Mental health complaints among healthcare workers engaged in the care of COVID-19 patients: A prospective cohort study from Japan

IF 1.8 Q2 MEDICINE, GENERAL & INTERNAL Journal of General and Family Medicine Pub Date : 2023-06-20 DOI:10.1002/jgf2.632

Hiroki Namikawa MD, PhD, Yoshihiro Tochino MD, PhD, Akiko Okada RA, Keiko Ota MS, Yasuyo Okada RN, Koichi Yamada MD, PhD, Tetsuya Watanabe MD, PhD, Yasumitsu Mizobata MD, PhD, Hiroshi Kakeya MD, PhD, Yumiko Kuwatsuru RN, Toshihiko Shibata MD, PhD, Taichi Shuto MD, PhD

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Abstract

Background

Healthcare workers (HCWs) caring for patients with coronavirus disease-2019 (COVID-19) can experience physical and mental health burdens. It is imperative that hospitals reduce such burdens on frontline HCWs, protect them, and support their healthcare. This study aimed to investigate the association between occupation and the manifestation of physical or psychological symptoms among HCWs during the current COVID-19 pandemic.

Methods

A twice-weekly survey using questionnaires targeting HCWs who care for COVID-19 patients was performed at Osaka Metropolitan University Hospital (tertiary hospital). The demographic characteristics of the participants, exposure level, and physical and psychological complaints were evaluated.

Results

Seventy-one HCWs participated in this study, of whom 27 (38.0%) were doctors, 25 (35.2%) were nurses, and 19 (26.8%) were technicians. Among the HCWs, the proportions of those who experienced any physical or psychological symptoms were 28.2% and 31.0%, respectively. The frequency of depression and anxiety was obviously higher among the nurses than that among the doctors (both p < 0.01). Multivariate analysis revealed that being a nurse (odds ratio 4.90; p = 0.04) and having physical complaints (odds ratio 4.66; p = 0.02) might be independent predictors of the manifestation of psychological symptoms.

Conclusion

Our results indicate that the follow-up of HCWs experiencing physical symptoms, especially nurses engaged in the care of COVID-19 patients, may require more careful management to improve the psychological outcomes. We believe that this study is the first step toward establishing a psychological health management strategy for HCWs caring for COVID-19 patients.

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参与COVID-19患者护理的医护人员的心理健康投诉:来自日本的一项前瞻性队列研究

护理冠状病毒病-2019 (COVID-19)患者的医护人员(HCWs)可能会经历身心健康负担。医院必须减轻一线医护人员的这种负担，保护他们，并支持他们的医疗保健。本研究旨在调查当前COVID-19大流行期间医护人员职业与身体或心理症状表现之间的关系。方法对大阪府大医院(三级医院)新冠肺炎患者医护人员进行每周2次的问卷调查。评估了参与者的人口统计学特征、暴露水平以及身体和心理抱怨。结果71名医护人员参与本研究，其中医生27名(38.0%)，护士25名(35.2%)，技术人员19名(26.8%)。在医护人员中，有任何身体或心理症状的比例分别为28.2%及31.0%。护士出现抑郁、焦虑的频率明显高于医生(p < 0.01)。多因素分析显示，作为一名护士(优势比4.90;P = 0.04)和有身体不适(优势比4.66;P = 0.02)可能是心理症状表现的独立预测因子。结论对出现身体症状的医护人员，特别是从事COVID-19患者护理的护士进行随访，可能需要更加精心的管理，以改善心理结局。我们认为，这项研究是为照顾COVID-19患者的医护人员建立心理健康管理策略的第一步。

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