ABSTRACT
Objectives: The present study compared the prevalence and psychosocial factors affecting posttraumatic growth (PTG), posttraumatic stress disorder (PTSD), and psychological distress in nurses, physicians, and medical students. Materials and Methods: In a cross‑sectional study, three groups of medical staff including nurses (n = 57), physicians (n = 40), and medical students (n = 34) who were responsible for the care/treatment of COVID‑19 patients admitted to a general hospital for 4 months responded to Posttraumatic Growth Inventory, Brief Symptom Inventory‑18, Resilience Questionnaire, PTSD Screen, and Social Capital‑Integrated Questionnaire. Results: After the exposure of medical staff to at least 4 months of treatment/care of COVID‑19 patients, PTG prevalence was higher than PTSD (38.2% vs. 14.6%), but they experienced some degrees of psychological distress (65.5%). The nurses had 8.33 (confidence interval [CI]: 2.5–26.7) times higher PTG rate than medical students (P < 0.001). Physicists also experienced 5.00 (CI: 1.4–26.7) times higher PTG than medical students (P < 0.001). PTG was aided by age, married status, strong resilience, and high social capital, but gender had no influence. Resilience played an important protective role to prevent the incidence of psychological distress in nurses, medical students, and physicians. Conclusion: Despite the fact that the PTSD and psychological distress were same in the three groups of medical staff, the nurses had a greater rate of PTG than physicians and medical students. © 2023 Journal of Integrative Nursing ;Published by Wolters Kluwer ‑ Medknow.
ABSTRACT
Background: Information on the coronavirus infection 2019 (COVID-19) which can clinically range from asymptomatic infection to severe pneumonia, in transplant recipients is still low .Infections are a major cause of death in kidney transplant recipients, and kidney transplant recipients, like other organ recipients, appear to be more vulnerable to a variety of infections due to comorbidities and immunosuppressive drugs that predispose them to infection. Case presentation: In this study, we reviewed 10 transplant recipients with a mean age of 50.3+/-11.25 years who were admitted to Ayatollah Rouhani Hospital in Babol due to COVID-19 From April 2019 to September 2019. Four patients were female and six ones were male. Fever (100%) and cough (60%) were the most common symptoms in patients. All patients used standard immunosuppressive drugs (tacrolimus, corticosteroids, mycophenolate, and cyclosporine). The mean level of oxygen saturation at the time of admission in these patients was 87.9+/-11.3 and in two patients with death outcomes of 57% and 95%, it was at the beginning of hospitalization. The mean leukocytes of patients at the beginning of hospitalization was10470+/-5784.08 per ml and the mean lymphocytes of these patients were 1081.5+/-516.05. In the studied patients, the mean of previous years of transplantation was 8/05+/-7.13 and two patients died 20 years and 5 years after their kidney transplantation. Two patients (20%), aged 57 and 50 years, died from progressive respiratory symptoms and the other eight patients recovered and were discharged from the hospital. We reported COVID-19 infection in ten kidney transplant recipients with different clinical outcomes and periods, which may be a reference for the management of COVID-19 in such patients. Conclusion(s): It seems that more information is needed to better understand the effect of anti-transplant immunosuppressive therapy on the outcome of COVID-19 infection in kidney transplant recipients. Long-term follow-up studies and more cases are needed to clarify the diagnosis, outcome, and treatment options for COVID-19 in these patients. Copyright © 2022 Tehran University of Medical Sciences.