Psychological impact of the 2003 severe acute respiratory syndrome outbreak on health care workers in a medium size regional general hospital in Singapore
Identifieur interne : 000B11 ( Istex/Corpus ); précédent : 000B10; suivant : 000B12Psychological impact of the 2003 severe acute respiratory syndrome outbreak on health care workers in a medium size regional general hospital in Singapore
Auteurs : Angelina O. M. Chan ; Chan Yiong HuakSource :
- Occupational Medicine [ 0962-7480 ] ; 2004.
Abstract
Aims To describe the psychological impact of severe acute respiratory syndrome (SARS) on health care workers in a regional general hospital 2 months post-outbreak. Method Doctors and nurses were encouraged to participate. The survey consisted of self-report measures: demographics, the General Health Questionnaire (GHQ) 28 and Impact of Events Scale (IES). A questionnaire enquiring about changes in life's priorities due to SARS and circumstances that helped with coping was used. Participation was strictly voluntary and responses anonymous. Results In total 177 out of 661 (27%) participants [40 out of 113 (35%) doctors and 137 out of 544 (25%) nurses] had a GHQ 28 score ≥5. Doctors [P = 0.026, odds ratio (OR) = 1.6 and 95% confidence interval (CI) = 1.1–2.5] and single health care workers were at higher risk (P = 0.048, OR = 1.4 and 95% CI = 1.02–2.0) compared to nurses and those who were married. Approximately 20% of the participants had IES scores ≥30, indicating the presence of post-traumatic stress disorder (PTSD). Four areas were classified as more important using factor analysis: health and relationship with the family, relationship with friends/colleagues, work and spiritual. The areas for coping strategies were clear directives/precautionary measures, ability to give feedback to/obtain support from management, support from supervisors/colleagues, support from the family, ability to talk to someone and religious convictions. Support from supervisors/colleagues was a significant negative predictor for psychiatric symptoms and PTSD. Work and clear communication of directives/precautionary measures also helped reduce psychiatric symptoms. Conclusions Many health care workers were emotionally affected and traumatized during the SARS outbreak. Hence, it is important for health care institutions to provide psychosocial support and intervention for their health care workers.
Url:
DOI: 10.1093/occmed/kqh027
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<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Psychological impact of the 2003 severe acute respiratory syndrome outbreak on health care workers in a medium size regional general hospital in Singapore</title><author><name sortKey="Chan, Angelina O M" sort="Chan, Angelina O M" uniqKey="Chan A" first="Angelina O. M." last="Chan">Angelina O. M. Chan</name><affiliation><mods:affiliation>Psychological Medicine, Changi General Hospital, 2 Simei Street 3, Singapore 529889</mods:affiliation></affiliation></author><author><name sortKey="Huak, Chan Yiong" sort="Huak, Chan Yiong" uniqKey="Huak C" first="Chan Yiong" last="Huak">Chan Yiong Huak</name><affiliation><mods:affiliation>Clinical Trials and Epidemiology Research Unit, 226 Outram Road, Blk A #02-02, Singapore 169039</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:9206DC53F064059B1D12DB41FF105A6217AFB706</idno><date when="2004" year="2004">2004</date><idno type="doi">10.1093/occmed/kqh027</idno><idno type="url">https://api.istex.fr/ark:/67375/HXZ-RNBB6R8D-Z/fulltext.pdf</idno><idno type="wicri:Area/Istex/Corpus">000B11</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000B11</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main">Psychological impact of the 2003 severe acute respiratory syndrome outbreak on health care workers in a medium size regional general hospital in Singapore</title><author><name sortKey="Chan, Angelina O M" sort="Chan, Angelina O M" uniqKey="Chan A" first="Angelina O. M." last="Chan">Angelina O. M. Chan</name><affiliation><mods:affiliation>Psychological Medicine, Changi General Hospital, 2 Simei Street 3, Singapore 529889</mods:affiliation></affiliation></author><author><name sortKey="Huak, Chan Yiong" sort="Huak, Chan Yiong" uniqKey="Huak C" first="Chan Yiong" last="Huak">Chan Yiong Huak</name><affiliation><mods:affiliation>Clinical Trials and Epidemiology Research Unit, 226 Outram Road, Blk A #02-02, Singapore 169039</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Occupational Medicine</title><title level="j" type="issue">Themed issue: The effectiveness of health workers and the effects of work on their health</title><title level="j" type="abbrev">Occup Med (Lond)</title><idno type="ISSN">0962-7480</idno><idno type="eISSN">1471-8405</idno><imprint><publisher>Oxford University Press</publisher><date type="published">2004</date><biblScope unit="vol">54</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="190">190</biblScope><biblScope unit="page" to="196">196</biblScope></imprint><idno type="ISSN">0962-7480</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0962-7480</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Aims To describe the psychological impact of severe acute respiratory syndrome (SARS) on health care workers in a regional general hospital 2 months post-outbreak. Method Doctors and nurses were encouraged to participate. The survey consisted of self-report measures: demographics, the General Health Questionnaire (GHQ) 28 and Impact of Events Scale (IES). A questionnaire enquiring about changes in life's priorities due to SARS and circumstances that helped with coping was used. Participation was strictly voluntary and responses anonymous. Results In total 177 out of 661 (27%) participants [40 out of 113 (35%) doctors and 137 out of 544 (25%) nurses] had a GHQ 28 score ≥5. Doctors [P = 0.026, odds ratio (OR) = 1.6 and 95% confidence interval (CI) = 1.1–2.5] and single health care workers were at higher risk (P = 0.048, OR = 1.4 and 95% CI = 1.02–2.0) compared to nurses and those who were married. Approximately 20% of the participants had IES scores ≥30, indicating the presence of post-traumatic stress disorder (PTSD). Four areas were classified as more important using factor analysis: health and relationship with the family, relationship with friends/colleagues, work and spiritual. The areas for coping strategies were clear directives/precautionary measures, ability to give feedback to/obtain support from management, support from supervisors/colleagues, support from the family, ability to talk to someone and religious convictions. Support from supervisors/colleagues was a significant negative predictor for psychiatric symptoms and PTSD. Work and clear communication of directives/precautionary measures also helped reduce psychiatric symptoms. Conclusions Many health care workers were emotionally affected and traumatized during the SARS outbreak. Hence, it is important for health care institutions to provide psychosocial support and intervention for their health care workers.</div></front></TEI><istex><corpusName>oup</corpusName><keywords><teeft><json:string>sars</json:string><json:string>health care worker</json:string><json:string>singapore</json:string><json:string>sars situation</json:string><json:string>ptsd</json:string><json:string>psychiatric symptom</json:string><json:string>doctor group</json:string><json:string>sars outbreak</json:string><json:string>programme</json:string><json:string>more important</json:string><json:string>clear communication</json:string><json:string>severe acute respiratory syndrome</json:string><json:string>sars patient</json:string><json:string>psychiatric disorder</json:string><json:string>occupational medicine</json:string><json:string>religious conviction</json:string><json:string>nurse group</json:string><json:string>more likely</json:string><json:string>total score</json:string><json:string>precautionary measure</json:string><json:string>factor analysis</json:string><json:string>outbreak</json:string><json:string>health care organization</json:string><json:string>many health care worker</json:string><json:string>significant difference</json:string><json:string>psychological effect</json:string><json:string>hong kong</json:string><json:string>probable case</json:string><json:string>general health questionnaire</json:string><json:string>psychological impact</json:string><json:string>probable sars patient</json:string><json:string>work area</json:string><json:string>peer support programme</json:string><json:string>hospital management</json:string><json:string>disease information</json:string><json:string>stress disorder</json:string><json:string>spiritual belief</json:string><json:string>logistic regression analysis</json:string><json:string>direct contact</json:string><json:string>teaching hospital</json:string><json:string>descriptive statistic</json:string><json:string>probable sars</json:string><json:string>simei street</json:string><json:string>participant group</json:string><json:string>changi general hospital</json:string><json:string>psychological medicine</json:string><json:string>psychosocial support</json:string><json:string>posttraumatic stress disorder</json:string><json:string>hospital administration support</json:string><json:string>colleague support</json:string><json:string>higher risk</json:string><json:string>unpublished datum</json:string><json:string>single health care worker</json:string><json:string>event scale</json:string><json:string>other health care worker</json:string><json:string>informal feedback</json:string><json:string>medium size regional general hospital</json:string><json:string>health care facility</json:string><json:string>syndrome</json:string></teeft></keywords><author><json:item><name>Angelina O. 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Chan</name><affiliations><json:string>Psychological Medicine, Changi General Hospital, 2 Simei Street 3, Singapore 529889</json:string></affiliations></json:item><json:item><name>Chan Yiong Huak</name><affiliations><json:string>Clinical Trials and Epidemiology Research Unit, 226 Outram Road, Blk A #02-02, Singapore 169039</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Health care workers</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>post-traumatic stress disorder</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>severe acute respiratory syndrome</value></json:item></subject><arkIstex>ark:/67375/HXZ-RNBB6R8D-Z</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>research-article</json:string></originalGenre><abstract>Aims To describe the psychological impact of severe acute respiratory syndrome (SARS) on health care workers in a regional general hospital 2 months post-outbreak. Method Doctors and nurses were encouraged to participate. The survey consisted of self-report measures: demographics, the General Health Questionnaire (GHQ) 28 and Impact of Events Scale (IES). A questionnaire enquiring about changes in life's priorities due to SARS and circumstances that helped with coping was used. Participation was strictly voluntary and responses anonymous. Results In total 177 out of 661 (27%) participants [40 out of 113 (35%) doctors and 137 out of 544 (25%) nurses] had a GHQ 28 score ≥5. Doctors [P = 0.026, odds ratio (OR) = 1.6 and 95% confidence interval (CI) = 1.1–2.5] and single health care workers were at higher risk (P = 0.048, OR = 1.4 and 95% CI = 1.02–2.0) compared to nurses and those who were married. Approximately 20% of the participants had IES scores ≥30, indicating the presence of post-traumatic stress disorder (PTSD). Four areas were classified as more important using factor analysis: health and relationship with the family, relationship with friends/colleagues, work and spiritual. The areas for coping strategies were clear directives/precautionary measures, ability to give feedback to/obtain support from management, support from supervisors/colleagues, support from the family, ability to talk to someone and religious convictions. Support from supervisors/colleagues was a significant negative predictor for psychiatric symptoms and PTSD. Work and clear communication of directives/precautionary measures also helped reduce psychiatric symptoms. Conclusions Many health care workers were emotionally affected and traumatized during the SARS outbreak. 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M.</forename></persName><affiliation>1Psychological Medicine, Changi General Hospital, 2 Simei Street 3, Singapore 529889</affiliation><affiliation role="corresp">Correspondence to: Angelina O. M. Chan, Psychological Medicine, Changi General Hospital, 2 Simei Street 3, Singapore 529889. Tel: +65 6788 8833; fax: +65 6544 2182; e-mail: chanom@pacific.net.sg</affiliation></author><author xml:id="author-0001"><persName><surname>Huak</surname><forename type="first">Chan Yiong</forename></persName><affiliation><orgName type="laboratory">Clinical Trials and Epidemiology Research Unit</orgName><address><addrLine>226 Outram Road</addrLine><addrLine>Blk A #02-02</addrLine><addrLine>Singapore 169039</addrLine></address></affiliation><affiliation role="corresp">Correspondence to: Angelina O. M. Chan, Psychological Medicine, Changi General Hospital, 2 Simei Street 3, Singapore 529889. Tel: +65 6788 8833; fax: +65 6544 2182; e-mail: chanom@pacific.net.sg</affiliation></author><idno type="istex">9206DC53F064059B1D12DB41FF105A6217AFB706</idno><idno type="ark">ark:/67375/HXZ-RNBB6R8D-Z</idno><idno type="other">kqh027</idno><idno type="DOI">10.1093/occmed/kqh027</idno></analytic><monogr><title level="j" type="main">Occupational Medicine</title><title level="j" type="issue">Themed issue: The effectiveness of health workers and the effects of work on their health</title><title level="j" type="abbrev">Occup Med (Lond)</title><idno type="hwp">occumed</idno><idno type="nlm-ta">Occup Med (Lond)</idno><idno type="publisher-id">occmed</idno><idno type="pISSN">0962-7480</idno><idno type="eISSN">1471-8405</idno><imprint><publisher>Oxford University Press</publisher><date type="published">2004</date><biblScope unit="vol">54</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="190">190</biblScope><biblScope unit="page" to="196">196</biblScope></imprint></monogr></biblStruct></sourceDesc></fileDesc><encodingDesc><schemaRef type="ODD" url="https://xml-schema.delivery.istex.fr/tei-istex.odd"></schemaRef><appInfo><application ident="pub2tei" version="1.0.41" when="2020-04-06"><label>pub2TEI-ISTEX</label><desc>A set of style sheets for converting XML documents encoded in various scientific publisher formats into a common TEI format.
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<contrib contrib-type="author"><name><surname>Chan</surname><given-names>Angelina O. M.</given-names></name>
<xref rid="AFF1">1</xref>
</contrib><contrib contrib-type="author"><name><surname>Huak</surname><given-names>Chan Yiong</given-names></name>
<xref rid="AFF2">2</xref>
</contrib><aff id="AFF1"><label>1</label>Psychological Medicine, Changi General Hospital, 2 Simei Street 3, Singapore 529889</aff><aff id="AFF2"><label>2</label>Clinical Trials and Epidemiology Research Unit, 226 Outram Road, Blk A #02-02, Singapore 169039</aff></contrib-group><author-notes><corresp>Correspondence to: Angelina O. M. Chan, Psychological Medicine, Changi General Hospital, 2 Simei Street 3, Singapore 529889. Tel: +65 6788 8833; fax: +65 6544 2182; e-mail: <ext-link xlink:href="chanom@pacific.net.sg" ext-link-type="email">chanom@pacific.net.sg</ext-link></corresp></author-notes><pub-date pub-type="ppub"><month>5</month><year>2004</year></pub-date><volume>54</volume><issue>3</issue><issue-title>Themed issue: The effectiveness of health workers and the effects of work on their health</issue-title><fpage>190</fpage><lpage>196</lpage><history><date date-type="accepted"><day>2</day><month>12</month><year>2003</year></date><date date-type="received"><day>6</day><month>6</month><year>2003</year></date><date date-type="rev-recd"><day>22</day><month>10</month><year>2003</year></date></history><permissions><copyright-statement><italic>Occupational Medicine</italic>, Vol. 54 No. 3 © Society of Occupational Medicine 2004; all rights reserved</copyright-statement><copyright-year>2004</copyright-year></permissions><abstract xml:lang="en">
<p><bold>Aims</bold> To describe the psychological impact of severe acute respiratory syndrome (SARS) on health care workers in a regional general hospital 2 months post-outbreak.</p>
<p><bold>Method</bold> Doctors and nurses were encouraged to participate. The survey consisted of self-report measures: demographics, the General Health Questionnaire (GHQ) 28 and Impact of Events Scale (IES). A questionnaire enquiring about changes in life's priorities due to SARS and circumstances that helped with coping was used. Participation was strictly voluntary and responses anonymous.</p>
<p><bold>Results</bold> In total 177 out of 661 (27%) participants [40 out of 113 (35%) doctors and 137 out of 544 (25%) nurses] had a GHQ 28 score ≥5. Doctors [<italic>P</italic> = 0.026, odds ratio (OR) = 1.6 and 95% confidence interval (CI) = 1.1–2.5] and single health care workers were at higher risk (<italic>P</italic> = 0.048, OR = 1.4 and 95% CI = 1.02–2.0) compared to nurses and those who were married. Approximately 20% of the participants had IES scores ≥30, indicating the presence of post-traumatic stress disorder (PTSD). Four areas were classified as more important using factor analysis: health and relationship with the family, relationship with friends/colleagues, work and spiritual. The areas for coping strategies were clear directives/precautionary measures, ability to give feedback to/obtain support from management, support from supervisors/colleagues, support from the family, ability to talk to someone and religious convictions. Support from supervisors/colleagues was a significant negative predictor for psychiatric symptoms and PTSD. Work and clear communication of directives/precautionary measures also helped reduce psychiatric symptoms.</p>
<p><bold>Conclusions</bold> Many health care workers were emotionally affected and traumatized during the SARS outbreak. Hence, it is important for health care institutions to provide psychosocial support and intervention for their health care workers.</p>
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<kwd>severe acute respiratory syndrome</kwd>
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</article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Psychological impact of the 2003 severe acute respiratory syndrome outbreak on health care workers in a medium size regional general hospital in Singapore</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>Psychological impact of the 2003 severe acute respiratory syndrome outbreak on health care workers in a medium size regional general hospital in Singapore</title></titleInfo><name type="personal"><namePart type="given">Angelina O. M.</namePart><namePart type="family">Chan</namePart><affiliation>Psychological Medicine, Changi General Hospital, 2 Simei Street 3, Singapore 529889</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Chan Yiong</namePart><namePart type="family">Huak</namePart><affiliation>Clinical Trials and Epidemiology Research Unit, 226 Outram Road, Blk A #02-02, Singapore 169039</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="research-article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-1JC4F85T-7">research-article</genre><originInfo><publisher>Oxford University Press</publisher><dateIssued encoding="w3cdtf">2004-05</dateIssued><dateCreated encoding="w3cdtf">2003-12-02</dateCreated><copyrightDate encoding="w3cdtf">2004</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><abstract lang="en">Aims To describe the psychological impact of severe acute respiratory syndrome (SARS) on health care workers in a regional general hospital 2 months post-outbreak. Method Doctors and nurses were encouraged to participate. The survey consisted of self-report measures: demographics, the General Health Questionnaire (GHQ) 28 and Impact of Events Scale (IES). A questionnaire enquiring about changes in life's priorities due to SARS and circumstances that helped with coping was used. Participation was strictly voluntary and responses anonymous. Results In total 177 out of 661 (27%) participants [40 out of 113 (35%) doctors and 137 out of 544 (25%) nurses] had a GHQ 28 score ≥5. Doctors [P = 0.026, odds ratio (OR) = 1.6 and 95% confidence interval (CI) = 1.1–2.5] and single health care workers were at higher risk (P = 0.048, OR = 1.4 and 95% CI = 1.02–2.0) compared to nurses and those who were married. Approximately 20% of the participants had IES scores ≥30, indicating the presence of post-traumatic stress disorder (PTSD). Four areas were classified as more important using factor analysis: health and relationship with the family, relationship with friends/colleagues, work and spiritual. The areas for coping strategies were clear directives/precautionary measures, ability to give feedback to/obtain support from management, support from supervisors/colleagues, support from the family, ability to talk to someone and religious convictions. Support from supervisors/colleagues was a significant negative predictor for psychiatric symptoms and PTSD. Work and clear communication of directives/precautionary measures also helped reduce psychiatric symptoms. Conclusions Many health care workers were emotionally affected and traumatized during the SARS outbreak. Hence, it is important for health care institutions to provide psychosocial support and intervention for their health care workers.</abstract><note type="author-notes">Correspondence to: Angelina O. M. Chan, Psychological Medicine, Changi General Hospital, 2 Simei Street 3, Singapore 529889. Tel: +65 6788 8833; fax: +65 6544 2182; e-mail: chanom@pacific.net.sg</note><subject lang="en"><genre>KWD</genre><topic>Health care workers</topic><topic>post-traumatic stress disorder</topic><topic>severe acute respiratory syndrome</topic></subject><relatedItem type="host"><titleInfo><title>Occupational Medicine</title></titleInfo><titleInfo type="abbreviated"><title>Occup Med (Lond)</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">0962-7480</identifier><identifier type="eISSN">1471-8405</identifier><identifier type="PublisherID">occmed</identifier><identifier type="PublisherID-hwp">occumed</identifier><identifier type="PublisherID-nlm-ta">Occup Med (Lond)</identifier><part><date>2004</date><detail type="title"><title>Themed issue: The effectiveness of health workers and the effects of work on their health</title></detail><detail type="volume"><caption>vol.</caption><number>54</number></detail><detail type="issue"><caption>no.</caption><number>3</number></detail><extent unit="pages"><start>190</start><end>196</end></extent></part></relatedItem><identifier type="istex">9206DC53F064059B1D12DB41FF105A6217AFB706</identifier><identifier type="ark">ark:/67375/HXZ-RNBB6R8D-Z</identifier><identifier type="DOI">10.1093/occmed/kqh027</identifier><identifier type="local">kqh027</identifier><accessCondition type="use and reproduction" contentType="copyright">Occupational Medicine, Vol. 54 No. 3 © Society of Occupational Medicine 2004; all rights reserved</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-GTWS0RDP-M">oup</recordContentSource><recordOrigin>Converted from (version 1.2.10) to MODS version 3.6.</recordOrigin><recordCreationDate encoding="w3cdtf">2020-04-16</recordCreationDate></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/ark:/67375/HXZ-RNBB6R8D-Z/record.json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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