Hostname: page-component-6b989bf9dc-lb7rp Total loading time: 0 Render date: 2024-04-13T07:44:55.068Z Has data issue: false hasContentIssue false

Psychological Impact and Workload of COVID-19 on Healthcare Workers in China During the Early Time of the Pandemic: A Cross-sectional Study

Published online by Cambridge University Press:  20 May 2022

Jing Zhong
Affiliation:
Department of Anesthesiology, Zhongshan Hospital Fudan University, Shanghai, China Fudan Zhangjiang Institute, Shanghai, China
Zhe Luo
Affiliation:
Department of ICU, Zhongshan Hospital Fudan University, Shanghai, China
Xingfeng Sun
Affiliation:
Department of Anesthesiology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China
Xining Zhao
Affiliation:
Department of Anesthesiology, Zhongshan Hospital Fudan University, Shanghai, China
Chao Liang
Affiliation:
Department of Anesthesiology, Zhongshan Hospital Fudan University, Shanghai, China
Peng Liang
Affiliation:
Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China
Feng Ge
Affiliation:
Department of Anesthesiology, Zhongshan Hospital Fudan University, Shanghai, China
Kaihuan Yu
Affiliation:
Department of Hepatobiliary Surgery, Remin Hospital of Wuhan University, Wuhan, China
Changhong Miao*
Affiliation:
Department of Anesthesiology, Zhongshan Hospital Fudan University, Shanghai, China
*
Corresponding author: Changhong Miao, Email: ziteng1934@aliyun.com

Abstract

Objective:

This study aimed to investigate the organization, workload, and psychological impact of COVID-19 on healthcare workers from the domestic Medical Aid Teams (MATs) sent to Wuhan in China.

Methods:

Leaders and members of MATs involved in the care for COVID-19 patients were invited to participate in a study by completing 2 separate self-report questionnaires from April 1 to 24, 2020.

Results:

A total of 9 MAT leaders were involved and 464 valid questionnaires were collected from 140 doctors and 324 nurses. Mean age of the doctors and nurses were 39.34 ± 6.70 (26∼58 years old) and 31.88 ± 5.29 (21∼52 years old), with 72 (15.5%) being males. Nurses were identified as an independent risk factor (HR 1.898; P = 0.001) for a day working time in the multivariate analysis. The proportions of psychological consulting received among nurses were higher than those among doctors (49.7 vs 30.0%, P < 0.001). More than 50% of the anesthetists and emergency doctors who have received psychological consulting thought that it was effective according to self-evaluation.

Conclusions:

This study focused on healthcare workers’ situation during the early period of the pandemic. Nurses worked longer than doctors. The effectiveness of psychological consulting depends on the physicians’ specialties and the working conditions of the nurses and psychological consulting targeting different specialties need to be improved.

Type
Original Research
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc.

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Huang, C, Wang, Y, Li, X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet (London, England). 2020;395:497-506.CrossRefGoogle ScholarPubMed
Li, Q, Guan, X, Wu, P, et al. Early transmission dynamics in Wuhan, China, of Novel Coronavirus-Infected Pneumonia. NEJM. 2020;382:1199-207.CrossRefGoogle ScholarPubMed
Zou, L, Ruan, F, Huang, M, et al. SARS-CoV-2 viral load in upper respiratory specimens of infected patients. NEJM. 2020;382:1177-9.CrossRefGoogle ScholarPubMed
Zhang, HF, Bo, L, Lin, Y, et al. Response of Chinese anesthesiologists to the COVID-19 outbreak. Anesthesiology. 2020;132(6):1333-1338. doi: 10.1097/ALN.0000000000003300 CrossRefGoogle Scholar
Lai, J, Ma, S, Wang, Y, et al. Factors associated with mental health outcomes among healthcare workers exposed to Coronavirus disease 2019. JAMA Network Open. 2020; 3:e203976.CrossRefGoogle ScholarPubMed
Odriozola-González, P, Planchuelo-Gómez, Á, Irurtia, MJ, de Luis-García, R. Psychological effects of the COVID-19 outbreak and lockdown among students and workers of a Spanish university. Psychiatry Res. 2020;290:113108.CrossRefGoogle ScholarPubMed
Kang, L, Ma, S, Chen, M, et al. Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: a cross-sectional study. Brain Behav Immun. 2020;87:11-7.CrossRefGoogle ScholarPubMed
Şahin, MK, Aker, S, Şahin, G, Karabekiroğlu, A. Prevalence of depression, anxiety, distress and insomnia, and related factors in healthcare workers during COVID-19 pandemic in Turkey. J Community Health. 2020;45:1168-77.CrossRefGoogle ScholarPubMed
Alshekaili, M, Hassan, W, Al Said, N, et al. Factors associated with mental health outcomes across healthcare settings in Oman during COVID-19: frontline versus non-frontline healthcare workers. BMJ Open. 2020;10:e042030.CrossRefGoogle ScholarPubMed
Chauvin, J, Shukla, M, Rice, J, Rispel, L. A survey of the governance capacity of national public health associations to enhance population health. BMC Public Health. 2016;16:251.CrossRefGoogle ScholarPubMed
Jones, DA, DeVita, MA, Bellomo, R. Rapid-response teams. NEJM. 2011;365:139-46.CrossRefGoogle ScholarPubMed
Guan, WJ, Ni, ZY, Hu, Y, et al. Clinical characteristics of Coronavirus disease 2019 in China. NEJM. 2020;58(4): 711-712.Google Scholar
Yang, X, Yu, Y, Xu, J, et al. Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study [published correction appears in Lancet Respir Med. 2020 Apr;8(4):e26]. Lancet Respir Med. 2020;8(5):475-481. doi: 10.1016/S2213-2600(20)30079-5 CrossRefGoogle Scholar
Pierson, JF, Kirchoff, MC, Orsega, SM, et al. Collaboration of the NIH and PHS commissioned corps in the International Ebola Clinical Research Response. Fed Pract. 2017;34(8):18-25.Google ScholarPubMed
Iskander, J, McLanahan, E, Thomas, JD, Henry, JB, Byrne, D, Williams, H. Public health emergency response lessons learned by Rapid Deployment Force 3, 2006-2016. Am J Pub Health. 2018;108:S179-s82.CrossRefGoogle ScholarPubMed
Wang, G, Guan, JL, Zhu, XQ, et al. Infection, screening, and psychological stress of health-care workers with COVID-19 in a nonfrontline clinical department. Disaster Med Public Health Prep. 2020:1-7.Google Scholar
Teo, YH, Xu, JTK, Ho, C, et al. Factors associated with self-reported burnout level in allied healthcare professionals in a tertiary hospital in Singapore. PloS One. 2021;16:e0244338.CrossRefGoogle Scholar
Li, L, Mao, M, Wang, S, et al. Post-traumatic growth in Chinese nurses and general public during the COVID-19 outbreak. Psychol Health Med. 2021:1-11.Google ScholarPubMed