Abstract 15148: The Impact of the Covid-19 Pandemic on the Mental Distress of Health Care Providers Working in the Coronary Care Unit

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Sayaka Tamano ◽  
Yumi Tashiro ◽  
Shiho Moriyama ◽  
Megumi Takahashi ◽  
Takeshi Yamada ◽  
...  
Keyword(s):  
Social Support ◽  
Mental Distress ◽  
Coronary Care Unit ◽  
Physiological Stress ◽  
Healthcare Providers ◽  
Personal Satisfaction ◽  
Stress Reactions ◽  
Psychological Stressors ◽  
The Mean ◽  
Coronary Care

Introduction: Medical workers fighting current COVID-19 pandemic are considered facing a mental health crisis. However, there is a paucity of data regarding mental distress in those who caring non-COVIT patients. To assess the mental distress of health care provider working in a coronary care unit during the COVID-19 pandemic, we evaluated the changes in occupational stress before and during the pandemic based on Stress Check Program, which was conducted by Japanese government to screen for workers with high psychosocial stress in the workplace. Methods: Between January 2019 and March 2020, a total of 115 healthcare providers working in our hospital participated in the routine Stress Check Program. Of those, 30 participants working in the coronary care unit underwent a follow-up stress check between May and June 2020. The mean age of the participants was 36.3 ± 9.23 years, and 24 of them (80%) were women. We used the Brief Job Stress Questionnaire, which comprises four components with a total of 57 items: psychological stressors (17 items), psychological and physiological stress reactions (29 items), social support in the workplace (9 items), and personal satisfaction (2 items). Each item was rated on a 4-point scale ranging from 1 to 4. Scores were expressed as mean ± SD for analysis. The changes in scores from before to during the pandemic in terms of the four components and 57 items were analyzed. Results: The mean scores before and during the pandemic for 4 components; psychological stressors, psychological and physiological stress reaction, social support in the workplace, and personal satisfaction were 2.67 ± 0.93 vs. 2.76 ± 0.95 ( p = 0.14); 1.99 ± 0.94 vs. 2.23 ± 1.01 ( p < 0.001); 2.18 ± 0.89 vs. 2.18 ± 0.83 ( p = 0.92); and 2.05 ± 0.65 vs. 2.20 ± 0.78 ( p = 0.09), respectively. Conclusion: Significant worsening during the pandemic was observed for psychological and physiological reactions without no significant change in psychological stressors, social support in the workplace, or personal satisfaction. These results may indicate that the current COVID-19 pandemic was the sole factor contributing to the worsened stress reactions in healthcare providers.

scholarly journals Characteristics and outcomes in acute patients receiving mechanical ventilation in a Coronary Care Unit (CCU)

2021 ◽  
Vol 10 (Supplement_1) ◽  
Author(s):  
M Rivadeneira Ruiz ◽  
DF Arroyo Monino ◽  
T Seoane Garcia ◽  
MP Ruiz Garcia ◽  
JC Garcia Rubira
Keyword(s):  
Mechanical Ventilation ◽  
Cardiac Arrest ◽  
Hospital Mortality ◽  
Coronary Care Unit ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Funding Sources ◽  
Copd Patients ◽  
The Mean ◽  
Coronary Care

Abstract Funding Acknowledgements Type of funding sources: None. Objectives Mechanical ventilation is the short-term technical support most widely used and cardiac arrest its main indication in a Coronary Care Unit (CCU). However, the knowledge about the specific moment and ventilator mode of onset to avoid the acute lung injury is still equivocal. Our objective is to determine the survival rate and the prognostic factors in patients supported by mechanical ventilation. Methods We conducted a retrospective cohort study of adult patients admitted to the CCU between January 2018 and November 2020 that received mechanical ventilation during the hospital stay. Results We collected 94 patients, 28% females with a median age of 68 ± 11,9. 43% were diabetics and almost one quarter of them had some degree of chronic obstructive pulmonary disease (COPD). Ischemic cardiopathy (33%) and heart failure (31%) were frequent pathologies as well as renal injury (29% patients a filtration rate below 45 mL/min/1,73m2). The reason for initiating mechanical ventilation was cardiac arrest in the half of the patients. Volume-controlled ventilation (73%) was the initial setting mode in most cases. The support with vasoactive drugs were highly necessary in these patients (Infection rate of 48%). In the subgroup analysis, we realized that the number of reintubations and the necessity of non-invasive ventilation were higher in the COPD group (p = 0,01), as well as tracheostomy (p = 0,03). COPD patients also needed higher maintaining PEEP, though this was not statistically significant. The mean length of stay in the intensive care unit of our cohort was 11 days (range: 1-78 days; median: 8 days) and the mean length of mechanical ventilation 6 days (range: 1-64 days; median: 3 days). The in-hospital mortality was 41,4%. Conclusions Cardiac arrest is the most common reason of mechanical ventilation support. Our study showed that COPD patients presented more complications during the weaning and the period after extubation. In-hospital mortality remains high in intubated patients.

scholarly journals Mental Distress and Psychological Disorders Related to COVID-19 Mandatory Lockdown

2021 ◽  
Vol 9 ◽  
Author(s):  
Ameer Kakaje ◽  
Ammar Fadel ◽  
Leen Makki ◽  
Ayham Ghareeb ◽  
Ragheed Al Zohbi
Keyword(s):  
Social Support ◽  
Indirect Effects ◽  
Mental Distress ◽  
Self Report ◽  
Ptsd Symptoms ◽  
Severe Mental Disorder ◽  
Ability To Work ◽  
Smoking Patterns ◽  
The Mean ◽  
Reducing Stress

Background: Lockdown restrictions due to COVID-19 have affected many people's lifestyles and ability to earn a living. They add further distress to the lives of people in Syria, who have already endured 9 years of war. This study evaluates distress and the major causes of concerns related to COVID-19 during the full lockdown.Methods: Online questionnaires were distributed using SPTSS, K10, and MSPSS which were used with other demographic, war- and COVID-19-related questions that were taken from The (CRISIS) V0.1 Adult Self-Report Baseline Form.Results: Our sample included 5,588 with the mean age of 26.84 ± 7.815 years. Of those, only one case of COVID-19 was confirmed. Over 42.7% had two or more positive PTSD symptoms, 42.6% had moderate or severe mental disorder, but only 14.9% had low social support. Higher PTSD and K10 scores overall were seen in female participants and with most of war variables (P < 0.05). Relationships with the partner being negatively affected and distress from a decline in ability to work and provide food were the most prominent.Conclusions: The indirect effects of COVID-19 are far more than that of the pathogen itself. A reduced ability to earn and to provide food were the main concerns indicated in this study. Relationships deteriorated in participants with high K10 and PTSD scores who also had more symptoms and used more hypnotics in the last four weeks. Smoking patterns were not related to K10 and PTSD. Social support played a role in reducing stress, but when relationships were affected, lower support was observed.

scholarly journals Nursing workload in a coronary unit according to the Nursing Activities Score

2015 ◽  
Vol 36 (3) ◽  
pp. 28-35 ◽  
Author(s):  
Rejane Reich ◽  
Débora Feijó Villas Bôas Vieira ◽  
Luciana Bjorklund de Lima ◽  
Eneida Rejane Rabelo-Silva
Keyword(s):  
Longitudinal Study ◽  
Teaching Hospital ◽  
Coronary Care Unit ◽  
Nursing Workload ◽  
Southern Brazil ◽  
The Mean ◽  
Coronary Care ◽  
Nursing Professionals ◽  
Over Time

Objective: this study aimed to using the Nursing Activities Score to assess nursing workload in a coronary care unit, to assess the distribution of workload between shifts, and to compare the current staff of the care unit with that recommended by the instrument.Method: this was a longitudinal study, conducted in a teaching hospital in Southern Brazil, between April to June 2012.Results: A total of 604 NAS measures were obtained from the 61 patients included. The mean workload per shift was 47% (±12), with the greatest workload being reported in the afternoon shifts.Conclusion: according to the NAS, a mean of two and a maximum of 2.4 nursing professionals would be required per shift to meet all patient demands, suggesting that the current staff size in the CCU is adequate. The NAS was successful in assessing nursing workload and changes in patient demands over time.

scholarly journals Comparing Perceived Social Support and Perceived Stress in Healthy Pregnant Women and Pregnant Women with Preeclampsia

1970 ◽  
Vol 29 (3) ◽  
Author(s):  
Sarmasti N. ◽  
Ayoubi SH ◽  
Mahmoudi G ◽  
Heydarpour S.
Keyword(s):  
Social Support ◽  
Pregnant Women ◽  
Perceived Stress ◽  
Perceived Social Support ◽  
Healthcare Providers ◽  
Data Gathering ◽  
Public Hospitals ◽  
Stress Scale ◽  
The Mean ◽  
The Relationship

BACKGROUND: Preeclampsia is a prevalent side effect of pregnancy. Different studies have reported different results about the relationship between mental stress and blood pressure disorders. In addition, social support is highly important to help women who experience risky pregnancy in adapting to the stressors they experience. This study aimed to compare perceived social support and perceived stress in women with and without preeclampsia.METHODS AND MATERIALS: Fifty pregnant women definitely diagnosed with preeclampsia and 50 healthy pregnant women visiting public hospitals including Hazrat Masoumeh, Motazedi,and Imam Reza in Kermanshah-Iran took part in a descriptiveanalytical study from June 2017 to January 2018. Data gathering tools included demographics questionnaire, social support appraisals scale and perceived stress scale. The collected data was analyzed with SPSS (v.20) using independent t-test.RESULTS: The mean score of perceived social support in the preeclampsia and non-preeclampsia groups were 69.88±7.3 and 76.80±7.6 respectively (P<0.01). The mean score of perceived stress in the preeclampsia and non-preeclampsia groups were 35.6±8.7 and 26.01±5.56 respectively (P<0.01). This means that compared with healthy women, women with preeclampsia perceived more stress and less social support.CONCLUSION: In comparison with healthy pregnant women, women with preeclampsia perceived more stress and less social support. Healthcare providers should recommended to pay more attention to improving social support and attenuating stress inpregnant women.

scholarly journals HbA1c levels in patients of acute decompensated heart failure

2016 ◽  
Vol 7 (4) ◽  
pp. 55-58
Author(s):  
Ravi Shekhar ◽  
Biju Govind ◽  
NVS Chowdary ◽  
Sadhna Sharma ◽  
R John Satish ◽  
...  
Keyword(s):  
Heart Failure ◽  
Coronary Care Unit ◽  
Acute Decompensated Heart Failure ◽  
Decompensated Heart Failure ◽  
Medical Sciences ◽  
Increased Risk ◽  
Ethical Approval ◽  
The Mean ◽  
Coronary Care ◽  
Hba1c Levels

Background: Hospitalization for Heart Failure (HF) is increasing in India. Diabetes Mellitus (DM) is closely related to HF. Hb1Ac is an index of metabolic control of DM. Hb1Ac is associated with increased risk of Acute Decompensated Heart Failure (ADHF). The relation between Hb1Ac and ADHF is less well defined.Aims and Objectives: The aim of the study was to find out the prevalence of ADHF among patients admitted for cardiac complaints and to investigate Hb1Ac levels in confirmed patients.Materials and Methods: A hospital based study was conducted at NRI Heart Centre, NRI General Hospital, Guntur from May to July 2013 after institutional ethical approval. All patients of ADHF were included in the study. Patients were analysed for HbA1c.Results: Out of 1147 patients admitted in Coronary Care Unit, there were 101 cases of ADHF giving a prevalence of 8.8%. The mean age was found to be 54.69 years. 19.8% of the patients were of age less than 40. There were 74.3% males and 25.7% females. The mean HbA1c in non diabetic, pre-diabetic and diabetic was 5.32%, 6.0% and 8.45% respectively.Conclusion: Elevated HbA1c is associated with increased morbidity in the heart failure and efforts should be made to treat these patients with proven therapies to lower the blood glucose levels.Asian Journal of Medical Sciences Vol.7(4) 2016 55-58

scholarly journals Mental distress and psychological disorders related to COVID-19 mandatory quarantine

2020 ◽  
Author(s):  
Ameer Kakaje ◽  
Ammar Fadel ◽  
Leen Makki ◽  
Ayham Ghareeb ◽  
Ragheed Al Zohbi
Keyword(s):  
Social Support ◽  
Mental Distress ◽  
Self Report ◽  
Ptsd Symptoms ◽  
Ability To Work ◽  
War Stress ◽  
The People ◽  
Syrian Population ◽  
The Mean ◽  
Reducing Stress

Abstract Background:Restrictions that were enforced from COVID-19 have affected many people’s lifestyles and ability to earn. They caused a distress that even added to the war stress that the Syrian population has encountered for the last 9 years. This study aims to assess this distress and the major concerns of the people related to COVID-19.Methods:Online questionnaires were distributed using SPTSS, K10, and MSPSS were used with other demographic, war- and COVID-19-related questions that were taken from The (CRISIS) V0.1 Adult Self-Report Baseline Form.Results:Our sample included 5588 with the mean age of 26.84 ± 7.815 years. Of those, only one was a confirmed COVID-19 case. Over 42.7% had two or more positive PTSD symptoms, 42.6% had moderate or severe mental disorder, but only 14.9% had low social support. Higher PTSD and K10 scores overall were seen in females and with most of war variables (P<0.05). Relationship with partner were negatively affected in most and distress from the declined ability to work and provide food were the most prominent.Conclusions:The indirect effect of COVID-19 is far more than that of the pathogen itself. Reduced ability to earn and to provide food was the main concerns. Relationships deteriorated mainly in participants with high K10 and PTSD scores who also felt more symptoms and used more hypnotics in the last 4 weeks. Smoking changes were not related to K10 and PTSD. Social support played a role in reducing stress, but with the relationships being affected, lower support was seen.

Relationship of potassium and magnesium concentrations in serum to cardiac arrhythmias.

1984 ◽  
Vol 30 (5) ◽  
pp. 754-757 ◽  
Author(s):  
J C Boyd ◽  
D E Bruns ◽  
J P DiMarco ◽  
N K Sugg ◽  
M R Wills
Keyword(s):  
Myocardial Infarction ◽  
Cardiac Arrhythmias ◽  
Coronary Care Unit ◽  
Single Variable ◽  
Low Concentrations ◽  
The Mean ◽  
Coronary Care ◽  
Relationship Of ◽  
Predictive Relationship

Abstract Low concentrations of potassium and magnesium in serum have been implicated in cardiac arrhythmias; the importance of mild hypokalemia or hypomagnesemia is uncertain. To investigate possible associations among use of diuretics, the concentration of these ions in serum, and the onset of clinically important arrhythmias, we reviewed records of 103 patients admitted to our Coronary Care Unit during three months and found mild to moderate hypokalemia and hypo- magnesemia in 18 and 24%, respectively. The significant correlation between the concentrations of magnesium and potassium in serum at admission (r = 0.27, p less than 0.007) remained constant in patients, whether they were receiving diuretics or not. Potassium concentrations were significantly lower (p less than 0.05) in patients receiving diuretics (3.93 mmol/L) than in those who were not (4.21 mmol/L), but the mean concentrations of magnesium did not differ significantly. Except for myocardial infarction, no single variable or combination of variables was highly predictive of cardiac arrhythmias in these patients. We conclude that there is no strong predictive relationship between mildly decreased concentrations of magnesium or potassium in serum and onset of cardiac arrhythmias.

Relationship of Sense of Coherence to Other Psychosocial Indices

2004 ◽  
Vol 20 (4) ◽  
pp. 227-236 ◽  
Author(s):  
Sara Holmberg ◽  
Anders Thelin ◽  
Eva-Lena Stiernström
Keyword(s):  
Social Support ◽  
Psychosocial Factors ◽  
Sense Of Coherence ◽  
Living Conditions ◽  
Strong Negative Correlation ◽  
Cross Sectional ◽  
Positive Correlation ◽  
Work Related ◽  
Job Demand ◽  
The Mean

Summary: The concept of “sense of coherence” (SOC) has been widely recognized since it was first introduced by Antonovsky. The originality and usefulness of the SOC scale and its relation to other psychosocial measures has been the subject of lively debate. The aim of this paper was to test for associations between SOC and work-related psychosocial factors (mainly the Job Demand-Control model), general living conditions, education, and social network factors. Cross-sectional data from a population-based sample of 1782 rural males from nine counties in Sweden were analyzed with a multiple regression technique. The subjects were occupationally active at inclusion and the mean age was 50 years (range 40-60). SOC was assessed with the original 29-item questionnaire. Psychosocial variables and lifestyle factors were assessed using questionnaires and structured interviews. The mean SOC among the subjects was 152.3 (standard deviation, 19.4). A strong negative correlation was found between SOC and job demand, whereas a positive correlation with job control was demonstrated. A positive correlation with general living conditions and with social support was also found. However, there was no correlation to education and occupation. Thus, SOC was shown to be strongly correlated to work-related psychosocial factors and social support, but independent of sociodemographic factors.

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