Health Status Of Medical Staff Research Articles

The Status of Occupational Stress and Its Influence on the Health of Medical Staff in Lanzhou, China.

This study aimed to understand the status quo of occupational stress and its impact on the health of medical staff and provide a theoretical basis for relieving occupational stress and improving the health status of medical staff. The occupational stress and health status of medical staff in 14 hospitals in Lanzhou were studied using a general questionnaire, Effort–Reward Imbalance questionnaire, and Self-Rated Health Measurement Scale. A total of 2169 participants were included in the analysis, and 59.4% of the medical staff experienced occupational stress. The results of the occupational stress survey showed that the prevalence of occupational stress among medical staff aged 40–50, with a master’s degree or above, senior professional title, working for 10–20 years, and working more than 48 h per week was higher than in the other groups. The health survey results showed that, compared with other groups, the scores of physical, mental, and social health were lower in medical staff with working years of 10–20 years and working hours of more than 48 h per week. The results show that working years and working hours per week affect not only the level of occupational stress but also physiological, psychological, and social health.

Mental Health Status of Medical Staff Exposed to Hospital Workplace Violence: A Prospective Cohort Study.

ObjectiveHospital workplace violence is one of the most frequently reported types of workplace violence in the world, and it harms the mental and physical health of medical staff. Existing research on workplace violence focused more on cross-sectional studies, than longitudinal studies. Therefore, this study examined the dynamic impact of hospital workplace violence on the mental health of medical staff, with the aim of providing appropriate countermeasures and suggestions for hospitals to develop targeted psychological intervention measures in time for medical staff who experience workplace violence.DesignA prospective cohort study.ParticipantsA total of 112 medical staff who had experienced workplace violence in the hospital for the first time were chosen.SettingAn unconditional latent variable growth curve model was established based on the average value of the general health scale scores of medical staff, and gender and violence types (intimidation threats, physical violence) as control variables. Each medical staff was assessed for depression and anxiety at 4 different time points and the changes in the trajectories was observed.ResultsThere were significant differences in the incidence of mental health and anxiety among medical staff at different observation times. There were significant individual differences in the initial mental health status, growth rate of anxiety and depression of medical staff.ConclusionsHospitals should undertake various psychological intervention strategies based on the staff's mental health to safeguard those who have experienced workplace violence.

A Study on the Effect of the Pre-Go-Live Training in Anxiety and Depression of Medical Staff Based on the Data of Wuhan Fangcang Shelter Hospital During COVID-19 in the Era of Big Data.

Coronavirus disease 2019 (COVID-19) broke out in 2019. In the past 4 years, China has adopted many measures to control the epidemic, including building Fangcang shelter hospitals to isolate confirmed positive cases. Therefore, we aim to explore the mental health status of medical staff in the Wuhan Fangcang shelter hospital and discuss the relevant factors that affect the medical staff's mental status. The subjects of the research were staff from several Fangcang shelter hospitals in Wuhan during the epidemic of COVID-19. Patient Health Questionnaire−9 items Scale (PHQ-9) was used to assess the severity of the participants' depressive symptoms, and Generalized Anxiety Disorder−7 items Scale (GAD-7) was used to evaluate the severity of the participants' anxiety symptoms. The demographic information and health adjustment methods were collected in a self-made questionnaire, and regression analysis on related factors that affect mental health was performed. The three most frequently used methods of psychological adjustment for the staff in the Fangcang shelter hospital are common recreational activities, such as reading, streaming videos, listening to music, and playing games. (93.8%), communicating with colleagues in the Fangcang shelter hospital (92.5%), and communicating with family members and friends (78.3%). Binary logistic regression analysis showed that developing depression symptoms has relation to 2 factors, which are having not participated in medical emergency rescue missions (odds ratio = 2.610; 95% confidence interval 1.398–4.872, P = 0.003) and inadequate training before entering the shelter hospital (odds ratio = 2.804, 95% confidence interval 1.293–6.08, P = 0.009). Compared with adequate pre-job training, insufficient training increases the risk of anxiety symptoms (odds ratio = 2.692; 95% confidence interval 1.3–5.575, P = 0.008). Lack of experience and inadequate training in medical emergency rescue missions exposed the medical staff to a higher risk of developing symptoms of depression and anxiety. Psychological adjustment methods that are helpful to adjust their mental state are most commonly used.

Psychological responses of medical staff during COVID-19 and the adjustment effect of brief mindfulness meditation

BackgroundCOVID-19 has posed an unprecedented threat to public health and remains a critical challenge for medical staff, especially those who have been fighting against the virus in Wuhan, China. Limited data have been reported regarding the psychological status of these medical staff members. Therefore, we conducted this study to explore the mental health status of medical staff and the efficacy of brief mindfulness meditation (BMM) in improving their mental health. MethodsA survey was conducted between April 18 and May 3, 2020. Upon completing the pre-test, participants in the treatment group received a 15-min BMM intervention every day at 8 p.m. Post-test questionnaires were completed after 16 days of therapy. The questionnaire comprised demographic data and psychological measurement scales. The levels of pre and post-test depression, anxiety, stress, and insomnia were assessed using the 9-item Patient Health Questionnaire, 7-item Generalized Anxiety Disorder Scale, Perceived Stress Scale, and Athens Insomnia Scale, respectively. ResultsA total of 134 completed questionnaires were received. Of the medical staff, 6.7%, 1.5%, and 26.7% reported symptoms of depression, anxiety, and insomnia, respectively. Public officials from military hospitals reported experiencing greater pressure than private officials (t = 2.39, p = 0.018, d = 0.50). Additionally, BMM treatment appeared to effectively alleviate insomnia (t = 2.27, p = 0.027, d = 0.28). ConclusionsThe medical staff suffered negative psychological effects during the COVID-19 pandemic. BMM interventions are advantageous in supporting the mental health of medical staff.

Mental health status of medical staff in Xinjiang Province of China based on the normalisation of COVID-19 epidemic prevention and control

IntroductionThe 2019 coronavirus disease (COVID-19) pandemic has burdened and threatened the psychological health of people around the world, especially those of front-line medical staff. This study aimed to explore the mental-health status and its associated factors amongst the medical workforce of Xinjiang province under the normalisation of the COVID-19 epidemic prevention and control. MethodsA total of 408 medical staff were recruited from February 20 to March 10, 2021. Symptom Checklist 90 (SCL-90) scale, Social support Scale, and Simplified Coping-Style Questionnaire were applied to assess their mental-health status and stress-coping tendency. Descriptive analyses, welch's T-test, chi-square test, and binary logistic regression were used to analyse the data. ResultsThe prevalence of mental-health problems was 20.25% (80/395) amongst the surveyed medical staff, and their total symptom mean score (1.31 ± 0.40) was lower than that of the general population (1.44 ± 0.43). Logistic regression analysis revealed that nurse, individual with poor health condition, those who lived with their elderly parents at home, those receiving less social support, and those with a negative stress-coping style were more likely to show psychological problems. ConclusionMore attention should be paid to the mental state of the medical workforce during the COVID-19 pandemic. The government and professional institutes should facilitate social supportive activities and essential counselling services to help strengthen the psychological resilience of medical staff. Additionally, it is necessary for health administration committee and hospitals to make COVID-19 prevention practice guides and risk communication principles for improving the mental health of the front-line medical staff.

Mental Health Status of Medical Staff Working in Ardabil Prehospital Emergency During COVID-19 Pandemic

Background: Prehospital emergency staff usually encounter patients in situations that can affect the mental health of the medical staff and cause symptoms of depression, anxiety, and stress. This study aimed to determine depression, anxiety, and stress in prehospital emergency personnel during the COVID-19 epidemic in Ardabil City, Iran, 2020. Materials and Methods: A descriptive cross-sectional study was conducted from March 2020 to April 2020 with the participation of 138 working staff in the prehospital emergency department of Ardabil City. The samples were selected by the census method. Necessary information was collected with a two-part questionnaire: a demographic questionnaire and the DASS-21 standard questionnaire. DASS-21 is a 21-item questionnaire that consists of three subscales of 7 questions: depression, anxiety, and stress. The obtained data were analyzed using descriptive statistics, including mean and standard deviation, and inferential analysis, including analysis of variance, independent t test, and multiple regression using SPSS software v. 22 statistical software. Results: The results showed that 45.7% of the staff had moderate depression, 44.9% moderate anxiety, and 77.5% normal stress. There was a significant relationship between work experience and stress level (P=0.03). There were significant associations between age with depression (P=0.04), anxiety (P=0.00) and stress (P=0.01). There was also a significant relationship between gender and variables of stress (P=0.00) and anxiety (P=0.01). Multiple regression results showed that gender and education variables are predictors of anxiety and stress, and age and education variables are predictors of depression (P<0.05). Conclusion: More than half of the staff had moderate to severe depression and anxiety. Considering that prehospital emergency personnel has a vital role in improving and promoting people’s health in the community, eliminating the underlying factors that cause emotional reactions in them is considered a health priority.

The Deficient Psychological Status of Male Medical Staff in Designated Hospitals During the Early Stage of the COVID-19

Background: Coronavirus disease 2019(COVID-19) is a new acute respiratory infectious disease, which has strong infectivity and general susceptibility. Medical staff participating in COVID-19 are facing enormous mental and psychological pressure. In the early stage of the outbreak, in order to control the epidemic, the COVID-19 designated hospital was established to receive suspected and confirmed patients. This study focused on the mental health status of medical staff in designated hospitals at the early stage of the epidemic. We aimed to provide better psychological assistance for medical staff in designated hospitals. Methods: This study was conducted by using symptom Checklist-90 (SCL-90) through network survey from Feb.4 2020 to Feb.25 2020. The mental health of medical staff in the COVID-19 designated hospital and non-designated hospital in Sichuan Province was investigated. Furthermore, the two-way ANOVA was used to evaluate the impact of the designated hospital and the non-designated hospital and gender on the mental health status of medical staff under the epidemic effect. Results: A total of 948 valid questionnaires were collected. 252 medical staff in designated hospitals completed the questionnaire, including 46 males and 206 females. A total of 696 questionnaires were completed by non-designated hospitals, including 124 males and 572 females. The designated hospital and non-designated hospital were divided into two groups. The group main effects analysis was used to analyze 10 factors of SCL90 in the two groups. The results showed that all factors of SCL90 of medical staff in designated hospitals were higher than those in non-designated hospitals. It includes somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostile, phobic, paranoia and psychotic factors. There were interaction effects among the factors of SCL90. The results of post examination showed that there was no gender difference among medical staff in non-designated hospitals. Among the medical staff in designated hospitals, the score of male is higher than that of female. Compared with non-designated hospitals, there are significant differences in interpersonal sensitivity, somatization, anxiety, psychotic, paranoia and the total score of SCL-90 between designated hospitals and non-designated hospitals. There was no significant difference in SCL-90 score between designated hospitals and non-designated hospitals. Conclusions: In the early stage of the outbreak of covid-19, the mental health status of male medical staff in designated hospitals needs more attention, especially in their emotion, interpersonal relationship and physical symptoms. The government should provide them with timely and feasible psychological intervention. Supported by the Project of Science and Technology Department of Sichuan Province (2020ZYD013).

Two-stage mental health survey of first-line medical staff after ending COVID-19 epidemic assistance and isolation

Facing with COVID-19 epidemic such a catastrophic health emergency, the mental health status of medical staff deserves attention. We conducted a two-stage of psychological status monitoring after the end of the assistance and 14 days of isolation, further targeted the vulnerable groups in need of intervention. The study is a cross-sectional survey on 1156 Yunnan medical staff aid to Hubei. Used Cluster sampling method to collect data at 2 time points (at the end of returning from Wuhan and the 14th day of isolation), from March 18, 2020 to April 6, 2020. Female and nurse had higher rates of depressive symptoms than male and doctors and other occupations. The proportion of female with mild and above moderate anxiety levels (22.91%, 2.61%) was higher than male (17.35%, 1.03%) (p < 0.05). Female had a better impaired sleep quality (45.06%, 17.49%) more than male (28.57%, 7.94%). Medical staff supported in Wuhan and with junior professional titles reported a higher proportion of sleep quality impairment. At the 14th isolation day stage, the proportion of nurses changed from depression to health (9.15%) and from health to depression (6.1%) better than doctors. The front-line medical staffs had suffered greater psychological pressure in the treatment process of major public health emergency. Researches on the dynamic monitor for the change of psychological status after aiding epidemic areas were still in relatively blank stage. Targeting the vulnerable characteristics of aiding medical staff is significant for effective psychological intervention and sustainable operation of health system.

新冠肺炎疫情期间医护人员心理健康状况调查及影响因素分析

新冠肺炎疫情期间医护人员心理健康状况调查及影响因素分析

Research on mental health status of medical staff during COVID-19 epidemic

Objective: To explore the psychological status of medical staff during COVID-19 epidemic, so as to provide reference and scientific basis for carrying out further psychological intervention and ensuring the mental health of medical staff. Methods: By using convenient sampling method and the Stresss-Anxiety ubscale of Depression Anxiety Stress (DASS-21) , the mental health status of 615 medical staff was investigated by the way of questionnaire star from February 4 to 16, 2020. A total of 615 questionnaires were distributed and collected, and 615 were valid, with an effective recovery rate of 100%. Results: The detection rates of psychological stress and anxiety of medical staff were 13.82% (85/615) and 25.37% (156/615) , respectively. 31-40 years old and working in key departments were risk factors for psychological stress of medical staff (OR=1.779, 2.127) ; Women, frequently washing hands with soap/hand sanitizer/disinfectant were protective factors for psychological stress (OR=0.520, 0.528) . Medical staff working in designated hospitals and key departments were more likely to have anxiety (OR=2.042, 2.702) ; The high fit of the mask to the face and bridge of the nose was a protective factor for the psychological anxiety of medical staff (OR=0.500) . Conclusion: Medical staff show higher stress and anxiety during the epidemic of COVID-19. Psychological intervention should be carried out early, focusing on men, age 31 to 40, medical staff working in designated hospitals and key departments.

Mental health status of medical staff in the epidemic period of coronavirus disease 2019.

To explore the psychological status of medical staff in the epidemic period of coronavirus disease 2019 (COVID-19), and to analyze its influential factors. A total of 373 medical staff from Xiangya Hospital and the Second Xiangya Hospital of Central South University were enrolled for this study. The General Sociological Data Questionnaire, Symptom Check-List 90 (SCL-90), and self-designed public opinion response questionnaire were used to assess general sociological data, mental health scores, and ability to respond to COVID-19 related public opinion information of medical staff. The mental health scores of medical staff with different general sociological data and public opinion information coping abilities were compared. Influential factors of mental health were analyzed. The average score of 10 factors in SCL-90 of 373 medical staff was less than 2 points. 14.21% medical staff had one or more factor scores more than two points, including 11.26% with terror symptoms, 7.77% with compulsive symptoms, and 5.63% with anxiety. The main sources of COVID-19 information for medical staff included WeChat, microblog, Jinri toutiao, TV and radio. 66.22% medical staff regularly verified information about COVID-19 through official websites or formal channels. A great deal of COVID-19 information in WeChat could make medical staff nervous (34.05%), anxious (30.29%), and insecure (29.22%). 68.63% medical staff sometimes were worried about getting infected because they knew information about COVID-19. Different departments of medical staff, getting cough or having a fever recently, and the degree of fear of infection had an impact on the SCL-90 score of medical staff, the differences were all statistically significant (all P<0.05). Stepwise regression analysis showed that the impact of COVID-19 information on their life in WeChat, getting cough or having a fever recently, insomnia-early caused by COVID-19 information in WeChat, different departments, and the degree of fear of infection COVID-19 were the influential factors for the mental health of medical staff (all P<0.05). During the epidemic of COVID-19, medical staff suffered from psychological problems to various degrees. It is necessary to establish a psychological assistance platform and guide the direction of public opinion correctly to promote the mental health of medical staff.

Mental health status of medical staff in emergency departments during the Coronavirus disease 2019 epidemic in China

BackgroundThe emergency department is considered to be a high-risk area, as it is often the first stop for febrile patients who are subsequently diagnosed with coronavirus disease 2019. This study, which employed a cross-sectional design, aimed to assess the mental health of emergency department medical staff during the epidemic in China. MethodsDemographic data and mental health measurements were collected by electronic questionnaires from February 28, 2020 to March 18, 2020. OutcomesA total of 14,825 doctors and nurses in 31 provinces of mainland China completed the survey. The prevalence rates of depressive symptoms and post-traumatic stress disorder (PTSD) were 25.2% and 9.1%, respectively. Men were more likely to have depressive symptoms and PTSD than women. Those who were middle aged, worked for fewer years, had longer daily work time, and had lower levels of social support were at a higher risk of developing depressive symptoms and PTSD. Working in the Hubei province was associated with a higher risk of depressive symptoms, while those working in the Hubei province but residing in another province had a lower risk of depressive symptoms and PTSD. Being a nurse was associated with a higher risk of PTSD. InterpretationThe findings suggest that targeted psychological interventions to promote the mental health of medical staff with psychological problems need to be immediately implemented. Special attention should be paid to local medical staff in Hubei.

The Research of Mental Health Status Among Medical Personnel in China: A Cross-Sectional Study

Background: In China, burnout, anxiety, depression, and suicidal thoughts among medical staff are common and have been associated with high-intensity work, patient complaints, pressure from public opinion, misunderstanding, and long training and working cycles. However, mental health status of medical personnel has not been well described at a national level. To estimate the mental health status of medical staff, focusing on identifying healthcare providers in the high-risk groups, and executing positive psychological intervention, counseling, treatment initiatives, and moreover, carry out crisis interventions in advance. Methods: This study was using data collected from both the Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) scores, representing the national sample of the medical staff in China, collected from May 2016 to July 2019. The three componentsof mental health, emotional well-being, psychological well-being, and social well-being, were used to evaluate the mental health status of the target population. The survey covered 10 basic information and 40 psychological questions. The main questionnaires were from both the Self-rating Anxiety Scale (SAS) and the Self-rating Depression Scale (SDS), as well as gender, age, marital status, education, professional title, salary, job category, and hospital levels, which were made an electronic questionnaire format by questionnaire star. We sent the message to the healthcare workers’ Wechat group. The responses from 4403 medical physicians (included medical students, refresher doctors, training physicians, and doctors), as well as nursing staff, and medical technicians, were utilized. Findings: The overall pooled prevalence of depression or depressive symptoms among medical personnel in China was 27.8%, and symptoms of anxiety were reported from 22.3% (980 out 4403) physicians. Among these medical staff, the secondary hospital ( P =0.017, P =0.049) and night shift frequency less than 5 days ( P =0.002, P =0.000) and unemotional management-related learning and training ( P =0.000, P =0.000) were significantly associated with SAS and SDS scores. In addition, the study showed that sleep quality (sleep deprivation) were related to gender ( P =0.006) and marital status ( P =0.045), while suicidal ideation were statistically associated with age ( P =0.025), marital status ( P =0.021), occupation ( P =0.028), hospital-level ( P =0.048), professional title ( P =0.037), annual income ( P =0.029), and whether there was emotional management learning ( P =0.001). Interpretation: In this Chinese national study of medical personnel, the findings indicated that the prevalence of depression and anxiety in hospitals at three levels were high. Further research is needed to better understand and identify the high-risk groups of medical staff under high-stress circumstances and to address these issues properly. Trial Registration: Chinese Clinical Trial Registry ChiCTR1800019542 Funding Statement: The National Institute on Minority Health and Health Disparities, a component of the National Institutes of Health (5G12MD007592 and 2U54MD00759226). Declaration of Interests: The authors declare no competing interests. Ethics Approval Statement: The West China Hospital approved this study and waiver of informed consent of the Sichuan University institutional review board.

Mental Health Status of Medical Staff in Emergency Departments During the Coronavirus Disease 2019 Epidemic in China

Background: The emergency department is considered to be a high-risk area, as it is often the first stop for febrile patients who are subsequently diagnosed with Coronavirus disease 2019. This study aimed to assess the mental health of emergency department medical staff during the epidemic in China. Methods: This cross-sectional study was conducted from February 28, 2020 to March 18, 2020. Demographic data and mental health measurements were collected by electronic questionnaires. Outcomes: A total of 14,825 doctors and nurses in 31 provinces of mainland China completed the survey. The prevalence of depressive symptoms and post-traumatic stress disorder (PTSD) were 25.2% and 9.1%. Men were more likely to have depressive symptoms and PTSD than women. Those with middle age, the fewer years working, longer daily work time and lower levels of social support had higher risk to have depressive symptoms and PTSD. Working in Hubei province was associated with a higher risk of depressive symptoms, while those working in Hubei province but who came from another province had a lower risk of depressive symptoms and PTSD. Being a nurse was associated with a higher risk of PTSD. Interpretation: Targeted psychological interventions to promote the mental health of medical staff with psychological problems needs to be immediately implemented. Special attention should be paid to local medical staff in Hubei. Funding Statement: This study was supported by Chinese Academy of Medical Sciences Innovation Fund for Medical Sciences (2019-I2M-5-023), Hainan Provincial Science and Technology Major Project (ZDKJ201804) and Hainan Social Development Fund (ZDYFXGFY2020004). Declaration of Interests: The authors report no conflicts with any product mentioned or concept discussed in this article. Ethics Approval Statement: The study was approved by the institutional ethics board of the Second Affiliated Hospital of Hainan Medical University (No. 2020R011).