DOI QR코드

DOI QR Code

A comparative study of the psychological impacts of tasks related and unrelated to COVID-19 on nurses: a cross-sectional study

  • Kim, Hyun Ji (Department of Family Medicine, Daegu Catholic University School of Medicine) ;
  • Lee, Geon Ho (Department of Family Medicine, Daegu Catholic University School of Medicine)
  • Received : 2021.07.28
  • Accepted : 2021.09.29
  • Published : 2022.07.31

Abstract

Background: This study assessed the psychological impact of the outbreak of coronavirus disease 2019 (COVID-19) on university hospital nurses. It provides an assessment of mental health issues, including depression, anxiety, distress, and burnout of nurses dealing directly and indirectly with COVID-19. Methods: In a web-based, cross-sectional study, 111 nurses from Daegu Catholic University Hospital in Korea were enrolled from August 4 to August 9, 2020. Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, Impact of Event Scale-Revised, and Maslach Burnout Inventory were used to assess the psychological symptoms of depression, anxiety, psychological distress, and burnout among the study participants. Results: Of 111 nurses, 35 (31.5%), nine (8.1%), 26 (23.4%), and 49 (44.1%) experienced depression, anxiety, distress, and burnout, respectively. Nurses who performed COVID-19-related tasks were more likely to have moderate depression (related vs. unrelated, 52.0% vs. 25.6%; p=0.037). There were no differences in anxiety, distress, and burnout between nurses with and without COVID-19-related tasks. More than 50% of the participants showed receptive and positive attitudes toward caring for COVID-19 patients. Conclusion: Nurses who performed COVID-19-related tasks had a higher risk of depression. There were no significant differences in anxiety, distress, and burnout between the two groups. Since nurses who perform COVID-19-related tasks are more prone to psychological distress, continued psychiatric interventions are required for infectious disease outbreaks with a high mortality rate for healthcare workers who are emotionally vulnerable.

Keywords

References

  1. Li Q, Guan X, Wu P, Wang X, Zhou L, Tong Y, et al. Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. N Engl J Med 2020;382:1199-207. https://doi.org/10.1056/NEJMoa2001316
  2. World Health Organization (WHO). WHO director-General's opening remarks at the media briefing on COVID-19 [Internet]. Geneva: WHO; 2020 [cited 2021 Mar 18]. https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020.
  3. Xiong J, Lipsitz O, Nasri F, Lui LM, Gill H, Phan L, et al. Impact of COVID-19 pandemic on mental health in the general population: a systematic review. J Affect Disord 2020;277:55-64. https://doi.org/10.1016/j.jad.2020.08.001
  4. Salazar de Pablo G, Vaquerizo-Serrano J, Catalan A, Arango C, Moreno C, Ferre F, et al. Impact of coronavirus syndromes on physical and mental health of health care workers: systematic review and meta-analysis. J Affect Disord 2020;275:48-57. https://doi.org/10.1016/j.jad.2020.06.022
  5. Koh D, Lim MK, Chia SE. SARS: health care work can be hazardous to health. Occup Med (Lond) 2003;53:241-3. https://doi.org/10.1093/occmed/kqg090
  6. Moazzami B, Razavi-Khorasani N, Dooghaie Moghadam A, Farokhi E, Rezaei N. COVID-19 and telemedicine: Immediate action required for maintaining healthcare providers well-being. J Clin Virol 2020;126:104345. https://doi.org/10.1016/j.jcv.2020.104345
  7. Vieta E, Perez V, Arango C. Psychiatry in the aftermath of COVID-19. Rev Psiquiatr Salud Ment (Engl Ed) 2020;13:105-10. https://doi.org/10.1016/j.rpsm.2020.04.004
  8. Chew NW, Lee GK, Tan BY, Jing M, Goh Y, Ngiam NJ, et al. A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak. Brain Behav Immun 2020;88:559-65. https://doi.org/10.1016/j.bbi.2020.04.049
  9. World Health Organization. Global strategic directions for strengthening nursing and midwifery 2016-2020 [Internet]. Geneva: WHO; 2016 [cited 2021 Mar 18]. https://www.who.int/hrh/nursing_midwifery/global-strategic-midwifery2016-2020.pdf.
  10. Chong MY, Wang WC, Hsieh WC, Lee CY, Chiu NM, Yeh WC, et al. Psychological impact of severe acute respiratory syndrome on health workers in a tertiary hospital. Br J Psychiatry 2004;185:127-33. https://doi.org/10.1192/bjp.185.2.127
  11. Kim JS, Choi JS. Factors influencing emergency nurses' burnout during an outbreak of Middle East respiratory syndrome coronavirus in Korea. Asian Nurs Res (Korean Soc Nurs Sci) 2016;10:295-9. https://doi.org/10.1016/j.anr.2016.10.002
  12. Korean Society of Infectious Diseases, Korean Society of Pediatric Infectious Diseases, Korean Society of Epidemiology, Korean Society for Antimicrobial Therapy, Korean Society for Healthcare-associated Infection Control and Prevention, Korea Centers for Disease Control and Prevention. Report on the epidemiological features of coronavirus disease 2019 (COVID-19) outbreak in the Republic of Korea from January 19 to March 2, 2020. J Korean Med Sci 2020;35:e112. https://doi.org/10.3346/jkms.2020.35.e112
  13. Park SJ, Choi HR, Choi JH, Kim KW, Hong JP. Reliability and validity of the Korean version of the Patient Health Questionnaire-9 (PHQ-9). Anxiety Mood 2010;6:119-24.
  14. Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med 2001;16:606-13. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
  15. Spitzer RL, Kroenke K, Williams JB, Lowe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med 2006;166:1092-7. https://doi.org/10.1001/archinte.166.10.1092
  16. Plummer F, Manea L, Trepel D, McMillan D. Screening for anxiety disorders with the GAD-7 and GAD-2: a systematic review and diagnostic metaanalysis. Gen Hosp Psychiatry 2016;39:24-31. https://doi.org/10.1016/j.genhosppsych.2015.11.005
  17. Lee SH, Shin C, Kim H, Jeon SW, Yoon HK, Ko YH, et al. Validation of the Korean version of the Generalized Anxiety Disorder 7 self-rating scale. Asia Pac Psychiatry 2022;14:e12421.
  18. Weiss DS. The impact of event scale: revised. In: Wilson JP, Tang CS, editors. Cross-cultural assessment of psychological trauma and PTSD. New York: Springer; 2007. p. 219-38.
  19. Eun HJ, Kwon TW, Lee SM, Kim TH, Choi MR, Cho SJ. A study on reliability and validity of the Korean version of impact of event scale-revised. J Korean Neuropsychiatr Assoc 2005;44:303-10.
  20. Maslach C, Jackson SE. The measurement of experienced burnout. J Organ Behav 1981;2:99-113. https://doi.org/10.1002/job.4030020205
  21. Shin KH. The Maslach burnout inventory-general survey (MBI-GS): an application in South Korea. Korean J Ind Organ Psychol 2003;16:1-17.
  22. Schutte N, Toppinen S, Kalimo R, Schaufeli W. The factorial validity of the Maslach Burnout Inventory-General Survey (MBI-GS) across occupational groups and nations. J Occup Organ Psychol 2000;73:53-66. https://doi.org/10.1348/096317900166877
  23. Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. Brain Behav Immun 2020;88:901-7. https://doi.org/10.1016/j.bbi.2020.05.026
  24. Park C, Hwang JM, Jo S, Bae SJ, Sakong J. COVID-19 outbreak and its association with healthcare workers' emotional stress: a cross-sectional study. J Korean Med Sci 2020;35:e372. https://doi.org/10.3346/jkms.2020.35.e372
  25. Salari N, Hosseinian-Far A, Jalali R, Vaisi-Raygani A, Rasoulpoor S, Mohammadi M, et al. Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis. Global Health 2020;16:57. https://doi.org/10.1186/s12992-020-00589-w
  26. Shaukat N, Ali DM, Razzak J. Physical and mental health impacts of COVID-19 on healthcare workers: a scoping review. Int J Emerg Med 2020;13:40. https://doi.org/10.1186/s12245-020-00299-5
  27. Jo SH, Koo BH, Seo WS, Yun SH, Kim HG. The psychological impact of the coronavirus disease pandemic on hospital workers in Daegu, South Korea. Compr Psychiatry 2020;103:152213. https://doi.org/10.1016/j.comppsych.2020.152213
  28. Sareen J, Erickson J, Medved MI, Asmundson GJ, Enns MW, Stein M, et al. Risk factors for post-injury mental health problems. Depress Anxiety 2013;30:321-7. https://doi.org/10.1002/da.22077
  29. Korean Statistical Information Service (KOSIS). The update of COVID-19 in Korea [Internet]. Daejeon: KOSIS; 2021 [cited 2021 Apr 12]. https://kosis.kr/covid/covid_index.do.
  30. Chong MY, Wang WC, Hsieh WC, Lee CY, Chiu NM, Yeh WC, et al. Psychological impact of severe acute respiratory syndrome on health workers in a tertiary hospital. Br J Psychiatry 2004;185:127-33. https://doi.org/10.1192/bjp.185.2.127
  31. Zhang Y, Wei L, Li H, Pan Y, Wang J, Li Q, et al. The psychological change process of frontline nurses caring for patients with COVID-19 during its outbreak. Issues Ment Health Nurs 2020;41:525-30. https://doi.org/10.1080/01612840.2020.1752865