scholarly journals Psychological impact of COVID-19 pandemic on frontline health care workers in Bangladesh: A cross-sectional study

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S232-S233
Author(s):  
Suman Ahmed ◽  
Mohammad Shamsul Ahsan ◽  
Rubaiya Khan ◽  
Mahbubul Hasan ◽  
Fahmida Ferdous ◽  
...  

AimsFrontline health care workers exposed to COVID-19 patients could be at increased risk of developing psychological issues. The study aimed to estimate the prevalence of mental health-related problems, specifically depression, anxiety, post-traumatic stress disorder (PTSD), and insomnia among health care professionals during the COVID-19 pandemic in Bangladesh and to compare these between medical and allied health care professionals.MethodThis cross-sectional survey was conducted using Google Form then subsequent telephone interview between June and August 2020. Using random sampling, a total of 479 health care professionals participated in the study. We collected data on demographics. Anxiety and depression were measured using 4 items Patient Health Questionnaire-4 (PHQ-4), PTSD was measured using 4 items Primary Care (PC)-PTSD-Screen, and insomnia was measured by using a 7-item Insomnia Severity Index (ISI). A multivariable logistic regression analysis was performed to assess risk factors associated with mental health symptoms.ResultOverall, 17.6% of frontline health workers had symptoms of anxiety, 15.5% had depression symptoms, 7.6% had PTSD symptoms and 5.9% had symptoms of insomnia. Compared to allied health professionals (n = 113, 24%), doctors (n = 366, 76%) had significantly higher prevalence of anxiety: 21.1% vs 06%, (OR = 4.19; 95% CI = 1.88–9.35; p-value <0.001); depression: 18% vs 6.8%, (OR = 2.99; 95% CI = 1.40–6.42; p-value 0.005); PTSD: 9.4% vs 1.7%, (OR = 5.96; 95% CI = 1.41–25.11; p-value 0.015) and insomnia: 7.4% vs 0.9%, (OR = 9.22; 95% CI = 1.24–68.4; p-value 0.03). Logistic regression analysis showed that pre-existing medical illness has significantly more risks of developing symptoms of anxiety (adjusted OR = 2.85; 95% CI = 1.71–4.76; p-value <0.001) and depression (OR = 2.29; 95% CI = 1.39–3.77; p-value 0.001). Having a postgraduate degree (adjusted OR = 6.13; 95% CI = 1.28–29.28; p-value 0.023) and working in secondary care setting (adjusted OR = 3.08; 95% CI = 1.18–8.02; p value 0.021) have significant predictors of developing anxiety symptoms among health workers. Those who had worked more than 6 weeks in COVID-19 dedicated hospitals had risk of developing symptoms of PSTD (OR = 2.83; 95% CI = 1.35–5.93; p value 0.006) and insomnia (OR = 2.63; 95% CI = 1.15–6.02; p value 0.022).ConclusionOur study demonstrated a high prevalence of symptoms of depression, anxiety, PTSD, and insomnia among Bangladeshi frontline health workers (particularly among doctors) during the COVID-19 pandemic. There is an urgent need to address the mental health needs of frontline health workers.Funding: Medical Research Council, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh.

Author(s):  
Ragda M. BaderAldeen ◽  
Salah I. Kheder

Objective This study conducted to assess health care practitioners’ knowledge and perceptions of hand hygiene among health professional working in clinical settings in Khartoum State - Sudan. with the specific objective of determining the association between their stance on hand hygiene and the general demographic characteristics of these health-care professionals. Methodology This is a cross-sectional study conducted between July and November 2017 using a modified form of WHO questionnaire for knowledge and perception that was included 22 items was sent online to health care workers via social media. The data obtained entered and analyzed by SPSS version 24. Chi-square and test of independence were used as a test of significance. A p-value of < 0.05 was considered statistically significant for all purposes. Result 437 hospital staff were responded to the questionnaire. (99.3%) was found to have good knowledge. 197(45.2%) had good perception and 239(54.8%) had fair perception. Formal hand hygiene training was found to have no association with knowledge levels of hand hygiene, but the fair perception was higher in the respondents who didn’t receive formal training. Conclusion The present study highlights the hand hygiene knowledge and perception. Most health care workers were found to have good knowledge, and the majority was found to have a fair perception. Formal hand hygiene training courses were found to have no association with knowledge but it may be reflected in practice. The importance of training sessions regarding hand hygiene was noticed in the perception level.


2021 ◽  
Vol 11 (4) ◽  
pp. 83-92
Author(s):  
Sushila Baral ◽  
Pawan Pandeya ◽  
Kalyan Sapkota

Background: COVID-19, an emerging contagious disease had affected all over the world and become a global health threat. Lockdown and restriction had made the life of the health care workers troublesome and psychosocial problems are exaggerated. Moreover, health care workers are the frontline workers to deal with the COVID-19 patients; they are at high risk. Due to social stigma and hectic schedule of work had made their life more stressful. The study aimed to assess anxiety and depression and its associated factors among COVID-19 positive frontline health care workers during COVID-19 pandemic. Methods: A web-based cross-sectional study was conducted among 323 COVID-19 positive health care workers working in different provinces of Nepal. The Google form was made by adopting GAD-7 for anxiety and PHQ-9 for depression and made available to study population through various social media. Results: The prevalence of anxiety and depression among the COVID-19 positive frontline health care worker was 39% and 35.5% respectively. The study showed significant association between staying with friend during pandemic (p 0.015), daily meditation (p 0.020), duty in isolation ward (p 0.027), unaware of incentives provision (p 0.034), stigma (p <0.001) with anxiety and education status (p 0.023), fear of dying from COVID-19 (p 0.045) and stigma (p 0.05) with depression in multiple logistic regression analysis. Conclusions: In the pandemic, COVID-19 positive frontline health workers had developed anxiety and depression symptoms. Training and sufficient preventive practice need to be implemented to control consequences of COVID 19 pandemic. Key words: Anxiety; Coronavirus; Depression; Frontline health workers, Nepal


2021 ◽  
Vol 4 (2) ◽  
pp. 9-14
Author(s):  
Rahmania Ambarika

To create patient satisfaction, the hospital must create and manage a system to obtain more patients and the ability to retain patients. The process of patient care and care is dynamic and involves many Caregiver Professionals (PPA) and involves various service units. There are many problems regarding the lack of satisfaction from health care workers, one of which is service quality of health workers with satisfaction of outpatients at Kartini Hospital, Mojokerto. This study used a quantitative analytic design with a cross sectional approach. The population was all unhospitalited patients who had received services the internal medicine poly at Kartini Hospital, Mojokerto with a total of 156 respondents. The sample used Simple Random Sampling totaling 112 respondents. Independent variables is service quality. The dependent variable is satisfaction. Data analysis using Chi square. . Based on the results of the Test analysis, it shows that the variable that most influences patient satisfaction is the variable service quality with a p-value of 0.008 <0.05, so H0 is rejected and H1 is accepted, so it can be concluded that there is a significant relationship between the quality of health care workers and satisfaction.Understanding the needs and desires of patients is an important factor that affects patient satisfaction. Satisfied patients are a very valuable asset because if patients are satisfied they will continue to use the service of their choice, but if patients are not satisfied they will tell twice as much to others about their bad experience. To create patient satisfaction, hospitals must create and manage a system to obtain more patients and the ability to retain patients by improving the quality of service.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yuchen Ying ◽  
Liemin Ruan ◽  
Fanqian Kong ◽  
Binbin Zhu ◽  
Yunxin Ji ◽  
...  

An amendment to this paper has been published and can be accessed via the original article.


Author(s):  
Sushma I. ◽  
Nivin Simon ◽  
A. J. S. Pravin ◽  
M. K. Padmaprasad ◽  
M. Vijayabharathi ◽  
...  

<p class="abstract"><strong>Background: </strong>Mask induced dermatitis is common among health care workers now because of the obligatory use of facemask for a longer period during COVID-19, the clinical features vary. Very few studies could be conducted due to the COVID induced constraints. Studies regarding reactions to face masks in health workers published to date are limited and hence we decided to do this study. The objective of this study was to find out the clinical presentations of mask induced dermatitis due to long term use of facemask on healthcare workers during COVID-19 pandemic.</p><p class="abstract"><strong>Methods:</strong> A cross sectional study was conducted among 40 healthcare workers attend our OPD with face mask for 6 months. After getting informed written consent clinical evaluation was made by history and dermatologic examination.<strong></strong></p><p class="abstract"><strong>Results:</strong> Total 40 health care professionals between the age group of 21-50 years (17 females and 23 males) came to our OPD with complaints of itching and dryness with signs of erythema, scaling, papules for 6 months duration. Out of them, 15 (37.5%) patients had exacerbation of pre-existing dermatoses like atopic dermatitis, seborrheic dermatitis, chronic urticaria, acne. 10 patients (25%) had irritant contact dermatitis 7 patients (17.5%) had sweat-induced dermatitis, 4 patients (10%) had dermatitis due to sponge strip at the nasal bridge, 4 patients (10%) had dermatitis due to vehement use of ear loop involving retroauricular region.</p><p class="abstract"><strong>Conclusions:</strong> This study showed that wearing face masks results in the development and aggravation of other skin diseases due to various causes. Itch can induce scratching and thus lead to inappropriate use of face masks, which could compromise their function.</p>


Author(s):  
Sonja Weilenmann ◽  
Jutta Ernst ◽  
Heidi Petry ◽  
Monique C. Pfaltz ◽  
Onur Sazpinar ◽  
...  

AbstractBackgroundThe current SARS-CoV-2 pandemic poses various challenges for health care workers (HCWs), which may impair their mental health. First evidence from China suggests that HCWs are at risk for anxiety and depression. However, generalizability to western countries is limited. The current study aimed at exploring HCWs’ mental health during the SARS-CoV-2 pandemic in Switzerland. In addition, we conducted a network analysis to investigate the independent effect of risk and protective factors on HCWs’ mental health and their interplay.MethodsIn an exploratory, cross-sectional, nation-wide online survey, we assessed demographics, work characteristics, COVID-19 exposure, and anxiety, depression, and burnout in 857 physicians and 553 nurses during the pandemic in Switzerland. At the time of data collection, Switzerland had among the highest per capita rate of COVID-19 cases in the world.ResultsOverall symptom levels of anxiety, depression, and burnout were elevated. Women, nurses, frontline staff and HCWs exposed to COVID-19 patients reported more symptoms than their peers. However, these effects were all small and, in the network analysis, most of them did not remain significant after controlling for the other factors. Whereas COVID-19 exposure was only partially associated with mental health, perceived support by the employer independently predicted anxiety and burnout.ConclusionsOur finding that HCWs had elevated levels of anxiety, depression, and burnout underscores the importance to systematically monitor HCWs’ mental health during this ongoing pandemic. Because perceived support and mental health impairments were negatively related, we encourage the implementation of supportive measures for HCWs’ well-being during this crisis.


Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 535
Author(s):  
Mariangela Valentina Puci ◽  
Guido Nosari ◽  
Federica Loi ◽  
Giulia Virginia Puci ◽  
Cristina Montomoli ◽  
...  

The ongoing pandemic scenario, due to the coronavirus disease 2019 (COVID-19), has had a considerable impact on public health all over the world. Italy was one of the most affected countries, as the first European full-blown outbreak occurred there. The exposure of the Italian health care workers to COVID-19 may be an important risk factor for psychological distress. The aim of this cross-sectional study was to describe worries and risk perception of being infected among Italian Health Care Workers (HCWs) during the first wave of the pandemic. In total, 2078 HCWs participated in a web survey (78.8% were females). The highest percentage of respondents were physicians (40.75%) and nurses (32.15%), followed by medical (18.00%), health care support (4.50%) and administrative (4.60%) staff. In a score range between 0 (not worried) and 4 (very worried), our results showed that participants declared that they were worried about the Coronavirus infection with a median score of 3 (IQR 2-3) and for 59.19% the risk perception of being infected was very high. In addition, HCWs reported they suffered from sleep disturbances (63.43%). From the analysis of the psychological aspect, a possible divergence emerged between the perceived need for psychological support (83.85%) and the relative lack of this service among health care providers emerged (9.38%). Our findings highlight the importance of psychological and psychiatric support services not only during the COVID-19 pandemic, but also in other emerging infectious diseases (EIDs) scenarios. These services may be useful for health authorities and policymakers to ensure the psychological well-being of health care professionals and to promote precautionary behaviors among them.


2020 ◽  
Vol 51 ◽  
pp. 102111 ◽  
Author(s):  
Wenpeng Cai ◽  
Bin Lian ◽  
Xiangrui Song ◽  
Tianya Hou ◽  
Guanghui Deng ◽  
...  

2021 ◽  
Vol 13 (11) ◽  
pp. 35
Author(s):  
Omar Audah Albeladi ◽  
Sami saeed Almudaraa ◽  
Asma Awwad Alqusibri ◽  
Nader Moneer Alqerafi ◽  
Yazeed Saeed Alsenani ◽  
...  

BACKGROUND: Needle stick injuries are a dangerous occupational hazard that threatens health care workers with serious consequences in many cases. Because of inadequate reporting of these incidents, the true magnitude of the problem is unknown. The study&rsquo;s aim was to investigate the epidemiology of needle stick injuries (NSIs) among health care workers in Al Madinah Al Munawara, Saudi Arabia. METHODS: A representative sample of health care workers (n=268) were randomly selected from emergency departments of three general hospitals in Al Madinah Al Munawara for a cross-sectional study, and 219 responded to a predesigned questionnaire reflecting exposure to NSI, reporting, post-exposure reactions, and knowledge about NSIs. RESULTS: Almost one third of the participating medical professionals 70 (32%) had been exposed to stick injury during work. One half of the needles (52.9%) were blood stained. Nurses are significantly more likely to have stick injury (38.6%) followed by physicians (30.4%) if compared to laboratory technicians (13.9%) at the p-value of less than 0.05. The main purposes during injuries were drawing blood sample 33 (47.1%), injection 31 (44.3%) and suturing 23 (32.9%). Almost all injured personnel (97.1%) cleaned the injury site immediately and thoroughly. Out of the injured personnel, 50 (71.4%) reported the incident to authorities. A significantly higher proportion of physicians (91.3%) achieved above average score if compared to both lab technicians (72.2%) and nurses (76.3%) at the p-value of less than 0.05. CONCLUSION: Occupational needle stick injuries are fairly common among health care workers at Al Madinah Al Munawara&rsquo;s governmental hospitals. In hospitals, deliberate efforts should be made to ensure adherence to safety guidelines governing needle stick injuries.


Sign in / Sign up

Export Citation Format

Share Document