scholarly journals Predictors of Psychological Impact Among the Healthcare Workers Exposed to Covid-19 Cases in a Tertiary Hospital of Bangladesh

2022 ◽  
Vol 40 (1) ◽  
pp. 1-13
Author(s):  
SM Nurul Irfan ◽  
AHM Kazi Mostofa Kamal ◽  
Taufiqul Hasan Siddiquee ◽  
Mahbubur Rahman Bhuiyan ◽  
Sangita Mithun ◽  
...  

Background: The unprecedented global pandemic caused by SARS-CoV-2 creates considerable psychological problems among the health care workers (HCW). The present study aimed to determine the predictors of psychological impact (in terms of depression, anxiety and stress) among the HCWs exposed Covid-19 cases in Combined Military Hospital (CMH) Dhaka. Methods: This cross-sectional study was conducted at CMH Dhaka among purposively selected 390 HCWs. Data were collected through face-to-face interview using a pre-tested semi-structured questionnaire with validated and reliable tools. The study was conducted in the Combined Military Hospital Dhaka from 15 July 2020 to 30 September 2020. Results: Among the 390 respondents, 21.6%, 43.1% and 24.1% had depression, anxiety and stress symptoms, respectively. Being married (OR=0.391, 95% CI=0.160-0.953), graduate (OR=2.977; 95% CI=1.181-7.509) and attending 41-80 patients per day (OR=1.996; 95% CI=0.965-4.125) was significantly associated with depressive symptoms. In respect of anxiety, being graduate (OR=2.788, 95% CI=1.228 -6.333) and HSC qualified (OR=2.714, 95% CI=1.073-6.869), staying in family accommodation (OR=2.720, 95% CI=1.136 - 6.516), with nuclear family (OR=0.459, 95% CI=0.281-0.750), smoker (OR=1.827, 95% CI=0.987 - 3.384), doctor (OR=0.362, 95% CI=0.173- 0.758), having service length <20 years (OR=2.229, 95% CI=1.158 - 4.289), service in current place of posting for <20 months (OR=0.460, 95% CI=0.241-0.880), attended 41-80 patient daily (OR=1.720, 95% CI=0.933 - 3.169) and performing overtime duty (OR=2.568, 95% CI=1.609-4.099) were significantly associated with anxiety symptoms. Being graduate (OR=2.249, 95% CI=0.866-5.844), with nuclear family type (OR=0.423, 95% CI=0.249-0.721), having duty place at emergency (OR=2.135, 95% CI=0.902-5.053), being a nurse (OR=0.364, 95% CI=0.162-0.819), having service length <10 years (OR=2.570, 95% CI=1.207-5.472) and performing overtime duty (OR=2.214, 95% CI=1.3101-3.742) were significantly associated with stress symptoms. Conclusion: Psychological problems among the HCW found very common in our study which needs psychological crisis interventions to protect the mental health of HCWs. JOPSOM 2021; 40(1): 1-13

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Jeeja Hernole

Marriage is an important event in an individual’s life. The decision of choosing the right partner is partially based on the human survival instinct that psychologically orients with cost vs reward assessment strategy. Hence, to identify the factors that influence a woman when she selects the right alliance for marriage, a survey-based statistical analysis study was performed by n = 107 women who participated. In this study, it is observed that the current family type influences the women’s preference for partners’ family type post marriage. Age also plays an important role when women make considerations for post-marriage family type. Moreover, women evaluate and consider situations such as independence, family support as the cost/reward categories to make choices when it comes to family type post marriage. In addition to this, women highly prefer tier 1 over the tier 2 cities as well as the future husband having a job or business but the least preference is given to an individual with the farming occupation. Therefore a noticeable shift in the trend of cost vs. reward assessment in matrimonial selection is seen. Moreover, the inclination towards nuclear family type is increasing compared to a joint family which may have on the Indian socio-economic scenario.


2021 ◽  
Vol 11 (3) ◽  
pp. 617-624
Author(s):  
Ceyda Uzun Şahin ◽  
Ayşe Nur Serbest Baz

This study was conducted to identify the views and anxiety levels of university students regarding distance education during the Covid-19 pandemic. The population of this descriptive and cross-sectional study consisted of the students studying at seven health-related departments at two state universities in Turkey. The data were collected using a questionnaire developed by the researchers and the State Anxiety Inventory (SAI). The results revealed that 50.2% of the students were first-year students, 30% were studying at the first and emergency aid program, 79.3% had a medium-income level, 50.1% lived in a metropolitan area, and 83% had a nuclear family. 50.9% of the students were satisfied with the distance education system, 52.1% found the lessons given through the distance education method partially understandable, 46.7% found the lecturing styles partially plain and understandable, and 72.7% had exam anxiety. The SAI score of the students was found to be 59.0±5.30 (range 29–73), and 52.8% of them had a moderate anxiety level. While the level of anxiety in students varied significantly according to gender, department, and family income, no significant difference was found among the participants in terms of age, year of study, family type, place of residence, and the presence of chronic and psychological illnesses. The anxiety scores of those who were not satisfied with the distance education, who experienced exam anxiety, who understood the online lessons partially, and who attended the lessons were found to be significantly higher. The study demonstrated that university students experienced anxiety about distance education and exams during the Covid-19 pandemic.


2020 ◽  
Author(s):  
Salma S. Al Sharhan ◽  
Mohammed H. Al Bar ◽  
Abdulmalik S. AlSaied ◽  
Abdulaziz S. ALEnazi ◽  
Hussain J. Aljubran ◽  
...  

Abstract Background: As a consequence of the COVID-19 global pandemic, otolaryngology residents are at high risk due to the nature of the specialty and long work hours. Moreover, COVID-19 could have a severe impact on residents from different frontline specialties, particularly otolaryngology. To the best of our knowledge, this is the first nationwide survey providing insights into the impact of COVID-19 on otolaryngology residents.Methods: A cross-sectional questionnaire-based study was conducted among all otolaryngology training centers of Saudi Arabia to investigate the extent of the impact of COVID-19 on otolaryngology residents and the learning process.Results: A total of 152 residents were contacted to participate in the study, and 101 participants were included after successfully completing the questionnaire. The mean age of the participants was 28.12 years (S.D. = 1.89, max = 36, min = 25). There has been a significant impact on outpatient clinics, elective operations, consultations, and working hours. Also, we evaluated the impact on academic training activities, the frequency of training activities per week, and the psychological impact of the COVID-19 pandemic on otolaryngology residents as well.Conclusion: COVID-19 has had a serious impact on residents both physically and mentally; otolaryngology residents have been hit especially hard by this emergency pandemic period. Trainees suffered from excessive worries regarding clinical training, specifically academic concerns for different training levels. Further studies need to be done here in Saudi Arabia to evaluate this impact in greater detail and to protect the residents.


Author(s):  
Mónica Leira-Sanmartín ◽  
Agustín Madoz-Gúrpide ◽  
Enriqueta Ochoa-Mangado ◽  
Ángela Ibáñez

Introduction: We intend to objectify the psychological impact of the COVID-19 pandemic on the workers of a tertiary hospital. Methods: All the workers were invited to an online survey. In total, 657 workers were recruited, including 536 healthcare workers (HCWs) and 121 non-healthcare workers (nHCWs). General Health Questionnaire-12 items (GHQ-12) was used as a screening tool. Sociodemographic data, working environmental conditions, and health behaviors were also analyzed. Results: inadequate sleep, poor nutritional and social interaction habits, misuse of psychotropics, female gender, COVID-19 clinical diagnosis, and losing a relative by COVID-19 were variables associated with higher probability of GHQ-12 positive screening. Significant differences between “frontline workers” and the rest were not found, nor was higher the probability of psychological distress in healthcare workers compared to non-healthcare workers. After 3 months from the peak of the pandemic, 63.6% of participants screening positive in GHQ-12 reported remaining “the same or worse.” Limitations: Causal inferences cannot be established. Retrieval and selection biases must be considered as the survey was not conducted during the peak of the outbreak. Conclusions: psychological impact of COVID-19 has been broad, heavy, and persistent in our institution. Proper assessment and treatment must be offered to all hospital workers.


Author(s):  
Antarvedi Moshe ◽  
Kondepogu Ramesh Babu ◽  
Bathula Kalyan Rao

Attention deficit hyperactive disorder is previously known to be diagnosed in only childhood, recently many research has been done on ADHD, proving that ADHD can persist even in Adults. ADHD in adults is said to be one of the causes of suicide. The main aim of this Study is to identify the patients with intentional self-harm with their sociodemographic and clinical characteristics of the above patients and finally to determine the prevalence of Adult ADHD among high patients. It is a cross-sectional study of Patients who are above the age of 18 years, with intentional self-harm, who are willing to give consent for the Study, without any comorbid medical conditions and who came in contact with the outpatient department of psychiatry from other departments in a tertiary hospital between the timeline of 1 year (i.e. between 1st May 2015-30th April 2016). The subjects were recruited for Study, their sociodemographic details were collected, and SCID-I and SCID-II were applied along with Adult ADHD self-reporting scale. They were diagnosed according to DSM5 by two qualified Psychiatrist.Among the 112 patients who attended psychiatric OPD,45 of them were recruited for the Study with History of intentional self-harm, Mean age group of the Study was 28.27, and the study subjects were divided into two groups Intentional self Harm with ADHD and Intentional selfharm without ADHD, two groups were compared with each other, majority of them were between the Age group 21-30 yrs in both the groups(P=2.113), the preponderance of Female was seen in intentional self-harm without ADHD groups (p=4.544), subjects in this Study came from a semi-urban background, from both the groups (P=1.784), nuclear family (P=0.675) and middle socioeconomic status(6.585). The primary method used by subjects in both group (P=2.742)was multiple tablets with medium suicidal intent (p=1.044). When comparing both groups, no statistical significance could be found between them. This Study showed no statistically significant between Adult ADHD and Intentional Self Harm.


2021 ◽  
Vol 16 (2) ◽  
pp. 59-62
Author(s):  
Hosne Ara Yousuf ◽  
Md Ershad Ul Quadir

Introduction: Recurrent lower limb pain (growing pain) is the most common presenting problem of children referred to pediatric rheumatology clinics. The exact nature and aetiology still remains unclear despite the various hypotheses and theories presented in the international literature. Parents become apprehensive as physician are unsure regarding accurate diagnosis of unexplained limb pain. Objectives: To determine the risk factors of unexplained limb pain in growing children and measures taken for their management. Materials and Methods: This cross sectional study was conducted among 60 children of 3 to 12 years who presented with unexplained limb pains between July to December, 2012 in Paediatric OPD of Combined Military Hospital (CMH) Dhaka. Results: Mean age of the respondents was 7.4 years. Prevalence of growing pain was 75%, overweight 13.3% and obesity was 15.6%. The calf (37.3%) was the most common affected site for pain and in 68.3% and 31.7% cases pain occurred during night and evening respectively. Pain frequency was as follows: daily 8%; weekly 48%; monthly 31%; and every 3 months 13%. Growing Pain usually occur at slow growing period (80.4%) than rapid growing period (19.6%). The main therapeutic approach was massaging (84.4%) the painful limbs and to a lesser extent, the intake of oral anti-inflammatory agents (31.1%). All patients had laboratory tests within normal values. Conclusions: Growing pain (GP) is a frequent non-inflammatory syndrome that is relatively common in children and usually benign. It commonly affects the lower extremities of children. Precise history taking and physical examination makes clinical diagnosis easier. Patients’ and family eassurance is of utmost importance in management of GP. JAFMC Bangladesh. Vol 16, No 2 (December) 2020: 59-62


2016 ◽  
pp. 28-39
Author(s):  
Elsa Maria Vásquez-Trespalacios ◽  
◽  
Verónica Palacio-Jaramillo ◽  
Myrna Gómez-Parra ◽  
Lydis Romero-Arrieta ◽  
...  

Author(s):  
Ahmad H. Alwashmi ◽  
Abdulmajeed A. Alkhamees

Background: Burnout is an emerging critical issue facing specialists and trainees in all disciplines and not particularly studied among physiatry specialists and trainees in Saudi Arabia during the COVID-19 pandemic. Objective: To assess physiatrist burnout, depression, anxiety, and stress during the current COVID-19 pandemic crisis in Saudi Arabia. Design: Cross-sectional study. Setting: By distributing an electronic survey, the researcher assessed burnout using the Maslach Burnout Inventory (MBI) Human Services Survey (HSS) in the midst of the curfew that Saudi authorities imposed. Participants: One hundred one participating trainees, specialists, and consultants. Results: Of the 101 study participants, the majority (73.3%) were between the ages of 24 and 34 years old, with the rest distributed within the age group ranging from 35 to 65 years old. Junior residents represented 34.7%, senior residents 22.8%, physiatrist specialists 26.7%, and consultants 15.8%. The sample included 55.4% males and 44.6% females; 64.4% of the participants were married, 29.7% were still single, and 5.9% were divorced. Among the total group participating, 25.7% were handling COVID-19 patients. In the total participant sample, 80.2% reported experiencing burnout, 10.9% experienced stress, and 22.8% and 6.9% experienced anxiety and depression, respectively. Conclusion: Burnout in Saudi Arabia exists among more than two-thirds of practicing physiatrists in Physical Medicine & Rehabilitation (PM&R), and that did not appear to have a statistically significant influence on stress, anxiety, or depression (p > 0.05). The current COVID-19 global pandemic might escalate burnout and influence mental health outcomes. The healthcare authority and administration should take the lead in identifying the challenges, overcoming the obstacles, and optimizing clinician well-being, delivering up-to-date solutions, and promptly checking their effectiveness.


2018 ◽  
Vol 6 (1) ◽  
pp. 38-43
Author(s):  
Saraswati Dhungana ◽  
Saroj Prasad Ojha ◽  
Manisha Chapagain ◽  
Pratikchya Talachan ◽  
Sagun Ballav Pant ◽  
...  

Introduction: Alcohol dependence is a global problem worldwide and the global burden of disease study published in 2010 concluded alcohol use to be the third leading risk factor for death and disability. This study was conducted to find out the diagnostic profile, socio- cultural determinants, motivation level and other related variables in patients diagnosed as alcohol dependence in hospital admitted patients.Material and Method: This was a cross- sectional study carried out in patients diagnosed as alcohol dependence and admitted in the deaddiction ward of Tribhuvan University Teaching Hospital over a period of eight months. SPSS version 18 was used for the statistical analysis of the data obtained.Results: A total of 86 patients were admitted during the period of 8 months. Among those, 48% were admitted with the diagnosis of alcohol dependence- complicated withdrawal while remaining 52% were admitted with alcohol dependence- uncomplicated withdrawal. Assessment of motivation revealed that majority of the patients i.e.43% were in precontemplation phase, 27.9% were in the contemplation phase, 9.3% were in preparation phase, and 19.8% were ready to take action for remaining abstinent. Sociodemographic variables were not statistically significant except for family type where more than 70% of patients with complicated withdrawal belonged to nuclear family when compared to uncomplicated withdrawal.Conclusion: In this study, we assessed the overall profile of patients admitted with alcohol dependence syndrome in a tertiary care hospital so that this data can be used for better management of our patients.J Psychiatrists’ Association of Nepal Vol .6(1), 2017, p.38-43


Author(s):  
Saleem Yousuf ◽  
Tabasum Dilawar ◽  
Ifshana Iliyas

Background: In 2017, 197 million Indians were suffering from mental disorders, of whom 46 million had depression. In Kashmir, 41% have been identified as having probable depression. Depression is one of the most frequently diagnosed mental illness which is characterized by feelings of sadness, loss of energy, motivation, concentration, changes in appetite, changes in sleep, etc. Depression is known to impact work performance, their colleagues and potentially on the quality of care provided to patients. Nursing, a loyal profession, is considered as one of the most susceptible profession to depression. This study was conducted with the aim of finding the incidence of depression among Nurses.Methods: A descriptive, cross sectional study was conducted on 200 Nurses collected by using convenient sampling from different hospitals in Srinagar district of Kashmir Valley in order to assess the incidence of Depression among them. Depression was diagnosed by following Diagnostic and Statistical Manual-5 (DSM-5) criteria and assessment was done on the bases of age, gender, marital status, family type and residence.Results: Majority of the Nurses were found to be females (68%), above 30 years (64%), belonged to nuclear family (69%), married (71%) and residing in rural areas (64%). As for as incidence of depression is concerned, 134 (67%) Nurses were found to be having symptoms of depression.Conclusions: Most of the Nurses were diagnosed with depression that has a negative impact on the patient care. Thus, there is a dire need for screening of the Nurses and thus early detection of affected one's.


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