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Psychological Impact During the First Outbreak of COVID-19 on Frontline Health Care Workers in Shanghai.
Feng, Jingjing; Xu, Jinfu; Xu, Susu; Cao, Huifang; Zheng, Cuixia; Sharma, Lokesh; Dela Cruz, Charles S; Zhang, Jing; Chu, Dejie; Yu, Li; Tu, Chunlin; Li, Fan; Ren, Tao; Zhang, Fengying; Du, Chunlin; Gu, Wenchao; Liu, Hongwei; Qian, Yechang; Shen, Changxing; Tang, Chunhong; Bi, Yueping; Xiao, Feng; Gu, Kejia; Zhang, Jie; Ye, Zheng; Zhao, Liang; Zhai, Jiayi; Hu, Xiaoying; Qu, Jieming; Jie, Zhijun.
  • Feng J; Department of Pulmonary and Critical Care Medicine, Shanghai Fifth People's Hospital, Fudan University, Shanghai, China.
  • Xu J; Department of Respiratory and Critical Care Medicine, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China.
  • Xu S; Department of Respiratory and Critical Care Medicine, Shanghai Fifth People's Hospital, Fudan University, Shanghai, China.
  • Cao H; Department of Respiratory Disease, Jing'an District Centre Hospital of Shanghai (Huashan Hospital Fudan University Jing'an Branch), Shanghai, China.
  • Zheng C; Department of Respiratory and Critical Medicine, Yangpu Hospital, Tongji Universtiy, Shanghai, China.
  • Sharma L; Section of Pulmonary, Critical Care and Sleep Medicine, Yale University School of Medicine, New Haven, CT, United States.
  • Dela Cruz CS; Section of Pulmonary, Critical Care and Sleep Medicine, Yale University School of Medicine, New Haven, CT, United States.
  • Zhang J; Department of Pulmonary and Critical Care Medicine, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
  • Chu D; Department of Respiratory and Critical Care Medicine, Shanghai Eighth People's Hospital, Shanghai, China.
  • Yu L; Department of Pulmonary and Critical Care Medicine, Tongji Hospital, Tongji University School of Medicine, Shanghai, China.
  • Tu C; Department of Respiratory and Critical Medicine, Jiading Center Hospital, Shanghai University of Medicine & Health Sciences, Shanghai, China.
  • Li F; Department of Respiratory and Critical Medicine, Songjiang Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
  • Ren T; Department of Pulmonary and Critical Care Medicine, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai, China.
  • Zhang F; Department of Respiratory Medicine, Shanghai Putuo District People' Hospital, Shanghai, China.
  • Du C; Department of Respiratory Medicine, Zhongshan Hospital Subordinating Qingpu Hospital, Shanghai, China.
  • Gu W; Department of Respiratory Medicine, Shanghai Pudong New Area People's Hospital, Shanghai, China.
  • Liu H; Department of Respiratory Medicine, Fengxian Central Hospital, Shanghai, China.
  • Qian Y; Department of Respiratory Disease, Baoshan District Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai, China.
  • Shen C; Department of Respiratory and Critical Medicine, Shanghai Tenth People's Hospital, Shanghai, China.
  • Tang C; Gumei Community Health Service Center, Shanghai, China.
  • Bi Y; Yinhang Community Health Service Center, Shanghai, China.
  • Xiao F; Zhoujiaqiao Community Health Service Center, Shanghai, China.
  • Gu K; Jiuting Community Health Service Center, Shanghai, China.
  • Zhang J; Nanqiao Community Health Service Center, Shanghai, China.
  • Ye Z; Changfeng Community Health Service Center, Shanghai, China.
  • Zhao L; Zhuanqiao Community Health Service Center, Shanghai, China.
  • Zhai J; Jiading Town Community Health Service Center, Shanghai, China.
  • Hu X; Jiangchuan Community Health Service Center, Shanghai, China.
  • Qu J; Department of Pulmonary and Critical Care Medicine, Ruijin Hospital, Institutes of Respiratory Diseases, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
  • Jie Z; Department of Pulmonary and Critical Care Medicine, Shanghai Fifth People's Hospital, Fudan University, Shanghai, China.
Front Public Health ; 9: 646780, 2021.
Article in English | MEDLINE | ID: covidwho-1256408
ABSTRACT

Background:

The COVID-19 pandemic is a significant health threat. Health care worker (HCWs) are at a significant risk of infection which may cause high levels of psychological distress. The aim of this study was to investigate the psychological impact of the COVID-19 on HCWs and factors which were associated with these stresses during the first outbreak in Shanghai.

Methods:

Between February 9 and 21, 2020, a total of 3,114 frontline HCWs from 26 hospitals in Shanghai completed an online survey. The questionnaire included questions on their sociodemographic characteristics, 15 stress-related questions, and General Health Questionnaire-12 (GHQ-12). Exploratory factor analysis was applied to the 15 stress-related questions which produced four distinct factors for evaluation. Multiple linear regression models were performed to explore the association of personal characteristics with each score of the four factors. Binary logistic analysis was used to explain the association of personal characteristics and these four factors with the GHQ-12.

Results:

There were 2,691 valid surveys received. The prevalence of emotional distress (defined as GHQ-12 ≥ 12) was noted in 47.7% (95%CI45.7-49.6%) HCWs. Females (OR = 1.43, 95%CI1.09-1.86) were more likely to have a psychological distress than males. However, HCWs who work in secondary hospitals (OR = 0.71, 95% CI0.58-0.87) or had a no contact history (OR = 0.45, 95%CI 0.35-0.58) were less likely to suffer psychological distress. HCWs who were nurses, married, and had a known contact history were highly likely to have anxiety. HCWs working at tertiary hospitals felt an elevated anxiety regarding the infection, a lack of knowledge, and less protected compared to those who worked at secondary hospitals.

Conclusions:

Our study shows that the frontline HCWs had a significant psychosocial distress during the COVID-19 outbreak in Shanghai. HCWs felt a lack of knowledge and had feelings of being not protected. It is necessary for hospitals and governments to provide additional trainings and psychological counseling to support the first-line HCWs.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pandemics / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Female / Humans / Male Country/Region as subject: Asia Language: English Journal: Front Public Health Year: 2021 Document Type: Article Affiliation country: Fpubh.2021.646780

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pandemics / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Female / Humans / Male Country/Region as subject: Asia Language: English Journal: Front Public Health Year: 2021 Document Type: Article Affiliation country: Fpubh.2021.646780