Abstract

Backgroundthe rapid spread of COVID-19, its lethality in severe cases and the absence of specific medicine poses a huge threat to human life and health, as well as huge impact on the mental health. Facing this critical situation, health care workers on the front line who are directly involved in the diagnosis, treatment, and care of patients with COVID-19 are at risk of developing psychological distress and other mental health symptoms including emotional disturbance.Objectivethe aim of this study will be to assess the current state of emotional responses and perceived stressors of frontline medical staffs in case of Addis Ababa COVID-19 Treatment Centers and obstetrics emergency and abortion care, Ethiopia 2020.MethodsHospital based comparative cross-section study design was conducted by using self-administered questionnaire survey from June 1st to 30th of 2020 among 133 and 266 frontline medical staffs from obstetric emergency and abortion care clinic and COVID-19 treatment centers respectively. The data were collected after getting written consent from each participant and it entered into the computer using Epi-data version 7, then exported to SPSS version 20 for further analysis. Descriptive analysis was done using frequencies & percent. All independent determinants with P-value < 0.05 were used to identify important predictors of emotional responses and perceived stressors.ResultA total of 399 frontline medical staffs were included in the study. The mean age of the respondents of those who were working in obstetrics emergency and abortion care clinic was 27.47 (SD, 3.46) years and it was 28.12 (SD, 4.09) years for the other groups. This study revealed that, 72.9 and 5.6% of the study participant from obstetrics emergency and abortion clinic and COVID-19 treatment centers had a positive emotional response, respectively. Factors such as having a low level of motivational factors (AOR 2.78, 95% CI (1.13, 6.84)), being a nurse (AOR 10.53, 95% CI (1.31, 85.26)) and working at triage (AOR 8.61, 95% CI (1.15, 64.81))) had statistically significant association with negative emotional response.ConclusionThe current study revealed that a high proportion of front line a negative emotional responses had negative emotional response. Further, almost all of the medical staffs working in COVID-19 treatment centers and at obstetrics emergency and abortion care unit had perceived the outbreak related stressors. So, providing comprehensive psychological support is warranted for health care providers working in such kinds of department or units.

Highlights

  • Corona Virus Disease 2019 (COVID-19) is a disease caused by a novel corona virus (2019-nCoV) which was primarily identified in Wuhan, China on December, 2019 [1]

  • Almost all of the medical staffs working in COVID-19 treatment centers and at obstetrics emergency and abortion care unit had perceived the outbreak related stressors

  • Level of perceived stressor among the study participants This study revealed that the level of perceived stressor was 84.2% (CI 77.4, 89.5) and 95.5% (CI 92.9, 97.7) among frontline medical staffs working at obstetrics emergency and abortion care unit and at COVID-19 treatment centers respectively

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Summary

Introduction

Corona Virus Disease 2019 (COVID-19) is a disease caused by a novel corona virus (2019-nCoV) which was primarily identified in Wuhan, China on December, 2019 [1]. It is highly infectious during the incubation period and can be transmitted from person to person through respiratory droplets, contact and aerosols [2]. The ever-increasing number of suspected and confirmed cases, overwhelming workload as well as feelings of being inadequately supported, depletion of personal protection equipment and lack of specific drugs may all contribute to the mental burden like emotional disturbance of these health care workers. Previous studies have reported adverse psychological reactions to the 2003 SARS outbreak among health care workers [5,6,7]

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