J Yeungnam Med Sci.  2022 Jul;39(3):216-222. 10.12701/yujm.2021.01361.

A comparative study of the psychological impacts of tasks related and unrelated to COVID-19 on nurses: a cross-sectional study

Affiliations
  • 1Department of Family Medicine, Daegu Catholic University School of Medicine, Daegu, Korea

Abstract

Background
This study assessed the psychological impact of the outbreak of coronavirus disease 2019 (COVID-19) on university hospital nurses. It provides an assessment of mental health issues, including depression, anxiety, distress, and burnout of nurses dealing directly and indirectly with COVID-19.
Methods
In a web-based, cross-sectional study, 111 nurses from Daegu Catholic University Hospital in Korea were enrolled from August 4 to August 9, 2020. Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, Impact of Event Scale-Revised, and Maslach Burnout Inventory were used to assess the psychological symptoms of depression, anxiety, psychological distress, and burnout among the study participants.
Results
Of 111 nurses, 35 (31.5%), nine (8.1%), 26 (23.4%), and 49 (44.1%) experienced depression, anxiety, distress, and burnout, respectively. Nurses who performed COVID-19–related tasks were more likely to have moderate depression (related vs. unrelated, 52.0% vs. 25.6%; p=0.037). There were no differences in anxiety, distress, and burnout between nurses with and without COVID-19–related tasks. More than 50% of the participants showed receptive and positive attitudes toward caring for COVID-19 patients.
Conclusion
Nurses who performed COVID-19–related tasks had a higher risk of depression. There were no significant differences in anxiety, distress, and burnout between the two groups. Since nurses who perform COVID-19–related tasks are more prone to psychological distress, continued psychiatric interventions are required for infectious disease outbreaks with a high mortality rate for healthcare workers who are emotionally vulnerable.

Keyword

Anxiety; Burnout; COVID-19; Depression; Distress

Reference

References

1. Li Q, Guan X, Wu P, Wang X, Zhou L, Tong Y, et al. Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. N Engl J Med. 2020; 382:1199–207.
Article
2. World Health Organization (WHO). WHO director-General’s opening remarks at the media briefing on COVID-19 [Internet]. Geneva: WHO;2020. [cited 2021 Mar 18]. https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020.
3. Xiong J, Lipsitz O, Nasri F, Lui LM, Gill H, Phan L, et al. Impact of COVID-19 pandemic on mental health in the general population: a systematic review. J Affect Disord. 2020; 277:55–64.
Article
4. Salazar de Pablo G, Vaquerizo-Serrano J, Catalan A, Arango C, Moreno C, Ferre F, et al. Impact of coronavirus syndromes on physical and mental health of health care workers: systematic review and meta-analysis. J Affect Disord. 2020; 275:48–57.
Article
5. Koh D, Lim MK, Chia SE. SARS: health care work can be hazardous to health. Occup Med (Lond). 2003; 53:241–3.
Article
6. Moazzami B, Razavi-Khorasani N, Dooghaie Moghadam A, Farokhi E, Rezaei N. COVID-19 and telemedicine: Immediate action required for maintaining healthcare providers well-being. J Clin Virol. 2020; 126:104345.
Article
7. Vieta E, Pérez V, Arango C. Psychiatry in the aftermath of COVID-19. Rev Psiquiatr Salud Ment (Engl Ed). 2020; 13:105–10.
Article
8. Chew NW, Lee GK, Tan BY, Jing M, Goh Y, Ngiam NJ, et al. A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak. Brain Behav Immun. 2020; 88:559–65.
Article
9. World Health Organization. Global strategic directions for strengthening nursing and midwifery 2016-2020 [Internet]. Geneva: WHO;2016. [cited 2021 Mar 18]. https://www.who.int/hrh/nursing_midwifery/global-strategic-midwifery2016-2020.pdf.
10. Chong MY, Wang WC, Hsieh WC, Lee CY, Chiu NM, Yeh WC. Psychological impact of severe acute respiratory syndrome on health workers in a tertiary hospital. Br J Psychiatry. 2004; 185:127–33.
Article
11. Kim JS, Choi JS. Factors influencing emergency nurses’ burnout during an outbreak of Middle East respiratory syndrome coronavirus in Korea. Asian Nurs Res (Korean Soc Nurs Sci). 2016; 10:295–9.
Article
12. Korean Society of Infectious Diseases; Korean Society of Pediatric Infectious Diseases; Korean Society of Epidemiology; Korean Society for Antimicrobial Therapy; Korean Society for Healthcare-associated Infection Control and Prevention; Korea Centers for Disease Control and Prevention. Report on the epidemiological features of coronavirus disease 2019 (COVID-19) outbreak in the Republic of Korea from January 19 to March 2, 2020. J Korean Med Sci. 2020; 35:e112.
13. Park SJ, Choi HR, Choi JH, Kim KW, Hong JP. Reliability and validity of the Korean version of the Patient Health Questionnaire-9 (PHQ-9). Anxiety Mood. 2010; 6:119–24.
14. Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001; 16:606–13.
15. Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006; 166:1092–7.
Article
16. Plummer F, Manea L, Trepel D, McMillan D. Screening for anxiety disorders with the GAD-7 and GAD-2: a systematic review and diagnostic metaanalysis. Gen Hosp Psychiatry. 2016; 39:24–31.
Article
17. Lee SH, Shin C, Kim H, Jeon SW, Yoon HK, Ko YH, et al. Validation of the Korean version of the Generalized Anxiety Disorder 7 self-rating scale. Asia Pac Psychiatry. 2022; 14:e12421.
Article
18. Weiss DS. The impact of event scale: revised. In : Wilson JP, Tang CS, editors. Cross-cultural assessment of psychological trauma and PTSD. New York: Springer;2007. p. 219–38.
19. Eun HJ, Kwon TW, Lee SM, Kim TH, Choi MR, Cho SJ. A study on reliability and validity of the Korean version of impact of event scale-revised. J Korean Neuropsychiatr Assoc. 2005; 44:303–10.
20. Maslach C, Jackson SE. The measurement of experienced burnout. J Organ Behav. 1981; 2:99–113.
Article
21. Shin KH. The Maslach burnout inventory-general survey (MBI-GS): an application in South Korea. Korean J Ind Organ Psychol. 2003; 16:1–17.
22. Schutte N, Toppinen S, Kalimo R, Schaufeli W. The factorial validity of the Maslach Burnout Inventory‐General Survey (MBI‐GS) across occupational groups and nations. J Occup Organ Psychol. 2000; 73:53–66.
Article
23. Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. Brain Behav Immun. 2020; 88:901–7.
Article
24. Park C, Hwang JM, Jo S, Bae SJ, Sakong J. COVID-19 outbreak and its association with healthcare workers’ emotional stress: a cross-sectional study. J Korean Med Sci. 2020; 35:e372.
Article
25. Salari N, Hosseinian-Far A, Jalali R, Vaisi-Raygani A, Rasoulpoor S, Mohammadi M, et al. Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis. Global Health. 2020; 16:57.
Article
26. Shaukat N, Ali DM, Razzak J. Physical and mental health impacts of COVID-19 on healthcare workers: a scoping review. Int J Emerg Med. 2020; 13:40.
Article
27. Jo SH, Koo BH, Seo WS, Yun SH, Kim HG. The psychological impact of the coronavirus disease pandemic on hospital workers in Daegu, South Korea. Compr Psychiatry. 2020; 103:152213.
Article
28. Sareen J, Erickson J, Medved MI, Asmundson GJ, Enns MW, Stein M, et al. Risk factors for post-injury mental health problems. Depress Anxiety. 2013; 30:321–7.
Article
29. Korean Statistical Information Service (KOSIS). The update of COVID-19 in Korea [Internet]. Daejeon: KOSIS;2021. [cited 2021 Apr 12]. https://kosis.kr/covid/covid_index.do.
30. Chong MY, Wang WC, Hsieh WC, Lee CY, Chiu NM, Yeh WC, et al. Psychological impact of severe acute respiratory syndrome on health workers in a tertiary hospital. Br J Psychiatry. 2004; 185:127–33.
Article
31. Zhang Y, Wei L, Li H, Pan Y, Wang J, Li Q, et al. The psychological change process of frontline nurses caring for patients with COVID-19 during its outbreak. Issues Ment Health Nurs. 2020; 41:525–30.
Article
Full Text Links
  • JYMS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr