ABSTRACT
Introduction: The COVID-19 crisis has imposed deep improvements in ICU responsiveness face to unprecedented and uncertain situations. In addition to strengthening logistics resources, this responsiveness required the development of psychosocial skills of healthcare providers, especially in ICU. Objective(s): To assess extrinsic factors interfering with psychosocial skills of the staff working in COVID-19 ICU and to analyze the different dimensions of these skills. Method(s): This is an observational descriptive study conducted at the COVID-19 ICU of an Academic Hospital, during a one-month period. All healthcare providers were enrolled. Data collection was based on a self-administered questionnaire including: sociodemographic factors;the general perception of work in covid-19 ICU and psychosocial skills. Six dimensions were explored separately, then by a standardized scale ranging from 0 to 100.Three levels of satisfaction were considered. Result(s): Fifty-five healthcare providers were enrolled. The average age was 32 years. The sex ratio was 0.25. Mean scales of satisfaction were 53.6 for professional status and occupational security;62.4 for working conditions and 69.8 for relational aspects. The most altered extrinsic factors were satisfaction regarding the salary and satisfaction regarding the administration policy with mean scores of 15 and 10 respectively. Satisfying psychosocial skills were creative and critical thoughts, self-awareness and empathy for others, communication and interpersonal relationships. Whereas the most impaired skills were stress management and problems solving, with mean scales of 49.6 and 68.3 respectively. Conclusion(s): Psychosocial skills were generally acceptable. However, they could be improved by specific actions targeting extrinsic factors.
ABSTRACT
Introduction: The COVID-19 pandemic has dramatically affected ones well-being. ICU healthcare providers are particularly concerned by this impact which includes physical, mental and socioeconomic repercussions. Others health dimensions could be deeply affected but not well explored such as the psycho-sexual status. Objective(s): The aim of this study was to assess sexual health status among ICU healthcare providers. Method(s): This was a cross-sectional study enrolling Tunisian ICU healthcare providers and conducted between July and September 2021.Data collectionwas based on a self-administrated questionnaire. To assess sexuality, Arabic validated versions of the IIEF-15 and the FSFI was used formale and female respectively. The Fear of COVID- 19 Scale and the Rosenberg Self-esteemquestionnaire were also used. Result(s): Twenty ICU workers (13 physicians and 7 nurses) were enrolled. The mean age was 28.2 years and the sex ratio was 2.3. All participants were involved in COVID-19 crisis management and 80 % reported an increase in their workload. The mean Rosenberg scale was 27 suggesting a low self-esteem. The mean Covid19 Fear Scale was 26 +/- 2. For the IIEF-15 the mean score was 17 +/- 3 (moderate erectyl dysfunction) and the most damaged dimension was the intercourse satisfaction. For the FSFI scale, the mean was 23+/-5 witch (a low sexual dysfunction). A high sexual desire with a lack in the satisfaction dimension was reported in 90% of cases. Only 4 participants have consulted a sexologist. Conclusion(s): COVID-19 has a serious sexual impact in ICU healthcare providers justifying urgent psychological interventions.
ABSTRACT
Introduction: The COVID-19 pandemic has focused attention on the challenges and risks faced by frontline healthcare workers (HCW). Objective(s): To describe the quality of management of HCW affected by the COVID-19. Method(s): This is a cross-sectional study enrolling all HCW of Farhat Hached Academic hospital who had been affected by COVID-19 during the period from september to December 2020. Result(s): During the study period, 267 HCW were affected with a mean age of 42.3 +/-10 years and a ratio-sex of 0.25. The most represented category was nurses (33.3%) followed by technicians (26.1%). Gynecology department had the highest number of affected HCW (14.4%).The majority of participants (97.4%) reported a medical care. Twelve HCW (4.5%) were hospitalized with an average length of hospital stay of 7.55 +/- 6.12 days. The average length of sick leave was 18.68 +/- 10.99 days. During the lockdown, 38.6% of HCW took care of their children without any external help. All of the HCW were supported by phone calls from colleagues in 88.4% of cases, the hierarchy in 67.4% of cases, occupational medicine in 60.3% of cases. Conclusion(s): The impact of COVID 19 is greater in HCW than in the general population. The affected staff should have a multidimensional management to avoid post covid sequelae in both physical and mental levels.