Abstract

Background and Objectives: Frontline medical staff usually experience high levels of stress, which could greatly impact their work output. We conducted a survey to investigate the level of stress and its association with job types, work departments, and medical centers among COVID-19 pandemic frontline medical personnel. Materials and Methods: We conducted a cross-sectional survey using a self-administered questionnaire among 307 frontline medical staff who cared for COVID-19 patients in Daegu city. We used a 33-item questionnaire to assess respondents’ general characteristics, job stress, personal effects associated with the COVID-19 pandemic, and their stress level. A general health questionnaire-12 (GHQ-12) was included in our questionnaire. Results: Majority (74.3%) of the respondents were in the stress group. The mean GHQ-12 score was 14.31 ± 4.96. More females (67.4%, p < 0.05) and nurses (73.3%, p = 0.001) were in the stress group compared to males and doctors. Medical staff in the general ward considered the severity of the COVID-19 pandemic situation higher. Nurses perceived work changes (p < 0.05), work burden (p < 0.05), and personal impact (p < 0.05) more serious than doctors. Medical staff in Level 3 emergency department (ED) perceived a lack of real-time information (p = 0.012), a lack of resources, and negative personal impacts associated with the pandemic as more serious than staff in Level 1 and Level 2 EDs. Medical staff in the intensive care unit perceived work changes (p < 0.05), work burden (p < 0.05), and lack of personal protective equipment (p = 0.002) as more serious than staff in the ED and general ward. Conclusion: Providing real-time information and resources for reducing work burden and negative personal impact is central to maximizing the work output of the COVID-19 pandemic frontline medical staff. Supporting their mental health through regular programs and intervention is also imperative.

Highlights

  • Since the first case of COVID-19 was confirmed in South Korea on 19 January 2020, a surge in the number of cases was reported by 18 February 2020 in the form of cluster infection related to the Shincheonji religious group in Daegu city, a major epidemic area of

  • principal component analysis (PCA) with Varimax rotation demonstrated the presence of five components with Eigenvalues exceeding one

  • Studies during the middle east respiratory syndrome (MERS) epidemic reported that many frontline medical staff suffered from job stress, post-traumatic stress disorder (PTSD), anxiety, fear, and depression [15,16]

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Summary

Introduction

The COVID-19 outbreak started in December 2019 in Wuhan, China. Health Organization declared the outbreak a Public Health Emergency of International. Concern on January 30, 2020, and a pandemic on March 11 of the same year. There are 132,046,206 confirmed cases and 2,867,242 deaths due to COVID-19 worldwide [1]. Since the first case of COVID-19 was confirmed in South Korea on 19 January 2020, a surge in the number of cases was reported by 18 February 2020 in the form of cluster infection related to the Shincheonji religious group in Daegu city, a major epidemic area of

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