare workers, which consequently had a direct effect on the quality of medical care given to patients.
참고문헌 (50)
- Esakandari H, "A comprehensive review of COVID-19characteristics", Biol Proced Online, 22, pp.19~ (2020)
- Lu H, "Outbreak of pneumonia of unknown etiology in Wuhan, China: the mystery and the miracle", J Med Virol, 92, pp.401~402 (2020)
- Hui DS, "The continuing 2019-nCoV epidemic threat of novel coronaviruses to global health - The latest 2019 novel coronavirus outbreak in Wuhan, China", Int J Infect Dis, 91, pp.264~266 (2020)
- Burki TK, "Coronavirus in China", Lancet Respir Med, 8, pp.238~ (2020)
- Rubin GJ, "The psychological effects of quarantining a city", BMJ, 368, pp.m313~ (2020)
- Yuan J, "Monitoring transmissibility and mortality of COVID-19 in Europe", Int J Infect Dis, 95, pp.311~315 (2020)
- Parmet WE, "Covid-19- The law and limits of quarantine", N Engl J Med, 382, pp.e28~ (2020)
- Md Mahbub Hossain, "Mental health outcomes of quarantine and isolation for infection prevention: a systematic umbrella review of the global evidence", Epidemiology and Health, 42, pp.1~11 (2020), 한국역학회
- Brooks SK, "The psychological impact of quarantine and how to reduce it:rapid review of the evidence", Lancet, 395, pp.912~920 (2020)
- Robertson E, "The psychosocial effects of being quarantined following exposure to SARS: a qualitative study of Toronto health care workers", Can J Psychiatry, 49, pp.403~407 (2004)
- Barbisch D, "Is There a case for quarantine? Perspectives from SARS to ebola", Disaster Med Public Health Prep, 9, pp.547~553 (2015)
- Park JS, "Mental health of nurses working at a government-designated hospital during a MERS-CoV outbreak: a cross-sectional study", Arch Psychiatr Nurs, 32, pp.2~6 (2018)
- 정현석, "Mental health status of people isolated due to Middle East Respiratory Syndrome", Epidemiology and Health, 38, pp.1~7 (2016), 한국역학회[DOI]
- Lai J, "Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019", JAMA Network Open, 3, pp.e203976~ (2020)
- Lee AM, "Stress and psychological distress among SARS survivors 1 year after the outbreak", Can J Psychiatry, 52, pp.233~240 (2007)
- Lin CY, "The psychological effect of severe acute respiratory syndrome on emergency department staff", Emerg Med J, 24, pp.12~17 (2007)
- Zigmond AS, "The hospital anxiety and depression scale", Acta Psychiatr Scand, 67, pp.361~370 (1983)
- Oh SM, "A study on the standardization of the hospital anxiety and depression scale for Koreans: a comparison of normal, depressed and anxious groups", J Korean Neuropsychiatr Assoc, 38, pp.289~296 (1999)
- Kroenke K, "The PHQ-15: validity of a new measure for evaluating the severity of somatic symptoms", Psychosom Med, 64, pp.258~266 (2002)
- Han C, "Psychometric properties of the Patient Health Questionnaire-15 (PHQ-15) for measuring the somatic symptoms of psychiatric outpatients", Psychosomatics, 50, pp.580~585 (2009)
- Bastien CH, "Validation of the Insomnia Severity Index as an outcome measure for insomnia research", Sleep Med, 2, pp.297~307 (2001)
- 조용원, "Validation of a Korean Version of the Insomnia Severity Index", Journal of Clinical Neurology, 10(3), pp.210~215 (2014), 대한신경과학회[DOI]
- Connor KM, "Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC)", Depress Anxiety, 18, pp.76~82 (2003)
- 백현숙, "Reliability and Validity of the Korean Version of the Connor-Davidson Resilience Scale", PSYCHIATRY INVESTIGATION, 7(2), pp.109~115 (2010), 대한신경정신의학회
- The WHOQOL Group, "Development of the World Health Organization WHOQOL-BREF quality of life assessment", Psychol Med, 28, pp.551~558 (1998)
- Silva PAB, "Cut-offpoint for WHOQOL-bref as a measure of quality of life of older adults", Rev Saude Publica, 48, pp.390~397 (2014)
- Min SK, "Development of the Korean versions of WHO Quality of Life scale and WHOQOLBREF", Qual Life Res, 11, pp.593~600 (2002)
- 윤현숙, "대학병원 간호사의 직무 스트레스 및 사회심리적 요인과 정신건강과의 관련성", 예방의학회지, 40(5), pp.351~362 (2007), 대한예방의학회
- 이혜순, "간호사의 직무스트레스와 자아존중감이 정신건강에 미치는 영향", 한국콘텐츠학회 논문지, 13(3), pp.251~259 (2013), 한국콘텐츠학회[DOI]
- Phoenix BJ, "The current psychiatric mental health registered nurse workforce", J Am Psychiatr Nurses Assoc, 25, pp.38~48 (2019)
- Potter C, "To what extent do nurses and physicians working within the emergency department experience burnout: a review of the literature", Aust Emerg Nurs J, 9, pp.57~64 (2006)
- Wong TW, "The psychological impact of severe acute respiratory syndrome outbreak on healthcare workers in emergency departments and how they cope", Eur J Emerg Med, 12, pp.13~18 (2005)
- Lai J, "Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019", JAMA Netw Open, 3, pp.e203976~ (2020)
- Kisely S, "Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare workers: rapid review and meta-analysis", BMJ, 369, pp.m1642~ (2020)
- Awano N, "Anxiety, depression, and resilience of healthcare workers in Japan during the coronavirus disease 2019 outbreak", Intern Med, 59, pp.2693~2699 (2020)
- Zhang Y, "The psychological change process of frontline nurses caring for patients with COVID-19during its outbreak", Issues Ment Health Nurs, 41, pp.525~530 (2020)
- Hunt SM, "The problem of quality of life", Qual Life Res, 6, pp.205~212 (1997)
- Çelmeçe N, "The effect of stress, anxiety and burnout levels of healthcare professionals caring for COVID-19 patients on their quality of life", Front Psychol, 11, pp.597624~ (2020)
- Buselli R, "Professional quality of life and mental health outcomes among health care workers exposed to Sars-Cov-2 (Covid-19)", Int J Environ Res Public Health, 17, pp.6180~ (2020)
- Chan CL, "The Strength-Focused and Meaning-Oriented Approach to Resilience and Transformation (SMART): a bodymind-spirit approach to trauma management", Soc Work Health Care, 43, pp.9~36 (2006)
- Robertson HD, "Resilience of primary healthcare professionals: a systematic review", Br J Gen Pract, 66, pp.e423~e433 (2016)
- Howe A, "Towards an understanding of resilience and its relevance to medical training", Med Educ, 46, pp.349~356 (2012)
- Jackson D, "Personal resilience as a strategy for surviving and thriving in the face of workplace adversity: a literature review", J Adv Nurs, 60, pp.1~9 (2007)
- Callahan K, "Battling burnout: strategies for promoting physician wellness", Adv Pediatr, 65, pp.1~17 (2018)
- Lapa TA, "Burnout syndrome and wellbeing in anesthesiologists: the importance of emotion regulation strategies", Minerva Anestesiol, 83, pp.191~199 (2017)
- Mahmoud NN, "From burnout to well-being: a focus on resilience", Clin Colon Rectal Surg, 32, pp.415~423 (2019)
- Kumar S, "Burnout and doctors: prevalence, prevention and intervention", Healthcare (Basel), 4, pp.37~ (2016)
- Weight CJ, "Physical activity, quality of life, and burnout among physician trainees: the effect of a team-based, incentivized exercise program", Mayo Clin Proc, 88, pp.1435~1442 (2013)
- Chidiebere Okechukwu E, "The impact of COVID-19 pandemic on mental health of Nurses", Clin Ter, 171, pp.e399~e400 (2020)
