Abstract
COVID-19 has impacted people psychologically globally, including healthcare providers. Anxiety, depression, and stress are the most common impacts that have affected these people. Thus, this study was aimed to ascertain the estimated prevalence of psychological impacts among healthcare providers in the Asian region. A systematic search was performed in the MEDLINE, CINAHL, and Scopus databases for original research articles published between 2020 and April 2021. Only studies published in English were included. The quality of data was assessed using the Joanna Briggs Institute Meta-Analysis, and the analysis was performed using generic inverse variance with a random-effects model by Review Manager software. A total of 80 studies across 18 countries in Asia region were pooled to assess the data prevalence on anxiety (34.81% (95% CI: 30.80%, 38.83%)), depression (34.61% (95% CI: 30.87%, 38.36%)), stress (31.72% (95% CI: 21.25%, 42.18%)), insomnia (37.89% (95% CI: 25.43%, 50.35%)), and post-traumatic stress disorder (15.29% (95% CI: 11.43%, 19.15%)). Subgroup analyses were conducted across regions, type of healthcare providers, sex, and occupation. This review has identified a high prevalence of anxiety, depression, stress, and insomnia but a low prevalence of post-traumatic stress disorder among healthcare providers in Asia regions. Effective intervention support programs are urgently needed to improve psychological health of healthcare providers and maintaining the health system.
Highlights
Psychological impacts refer to the effect caused by environmental and/or biological factors on an individual’s social and/or psychological aspects [1]
This review has identified a high prevalence of anxiety, depression, stress, and insomnia but a low prevalence of post-traumatic stress disorder among healthcare providers in Asia regions
A review study [6] reported that the pooled prevalence of anxiety and depression in the general population was higher than healthcare providers
Summary
Psychological impacts refer to the effect caused by environmental and/or biological factors on an individual’s social and/or psychological aspects [1]. COVID-19, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has drastically spread worldwide [2]. The sudden pandemic of COVID-19 has affected healthcare providers physically and psychologically by dramatically increasing the number of patients infected with the disease, which impacted changes in the working environment [3]. Healthcare providers were reported to have more severe psychological impacts than the general population [4,5]. A review study [6] reported that the pooled prevalence of anxiety and depression in the general population was higher than healthcare providers. Healthcare providers were psychologically burdened with the responsibility to face challenges in treating COVID-19 patients, reducing the infection trend, developing and formulating strategies and plans in combating this pandemic [7]. Healthcare providers, especially frontline employees who were directly exposed to COVID-19 patients, had more mental problems than those who were not directly involved with COVID-19 patients [8,9]
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