Abstract

Aims & Objectives: The health professional team is directly affected by working with severe patients and their feelings. Pediatric Intensive Care Units (PICU) are often the most tense, unstable and traumatizing environments in hospital. Work overload, difficulty in accepting death, pain, scarcity of resources, closed units, among other factors, are identified as triggers of anxiety and depression. Aim of this study is to estimate the prevalence of Anxiety and Depression in PICU staff. Methods: Multicenter study in four PICUs in Rio de Janeiro/Brazil. The interviews were conducted with 197 health professionals (doctors, nurses, physiotherapists and nursing technicians), using Hospital Anxiety and Depression Scale (HADS) instrument. Anxiety was classified when the professional scored 9 or more on odd items, and Depression when 9 or more on even items. The results were submitted to descriptive analysis and groups compared with statistical tests using demographic and clinical variables. Results: The average age was 37 (SD 10.5) years, majority were female (84.8%), white (55.4%) and married (56.6%). Prevalence of anxiety was 28.9%, depression 18.3% and 14.7% of the subjects were positive for depression and anxiety concomitantly, when outcomes were analyzed as dichotomous variables. There was no difference between groups for demographic variables, while average of sleep hours per day, physical exercise, total family income, average of patients under care and satisfaction with job were different in Anxiety and Depression groups (p<0.05). Conclusions: Identifying anxiety and depression in PICU staff team enable appropriate treatment, monitorization and care of vulnerable professional, allowing early detection of the problem and implementation of preventive strategies.

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