Pandemic heroes or victims? Healthcare professionals’ well-being during Covid-19 pandemic
DOI:
https://doi.org/10.2478/cpp-2021-0012Keywords:
mental health, mental disorders, medical staff, Covid-19 pandemicAbstract
Introduction and aim: The SARS-CoV-2 pandemic had a significant impact on the mental condition of the society, increasing anxiety and fear for the future. High levels of anxiety, stress and depression have been observed in the general population. Nurses and doctors, who are in direct contact with patients and their body fluids, are at the highest risk of infection. The aim of this study was to look at the psychiatric health aspects of health care professionals in general during the pandemic.
State of knowledge: Work overload and stress-related symptoms make healthcare workers particularly vulnerable to mental distress, increasing the risk of developing mental disorders. Among them, women, students and nurses were most affected. A German study found that nurses working with COVID-19 patients in particular are mentally affected by the consequences of the pandemic. This may be due to the higher workload and the longer time spent in direct contact with COVID-19 patients compared to doctors. The available literature confirmed the construct of coronaphobia in health care workers. The issue of insufficient personalization of protective equipment and the associated feelings of fear and stigma as well as the need for psychological help are addressed and psychiatric services for healthcare professionals.
Material and methods: At the beginning of this year, 30 people from the clinical hospital in Lublin were surveyed using a questionnaire containing several questions concerning, among others, comfort of work in the current epidemiological situation, The Patient Health Questionnaire-9, The Generalized Anxiety Disorder-7 and Mini-COPE.
Conclusions: The work shows the mental health problems faced by health service representatives on a daily basis in connection with the pandemic that has been going on for many months. The features of depression-anxiety disorders affect the medical staff. The attitude of solidarity and cooperation of all members of society during the pandemic is important.
References
1. Li Z., Ge J., Yang M., Feng J., Qiao M., Jiang R. i wsp. Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control. Brain Behav. Immun. 2020; 88: 916-919.
2. Ornell F., Schuch JB., Sordi AO., Kessler FHP. “Pandemic fear” and COVID-19: mental health burden and strategies. Braz. J. Psychiatry. 2020; 43(3): 232-235.
3. World Health Organization. Zdrowie psychiczne i funkcjonowanie psychospołeczne podczas pandemii COVID-19, 18 marca 2020 [Mental health and psychosocial considerations during the COVID-19 outbreak, 18 March 2020] (No. WHO/2019-nCoV/MentalHealth/2020.1). World Health Organization. Regional Office for Europe.
4. Babicki M., Mastalerz-Migas A. Występowanie zaburzeń lękowych wśród Polaków w dobie pandemii COVID-19. Psychiatr. Pol. ONLINE FIRST 2020; 188: 1-13.
5. Wang C., Pan R., Wan X., Tan Y., Xu L., Ho CS i wsp. Immediate psychological responses and associated factors during the initial stage of the 2019 Coronavirus disease (COVID-19) epidemic among the general population in China. Int. J Environ. Res. 2020; 17: E1729.
6. Zhu Y., Chen L., Ji H., Xi M., Fang Y., Li Y. The risk and prevention of novel coronavirus pneumonia infections among inpatients in psychiatric hospitals. Neurosci. Bull. 2020; 36:299-302.
7. Teixeira CFDS, Soares CM, Souza EA, Lisboa ES, Pinto ICDM, Andrade LRD. i wsp. The health of healthcare professionals coping with the Covid-19 pandemic. Ciência & Saúde Coletiva, 2020; 25, 3465-3474.
8. Scalia LAM, de Almeida Neto OP, Alves PR. Mental health, spirituality and alternative practices for coping with health professionals in the face of the COVID-19 pandemic. IJIER 2020; 8, 08, 466-471.
9. Huang JZ, Han MF, Luo TD, Ren AK, Zhou XP. Mental health survey of 230 medical staff in a tertiary infectious disease hospital for COVID-19. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi 2020; 38:E001.
10. Ornell F., Halpern SC, Kessler FHP, Narvaez JCDM. The impact of the COVID-19 pandemic on the mental health of healthcare professionals. Cadernos de Saúde Pública, 2020; 36, e00063520.
11. Xiang YT, Yang Y., Li W., Zhang L., Zhang Q., Cheung T. i wsp. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry 2020; 7:228-9.
12. Malta M., Rimoin AW, Strathdee SA. The coronavirus 2019¬nCoV epidemic: is hindsight 20/20? EClinicalMedicine 2020; 20:100289.
13. Ramos-Toescher AM, Tomaschewisk-Barlem JG, Barlem ELD, Castanheira JS, Toescher RL. Mental health of nursing professionals during the COVID-19 pandemic: support resources. Escola Anna Nery, 2020; 24(SPE).
14. Paiano M., Jaques AE, Nacamura PAB, Salci MA, Radovanovic CT, Carreira L. Mental health of healthcare professionals in China during the new coronavirus pandemic: an integrative review. Revista Brasileira de Enfermagem, 2020; 73.
15. Lai J., Ma S., Wang Y. Factors associated with mental health outcomes among health care workers exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020; 3(3):e203976. https://doi.org/10.1001/jamanetworkopen.2020.3976
16. Sun N., Shi S., Jiao D. A Qualitative study on the psychological experience of caregivers of COVID-19 patients. Am J Infect Control. 2020 48(6):592-8. https://doi.org/10.1016/j.ajic.2020.03.018
17. Lai J., Ma S., Wang Y., Cai Z., Hu J., Wei N. i wsp. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Network Open. 2020; 3 (3): e203976.
18. Sandesh R., Shahid W., Dev K., Mandhan N., Shankar P., Shaikh i wsp. Impact of COVID-19 on the Mental Health of Healthcare Professionals in Pakistan. Cureus, 2020; 12(7), e8974. https://doi.org/10.7759/cureus.8974
19. Moreira WC, Sousa AR, Nóbrega MPSS. ADOECIMENTO MENTAL NA POPULAÇÃO GERAL E EM PROFISSIONAIS DE SAÚDE DURANTE A COVID-19: SCOPING REVIEW. Texto & Contexto-Enfermagem, 2020; 29, e20200215. Epub September 02, 2020. https://doi.org/10.1590/1980-265x-tce-2020-0215
20. Vieta E., Pérez V., Arango C. Psychiatry in the aftermath of COVID-19. 2020; 13,2, 105-110.
21. Arango C., Díaz-Caneja CM, McGorry PD, Rapoport J, Sommer IE, Vorstman JA. i wsp. Preventive strategies for mental health. Lancet Psychiatry. 2018; 5:591-604.
22. Greenberg N., Docherty M., Gnanapragasam S., Wessely S. Managing mental health challenges faced by healthcare workers during covid-19 pandemic. BMJ. 2020; 368:m1211
23. Zerbini G., Ebigbo A., Reicherts P., Kunz M., Messman H. Psychosocial burden of healthcare professionals in times of COVID-19–a survey conducted at the University Hospital Augsburg. GMS German Medical Science, 2020; 18.
24. Nanjundaswamy MH, Pathak H., Chaturvedi SK. Perceived stress and anxiety during COVID-19 among psychiatry trainees. Asian J. Psychiatr. 2020; 54, 102282. https://doi.org/10.1016/j.ajp.2020.102282
25. Shuja KH, Aqeel M., Jaffar A., Ahmed A. Covid-19 pandemic and impending global mental health implications. Psychiatr. Danub. 2020; 32 (1), 32–35. https://doi.org/ 10.24869/psyd.2020.32.
26. Petzold MB, Plag J., Ströhle A. Dealing with psychological distress by healthcare professionals during the COVID-19 pandemia. Der Nervenarzt 2020; 91 (5), 417–421. https://doi.org/10.1007/s00115-020-00905-0
27. Lázaro-Pérez C., Martínez-López JÁ, Gómez-Galán J., López-Meneses E. Anxiety about the risk of death of their patients in health professionals in Spain: Analysis at the peak of the COVID-19 pandemic. Int. J. Environ. Res. 2020; 17(16), 5938.
28. KILINÇEL Ş., ISSI ZT, KILINÇEL O., ASLAN EA, Rukiye AY, ERZİN G. i wsp. Effects of Coronavirus (COVID-19) Pandemic on Health Anxiety Levels of Healthcare Professionals. Journal of Contemporary Medicine. 10(3), 1-7.
29. Corruble E. A Viewpoint From Paris on the COVID-19 Pandemic: A Necessary Turn to Telepsychiatry. J Clin Psychiatry. 2020;81(3):20com13361. Published 2020 Mar 31. doi:10.4088/jcp.20com13361.
30. Mora-Magaña I., Lee SA, Maldonado-Castellanos I., Jiménez-Gutierrez C., Mendez-Venegas J., Maya-Del-Moral A. i wsp. Coronaphobia among healthcare professionals in Mexico: A psychometric analysis. Death Studies, 2020; 1-10.
31. Lee SA, Jobe MC, Mathis AA, Gibbons JA. Incremental validity of coronaphobia: Cor onavirus anxiety explains depression, generalized anxiety, and death anxiety. J. Anxiety Disord. 2020; 74, 102268. https://doi.org/10.1016/j.janxdis.2020.102268
32. Dai Y., Zhang B., Sun H., Li Z., Shen L., Liu Y. Prevalence and correlates of psychological symptoms in Chinese doctors as measured with the SCL-90-R: A meta-analysis. Research in Nursing and Health 2015; 38(5), 369-383. https://doi. org/10.1002/nur.21673
33. Noor Afroz M., Hassan SM, Bansari K., Siddiqui HF, Irfan S., Ali B. i wsp. Depression, Anxiety and Stress among Health Care Professionals on Duty in COVID-19 Wards. Preprints 2020; 2020100559 (doi: 10.20944/preprints202010.0559.v1).
34. Babore A., Lombardi L., Viceconti ML, Pignataro S., Marino V., Crudele M. i wsp. Psychological effects of the COVID-2019 pandemic: Perceived stress and coping strategies among healthcare professionals. Psychiatry res. 2020; 293, 113366.
35. Masiak J., Kuspit M., Surtel W., Jarosz MJ. Stress, coping styles and personality tendencies of medical students of urban and rural origin. AAEM, Annals of Agricultural and Environmental Medicine, 2014; 21(1).
36. Yin X., Zeng L. A study on the psychological needs of nurses caring for patients with coronavirus disease 2019 from the perspective of the existence, relatedness, and growth theory. Int. J. Nurs. Sci. 2020. https://doi.org/10.1016/j.ijnss.2020.04.002
37. Tan TW, Chang CM, Chang MN. Intra-hospital preventive principles to protect frontline healthcare workers to overcome pandemic COVID-19 in Taiwan. Crit. Care. 2020; 24, 328. https://doi.org/10.1186/s13054-020-02983-7
38. Pennella AR, Ragonese A. Health professionals and COVID-19 pandemic: Heroes in a new war. J. Health Soc. Sci. 2020; 5(2), 169-176.
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