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1.
Bangladesh Journal of Medical Science ; 22(1):121-127, 2023.
Article in English | EMBASE | ID: covidwho-2198598

ABSTRACT

Objective: The aim of this paper was to describe work motivation of medical staffs and analyze some related factors. Material(s) and Method(s): The study was conducted in internal medicine departments of Kien Giang General Hospital on 384 subjects. Results and Discussion: Regarding the work motivation of medical staffs, the percentage of health workers with good motivation at work accounts for a fairly high rate of 72.9%. The highest achievement aspiration score (average 4.03 points versus maximum 5 points) the lowest was the motivation from recognition of achievement (3.76 points on average).The proportion of good comments about management and supervision factors of medical staff were lowest while satisfaction with management regime and remuneration policy is highest (53.4% and 81.2% respectively).In terms of some related factors to the work motivation of medical staff, positive attitude towards the prevention of the COVID-19 epidemic, good work motivation was 82.2% higher than that of the group of employees who werestill afraid of the disease: 69.6% (OR=2.01;p<0.05).The group that was satisfied with their personal income, the rate of good work motivation was significantly higher than the group of unsatisfied employees (OR= 3.11;p<0.001). Doctors had a higher percentage of good motivation than groups of nurses and technicians (OR = 3.03;p < 0.001). The group that was satisfied with the working conditions had a higher rate of good work motivation than those who were not satisfied with the working conditions (OR=6.59;p<0.001). The group that is satisfied with the management regime and policies, the rate of good work motivation is much higher than the unsatisfied group of employees (OR=17.92;p<0.001). The group with a positive attitude (supporting) work management and supervision had significantly higher rate of good work motivation than the group of employees with a negative attitude (OR=7.57;p< 0.001). Conclusion(s): The percentage of employees with good work motivation was quite high. The factors related to the strongest work motivation were meeting personal aspirations and interests, the responsibility for work and acceptance of the hospital's management regime. The epidemic has affected the work motivation of medical staff (at the onset of the COVID-19 epidemic). Copyright © The Author(s) 2015.

2.
Pharmaceutical Journal ; 309(7965), 2022.
Article in English | EMBASE | ID: covidwho-2196674
3.
Interventional Neuroradiology ; 28(1 Supplement):129-130, 2022.
Article in English | EMBASE | ID: covidwho-2195325

ABSTRACT

Purpose: Expectations for remote surgery in endovascular treatment are increasing to reduce radiation exposure to surgeons and avoid direct contact with corona patients. We conducted the world's first wireless remote catheter surgery experiment using the endovascular treatment support robot that we have developed. Based on the results, we examined issues and countermeasures for practical use. Method(s): The slave robot on the surgeon side is an original machine that enables sensing feedback by combining the insertion force measuring device developed from the beginning, and the master side was operated with a joystick. We described the pressure stress on the blood vessel detected by the insertion force measuring device by a scale set so that the higher the pressure, the higher the sound. The slave robot was put at the foot of the blood vessel model on the procedure table in the angiography room, and the master side was set in a separate room 50m or more away. They were connected by HTTP communication using a LAN line. The surgeon operated with looking at the PC monitor that shared the screen with the monitor in the angiography room, and in the angiography room, the slave robot catheterized and inserted the coil for the aneurysm in the silicon blood vessel model. Result(s): Compared to the conventional wired experiment, there was almost no delay. It responded to the surgeon's operation promptly and to the joystick's swift movements pretty accurately. In terms of stress on blood vessels, the surgeon could control it, like stopping the operation and reinserting the device, since the surgeon could listen to the sound from the insertion force measuring device in real-time that the microphone in the angiography room picked up. However, there was a time gradient to reach a stable advanced speed at the time of initial movement, and there was a slight time lag from braking to complete stop when the surgeon stopped advancing. Conclusion(s): In the world's first remote experiment using an endovascular treatment robot equipped with our sensing function, it seemed that the level was sufficiently feasible to perform the surgery safely. In the future, it seems to be clinically applicable if we make further efforts for longdistance experiments, safety, accuracy, sterilization, etc. This system seems extremely promising for preventing radiation exposure to the medical staff and COVID infection and protecting safety. It will also enable medical professionals to operate in remote areas and create a ubiquitous medical environment.

4.
Journal of Engineering and Science in Medical Diagnostics and Therapy ; 5(3) (no pagination), 2022.
Article in English | EMBASE | ID: covidwho-2193316

ABSTRACT

The main route of transmission of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) virus is airborne. The objective of this study is to analyze the aerosol dispersion and potential exposure to medical staff within a typical medical examination room during classical airway procedures. The multiphase simulation of the aerosol particles in the airflow is based on a Lagrangian-Eulerian approach. All simulation cases with surgical mask show partially but significantly reduced maximum dispersion distances of the aerosol particles compared to the cases without a surgical mask. The simulations have shown that medical examiners are exposed to a large amount of aerosol particles, especially during procedures such as laryngoscopy where the examiner's head is directly in front of the patient's face. However, exposure can be drastically reduced if the patient wears a mask which is possible for most of the procedures studied, such as otoscopy, sonography, or anamnesis. Copyright © 2022 by ASME.

5.
Critical Care Medicine ; 51(1 Supplement):316, 2023.
Article in English | EMBASE | ID: covidwho-2190587

ABSTRACT

INTRODUCTION: Multisystem Inflammatory Syndrome in Children (MIS-C) RESULTS from Immune Dysregulation Following COVID-19 Infection. Timing of MIS-C Diagnosis in Relation to Index COVID-19 Infection Varies. The CDC Reports the Average Time Between MIS-C and COVID-19 Infection is 4 Weeks. We Aim to Determine if the Timing of MIS-C Diagnosis in Relation to the Index COVID-19 Infection Varies by Variant, and Whether Spike IgG Value Correlates with the Time Between COVID-19 and MIS-C or with Peak Ferritin. METHOD(S): Our MIS-C Team (Pediatric Cardiologists, Rheumatologists, Immunologists, Hematologists, Intensivists, and Hospitalists) Reviewed Every Suspected Case of MIS-C at our Institution, and All Confirmed Cases Were Reported to the State Health Department. Electronic Health Records Were Reviewed to Obtain Data Elements in this IRB Exempt Study. COVID-19 Variant Timeframes Were Defined by Dominant (>50% cases) Strand in the United States (Alpha/ Beta/Gamma 1/21/20-6/25/21, Delta 6/26/21-12/17/21, and Omicron 12/18/21-Present). RESULT(S): Our MIS-C Team Identified 68 Cases from 7/2/20 to 6/22/22 out of 226 (30%) Confirmed in South Carolina. We Categorized Each Case by COVID-19 Definition (Exposure, Positive Test, or Unknown). The COVID-19 Component of the Definition was Based on Exposures in 25 (37%), 25 (37%) Positive Antigen Test or PCR, and 18 (26%) Positive IgG. Mean Time Between COVID Exposure or Positive Test and MIS-C Diagnosis was 31.5d. Mean Time for Alpha/Beta/Gamma Variant was 27.3d, Delta 33.6d, and Omicron 34.2d. 100% of Cases Received IVIG, 72% IVIG and Steroids, and 13% IVIG, Steroids, and Anakinra. Relationship Between Spike IgG and Timeframe of MIS-C (r=0.61), Peak Ferritin and Anakinra (r=0.63), and Peak Ferritin and Timeframe of MIS-C (r=0.34). Only 4% of Those Vaccine-Eligible at the Time of Illness Were Fully Vaccinated. CONCLUSION(S): The Timing of MIS-C Diagnosis in Relation to the Index of COVID-19 Infection does Vary by Variant with a 6.9 Day Increase in Average Since the Start of the Pandemic. Our Overall Average of 31.5 Days (4.5 Weeks) Between COVID-19 and MIS-C Supports the Initial CDC Estimate of 4 Weeks. There was a Moderate Positive Correlation Between Spike IgG and Timeframe of MIS-C, and a Higher Peak Ferritin Indicated use of Anakinra.

6.
European Geriatric Medicine ; 13(Supplement 1):S166, 2022.
Article in English | EMBASE | ID: covidwho-2175426

ABSTRACT

Introduction: The human dimension is becoming increasingly central in the management of elderly patients and their caregiver. The concept of patient experience has a role to play in this connection. The patient experience of elderly hospitalized patients and their cargiver seem complementary. The objective of the present study is to describe the experience of elderly patients hospitalized in an acute geriatric medicine unity, and their caregiver's. Method(s): We performed a two step, monocentric, prospective qualitative study based on semi-directive interviews of elderly patients and their caregiver, during the hospitalization and two months later, and compared the results. Result(s): 44 interviews were conducted during the hospitalization. 50% of the patients, and 30% of the caregivers included weren't interviewed two month later, mostly because of the worsening of the patients' health condition. The analysis of the 38 interviews showed 5 themes: The image of the hospital determined the experience and defined a therapeutic contract between the patient and the medical staff;the image of geriatric medicine was linked with the respect of human rights and the overall management of the patient;the patient/caregiver relation was sometimes experienced as inverted, and infuenced the experience;the hospitalization was the place of confrontation with the aging process;the COVID-19 outbreak impacted their experience. The patients' description of their experience during the hospitalization seemed more accurate than two months later. Key conclusions: This study assessed the patient experiences of elderly patients and their caregivers', which were mostly similar. Overall, the experience was positive, but further studies are needed to better determine those findings.

7.
Journal of Pain Management ; 14(3):257-260, 2020.
Article in English | EMBASE | ID: covidwho-2167437

ABSTRACT

There is still a lack of information among scientists related to COVID-19. There were many side effects related to the COVID-19 infection and those side effects were both physical and psychological. Healthcare workers were a group of individuals who faced many issues regarding COVID-19. Their management was a key role in controlling those issues. This review paper has tried to collect the recent data with a focus on the management of healthcare workers in the prevention of adverse effects and social pain related to COVID-19. For this purpose, Scopus, Google Scholar, PubMed and Web of Science were used. The findings of this research confirmed the practical role of healthcare workers in the prevention of adverse effects and social pan related to COVID-19. Copyright © Nova Science Publishers, Inc.

8.
Journal of Liberty and International Affairs ; 8(2):47-60, 2022.
Article in English | ProQuest Central | ID: covidwho-2206618

ABSTRACT

This study aimed to examine the impact of health workers' public service motivation during their participation in response to the Covid-19 pandemic at a time of the highest number of infections and deaths in Vietnam. This study was conducted through a cross-sectional survey using an intentional sampling technique (n=200). In addition, Structural Equation Modeling (SEM) was applied to illustrate the proposed hypotheses. We found that compassion in the workplace, self-sacrifice, and attraction to policy-making impacted work enjoyment positively and significantly. In particular, there was a positive and significant relationship between work enjoyment and task performance but no evidence of the relationship between Commitment to the public interest and work enjoyment. This study further demonstrates the importance of public service motivation of health workers in pandemic response, as previous studies have found. This finding suggests that the government and policymakers in Vietnam should develop policies to promote health workers' public service motivation during their engagement in response to the health crisis.

9.
Andes Pediatrica ; 93(6):815-825, 2022.
Article in Spanish | EMBASE | ID: covidwho-2205960

ABSTRACT

Previous studies have demonstrated that the COVID-19 pandemic has had negative psychological consequences on healthcare professionals, however, specific data on pediatricians are scarce. Ob-jective: To evaluate anxiety among pediatricians after the first COVID-19 wave as well as to identify possible related risk factors. Material(s) and Method(s): A cross-sectional multicentric survey study was designed and sent to Spanish pediatricians through the Asociacion Espanola de Pediatria's e-mail lists. Demographic, socio-familial, occupational, emotional self-perception, psychosomatic symptoms, smoking, alcohol, and psychotropic drugs use data were collected. The State-Trait Anxiety Scale (STAI) was included, and its association with qualitative and quantitative variables of the sample was studied. Result(s): 440 surveys were registered. 42.2% of the participants expressed moderate-intense anxiety symptomatology according to the Anxiety-State scale and 26.9% on the Anxiety-Trait scale. Isolation at home was associated with a higher score on both scales. A change in the work situation of the cohabitant resulted in a higher score on the Anxiety-State scale. 41.1% of the respondents clas-sified the psychological impact suffered as mild, 50% as moderate, and 8.9% as severe. Up to 71.8% of the participants manifested some psychosomatic symptoms, with a linear association between the concurrence of symptoms and higher scores on the two scales. Conclusion(s): After the first pandemic wave, pediatricians have suffered anxiety, causing physical and emotional discomfort. Personal situations were the main source of concern. Likewise, the presence of several somatic symptoms was associated with higher levels of anxiety. Copyright © 2022, Sociedad Chilena de Pediatria. All rights reserved.

10.
HIV Nursing ; 23(1):354-357, 2023.
Article in English | CINAHL | ID: covidwho-2205828

ABSTRACT

Background The SARS-CoV-2 pandemic continues to negatively impact the healthcare system globally despite the availability of vaccination since late 2020.Until July 2022, Iraq registered 2,438,101 million COVID-19 cases and 25,304 deaths putting Iraq in third place among the Eastern Mediterranean Sea countries. Methods This study included ninety volunteered medical staff whois working in the Neurosurgery Teaching Hospital and were diagnosed with COVID-19 by PCR and accepted to give 5 ml of their blood.The medical staff was categorized into two groups and every group containforty-five, we collected bloodfrom the first group after one month (30 days) from the day of COVID-19 infection diagnosis while the second group after 4 months (120 days).We used an ELISA kit (Diacino R: cat.No. DS 207704, china) which is an indirect ELISAto estimate Cov-19 -SI-RBD(anti-spike). Results the independent two-sample Mann-Whitney test was used which showed that there was a significant decrease (P<0.05) in the SARS Cov-2 S1-RBD serum levels of the volunteered medical staff after 4 months compared to the one month. Conclusion SARS - CoV-2 S1- RBD IgGsignificantly decreasedafter 4 months (120 days).

11.
Journal of Health Sciences and Surveillance System ; 10(4):452-457, 2022.
Article in English | Scopus | ID: covidwho-2205681

ABSTRACT

Background: Healthcare staff are at the heart of the covid-19 pandemic and play an important role in controlling this disease. Operating room practitioners could be contaminated by a coronavirus, which imposes a high pressure on them, affecting their need for recovery from work. This study aimed to compare the need for recovery in the operating room practitioners with and without covid-19 infection history. Methods: This cross-sectional study was conducted in the operating room department of a public hospital on 217 operating room practitioners, including Operating room technicians, anaesthesiologists, and service staff. The data collection tools were a demographics questionnaire and the need for recovery scale. Descriptive statistics, independent sample t-test, and one-way ANOVA were used for data analysis. Results: The mean and standard deviation of the need for recovery score in the studied population were 71.30±21.40. The practitioners with covid-19 infection history had a significantly higher need for recovery (P=0.001) than those without covid-19 history. In addition, the service staff had a higher percentage of covid-19 infection and had more need for recovery than operating room technicians (P=0.014). Conclusion: The operating room practitioners with a history of covid-19 infection had a significantly higher need for recovery than those without a history of infection. Therefore, protecting the operating room practitioners against covid-19 infection is the first step in preventing the excessive need for recovery levels. In addition, increasing the number of operating room staff, reducing the number of working hours, and paying more attention to their work-life quality can help reduce their need for recovery. © 2022 The authors.

12.
JNCCN Journal of the National Comprehensive Cancer Network ; 20(12):1279, 2022.
Article in English | EMBASE | ID: covidwho-2203002
13.
Journal of Turkish Sleep Medicine ; 8(1):1-6, 2021.
Article in Turkish | EMBASE | ID: covidwho-2202236

ABSTRACT

This meta-analysis study aimed to determine the sleep quality of medical staff during the Coronavirus disease-2019 (COVID-19) pandemic. A literature search without date limitation was conducted using databases of Science Direct, Google Scholar, PubMed, Clinical Key, Scopus and Web of Science. ''Coronavirus'', ''Pittsburgh sleep quality'', ''medical staff' and ''COVID-19'' were used as keywords. Subsequently, four articles published from 1 January 2020 to 14 June 2020 and meeting the inclusion criteria, were included in this study. The random effects model was used for meta-analysis of continuous and binary variables. The AXIS assessment tool was used for evaluating the quality of publication bias. The total sample size of the four studies was 2.030. Among the participants, 77.9% were women and 22.1% were men. The Pittsburgh Sleep Quality index total score of the medical staff working during the OVID-19 pandemic was 7.55 [(95% confidence interval (CI) 6.024-9.073), z=9.76, p<0.001]. The sleep quality of the medical staff who were in contact with patients with COVID-19 was 2.57 (odds ratio 2.57, 95% CI 1.58-4.18, z=3.82, p<0.001) times worse than those of medical staff without patient contact. This study found that the medical staff working during the COVID-19 pandemic had poor sleep quality. Specifically, medical staff giving treatment and taking care of patients with COVID-19 had lower sleep quality. We suggest providing psychological support to medical staff in charge of the treatment and care of patients with COVID-19. Copyright © Telif Hakki 2021 Turk Uyku Tibbi Dernegi/Turk Uyku Tibbi Dergisi, Galenos Yayinevi tarafindan yayinlanmistir

14.
Medicina Clínica Práctica ; : 100361, 2022.
Article in English | ScienceDirect | ID: covidwho-2165692

ABSTRACT

Background: The frontline medical staff are under heavy workload conditions and are at high risk of infection with coronavirus disease 2019. This pandemic has burdened unprecedented psychological stress. The study aimed to compile and analyze the challenges of mental health among medical staff during the COVID-19 outbreak Method: PubMed, Scopus, Web of science, and google scholar databases were systematically searched for published studies. Cross-sectional studies examining the impact of the COVID-19 outbreak on the medical staff's mental health were selected. Result: Eventually, 7 articles were extracted for the final analysis after reviewing the titles, s, and full text. The results show that the most common psychological problems of medical staff include stress, anxiety, and depression. The medical staff had higher levels of fear, anxiety, and stress than the management staff. Among physicians and nurses, the two groups that are most involved with patients with COVID-19, the nurses showed more anxiety and stress than physicians. Conclusion: The mental health of the medical staff during the COVID-19 epidemic is at greater risk than ever before. Therefore, it is necessary to adopt comprehensive and effective supportive policies and strategies for health systems and governments. Resumen Antecedentes: el personal médico de primera línea se encuentra en condiciones de gran carga de trabajo y tiene un alto riesgo de infección por la enfermedad del coronavirus 2019. Esta pandemia ha causado un estrés psicológico sin precedentes. El objetivo del estudio fue recopilar y analizar los desafíos de la salud mental en el personal médico durante el brote de COVID-19. Método: se realizaron búsquedas sistemáticas de estudios publicados en las bases de datos PubMed, Scopus, Web of Science y Google Scholar. Se seleccionaron estudios transversales que examinaran el impacto del brote de COVID-19 en la salud mental del personal médico. Resultado: Finalmente, se extrajeron 7 artículos para el análisis final después de revisar los títulos, resúmenes y texto completo. Los resultados muestran que los problemas psicológicos más comunes del personal médico incluyen estrés, ansiedad y depresión. El personal médico tenía niveles más altos de miedo, ansiedad y estrés que el personal administrativo. Entre los médicos y enfermeros, los dos grupos que más se involucran con los pacientes con COVID 19, los enfermeros mostraron más ansiedad y estrés que los médicos. Conclusión: La salud mental del personal médico en la epidemia de COVID 19 está en mayor riesgo que nunca. Por lo tanto, es necesario adoptar políticas y estrategias de apoyo integrales y efectivas por parte de los sistemas de salud y los gobiernos.

15.
Journal of Affective Disorders ; 2023.
Article in English | ScienceDirect | ID: covidwho-2165458

ABSTRACT

Background SARS-COV-2 vaccination is being carried out worldwide. However, little is known about the effect of SARS-COV-2 vaccination on psychological problems faced by the medical staff. This study aimed to examine the prevalence and factors contributing to anxiety and depression among medical staff facing SARS-COV-2 vaccination. Methods The GAD-7 and the PHQ-9 scales were used to investigate the anxiety and depression among participants involved in SARS-CoV-2 vaccination. Multivariate logistics regression analysis method was used to assess the risk factors related to anxiety or depression. Results A total of 6984 people responded to all the surveyed questions in our study, including 2707 medical staff and 4277 nonmedical staff. Of the participants, 680 reported anxiety, while 1354 reported depression. Higher anxiety levels were observed among medical staff (13.1 % vs. 7.6 % among the non-medical staff). Participants suffered from depression with higher numbers among medical staff (24.7 % vs. 16.0 % among the non-medical staff). Multivariate logistic regression analysis showed that female medical staff was at higher risk of anxiety and depression compared to their male counterparts (OR = 1.497;OR = 1.417). Pregnancy intention increased the risk of anxiety and depression among medical staff (OR = 1.601;OR = 1.724). Limitations Our findings may not be extrapolated to other countries. Conclusion Medical staff facing SARS-CoV-2 vaccination were more likely to suffer from anxiety or depression, especially the females planning for pregnancy. These results should assist in updating intervention guidelines for the mental health of medical staff facing vaccination.

16.
Wiad Lek ; 75(5 pt 1): 1136-1139, 2022.
Article in English | MEDLINE | ID: covidwho-1905728

ABSTRACT

OBJECTIVE: The aim: Research of the ways of adequate solving of problems with understuffed healthcare system and problems with continuous professional development of doctors. PATIENTS AND METHODS: Materials and methods: We have used a official statistical data for the period from 2009-2020 years. This data was analyzed with usage of systemic approach and statistical epidemiological analysis. RESULTS: Results: According to the data from Ministry of Health of Ukraine during the first year of the pandemic (2020) the quantity of our doctors has diminished by 6.9 thousands, and quantity of nurses - by 22,5 thousands which is much bigger deficit then in period of 2018-2019 years. The insufficiency of pediatric doctors in Ukraine has reached 1000 vacancies, general physicians - 1700, family doctors - more than 3000 vacancies, surgeons - more than 950 vacancies. It is also important to involve medical experts and medical associations and unions in the process of accreditation and licensing of providers of continuous medical education. CONCLUSION: Conclusions: Existing deficit of medical personnel should be replenished by increasing of medical education of students in medical universities and colleges funded by government. Existing system of continuous professional development of doctors requires a lot of changes (additional activities, new technologies) which must be implied with the help of professional medical associations and unions.


Subject(s)
Delivery of Health Care , Education, Medical, Continuing , Medical Staff , Career Mobility , Child , Humans , Medical Staff/education , Medical Staff/supply & distribution , Pandemics , Physicians , Ukraine/epidemiology
17.
Nurs Open ; 2022.
Article in English | PubMed | ID: covidwho-2157885

ABSTRACT

AIM: This systematic review evaluated the quality of evidence for the prevention and management of facial pressure injuries in medical staff. DESIGN: This review was presented in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. METHODS: We retrieved the relevant studies from 19 databases. Using the literature evaluation standards and evidence grading system of the Australian Joanna Briggs Institute Evidence-Based Health Care Center, we evaluated the quality of the literature encompassing different types of research and assessed their levels of evidence. RESULTS: A total of 13 studies were included, including seven expert consensuses, two recommended practices, one clinical decision, one best practice information booklet, one systematic review and one randomized controlled trial. In the end, 31 best evidence were summarized, including skin cleaning and care, PPE placement and movement, reasonable use of dressings, treatment measures and education and training.

18.
Journal of Multidisciplinary Healthcare ; 15:2725-2733, 2022.
Article in English | EMBASE | ID: covidwho-2154475

ABSTRACT

Background and Objective: Anxiety influences job burnout and health. This study aimed to establish a nomogram to predict the anxiety status of medical staff during the coronavirus disease (COVID-19) pandemic. Method(s): A total of 600 medical members were randomized 7:3 and divided into training and validation sets. The data was collected using a questionnaire. Logistic regression analysis and Akaike information criterion (AIC) were applied to investigate the risk factors for anxiety. Odds ratio (OR) and 95% confidence interval (95% CI) were calculated to establish a nomogram. Result(s): Participation time (OR=44.28, 95% CI=13.13~149.32), rest time (OR=38.50, 95% CI=10.43~142.19), epidemic prevention area (OR=10.16, 95% CI=3.51~29.40), epidemic prevention equipment (OR=15.24, 95% CI=5.73~40.55), family support (OR=9.63, 95% CI=3.55~26.11), colleague infection (OR=6.25, 95% CI=2.18~19.11), and gender (OR=3.30, 95% CI=1.15~9.47) were the independent risk factors (P<0.05) for anxiety in medical staff. The areas under the receiver operating characteristic (ROC) curves of the training and validation sets were 0.987 and 0.946, respectively. The decision curve's net benefit shows the nomogram's clinical utility. Conclusion(s): The nomogram established in this study exhibited an excellent ability to predict anxiety status with sufficient discriminatory power and calibration. Our findings provide a protocol for predicting and identifying anxiety status in medical staff during the COVID-19 pandemic. Copyright © 2022 Liu et al.

19.
European Psychiatry ; 65(Supplement 1):S871, 2022.
Article in English | EMBASE | ID: covidwho-2154174

ABSTRACT

Introduction: A frequently discussed topic today, stigma and/or discrimination are social phenomena that, in the broader context of medical discourse and especially in the current epidemiological situation, Covid-19 pandemic, appear and need a detailed examination Objectives: This study aims are to examine the literature and to present the aforementioned phenomena, comparing them with the Link & Phelan stigma model and offering pros and cons for their congruence with the model. Method(s): Literature analysis with searching words: stigma, discrimination, Covid-19, medical and especially psychiatric pathology, in Pubmed and Google scholar engine. Result(s): The studied 32 articles provided 4 stigmatized subgroups in the social context of the pandemic: that of patients and medical staff, that of comorbidities sufferers, that of stigmatized ethnic groups, and that of stigmatized races. These groups, stigmatized directly or by overlapping with the actual group, were studied in the most relevant PubMed articles, and evidence for the congruence of their stigma with the model was presented in this review. Conclusion(s): This work could also serve as a starting point for further study on combating stigma, improving the lives of our patients, colleagues affected by occupational exposure, and, finally, society at large.

20.
European Psychiatry ; 65(Supplement 1):S541, 2022.
Article in English | EMBASE | ID: covidwho-2154107

ABSTRACT

Introduction: The highly infectious novel coronavirus disease (COVID-19) emerged in Wuhan, China in late 2019 and soon became a global pandemic. COVID-19 is escalating medical staff psychological stress and creating an increasingly heavy professional burden. Fear of transmitting the virus to family, community perception of frontline workers as potential disease carriers, extreme workloads and moral dilemmas add additional stressors. In Novi Sad Clinical Centre of Vojvodina (CCV) for the past 2 years there has been a continuous struggle against the COVID-19 crisis. Both senior specialist doctors and newly hired young doctors, some without work experience, were hired immediately after completing their studies. Objective(s): To investigate the mental health of clinical first-line medical staff in COVID-19 pandemic. Method(s): This is a cross-sectional study involving CCV staff who worked in the first line of patient treatment during the COVID-19 pandemic. They were given a self-administered questionnaire which included information on demographic and socio-economic characteristics and the validated Depression, Anxiety, and Stress Scales (DASS-21) and the Impact of Events Scale-Revised (IES-R) instrument. A total of 190 medical workers were involved. Result(s): Sixty-two (32,6%) participants screened positive for anxiety, 38 (20%) for depression, 68 (35,8%) for stress, and 22 (11,5%) for clinical concern of PTSD. The most endangered are young nurses and doctors with less than 6 months of previous work experience. Conclusion(s): In conclusion, our results suggest frontline medical staff involved in treatment of COVID-19 patients should be closely monitored as a high-risk group for depression and anxiety, and given proper training before deployment.

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