Factors influencing the psychosocial impact of COVID-19 pandemic on healthcare workers and their level of satisfaction towards organisational efforts.

INTRODUCTION: The Coronavirus Disease 2019 (COVID-19) pandemic has had a dramatic physical, personal, and emotional effect on healthcare workers (HCWs). The main objective of this study was to identify risk factors associated with psychosocial distress among HCWs working in a hospital environment during the pandemic. MATERIALS AND METHODS: A cross-sectional descriptive survey involving HCWs of a tertiary care hospital was completed using an online survey software (Google Forms). The survey collected respondents' sociodemographic data, perception towards personal protective equipment (PPE) and knowledge about COVID-19, and satisfaction score towards performance of the World Health Organization, the Malaysian police, civil service, healthcare system, and government. Psychosocial distress was assessed using the 12-item version of the General Health Questionnaire (GHQ- 12). RESULTS: A total of 675 responses were collected. Female gender and doctors were identified to be associated with greater psychosocial impact from the pandemic among the HCWs. Several factors such as self-rated health status, confidence level towards PPE in disease prevention, degree of familiarity in using PPE, knowledge regarding care for COVID-19 patients, and capability in answering questions asked by the public regarding the disease were found to be associated with the degree of psychosocial impact from the pandemic. CONCLUSION: This study identified the vulnerable groups of HCWs at risk of psychosocial distress and its associated risk factors. These findings highlight the need for strategies to reduce risks and to prioritise psychological support and intervention during the pandemic.

Epiphrenic oesophageal diverticulum managed via laparoscopic transhiatal approach.

Epiphrenic oesophageal diverticulum is a rare disorder affecting the distal oesophagus. Surgical techniques for this condition evolve over time from open transthoracic and trans-abdominal approaches to minimally invasive surgery. We report a case of an 82-year-old male who presented with symptomatic epiphrenic oesophageal diverticulum over the last 1 year. He underwent laparoscopic transhiatal diverticulectomy, myotomy and anterior partial fundoplication and was discharged well. He remains asymptomatic after a follow-up of 6 months.