Psychological status of surgical staff during the COVID-19 outbreak
Identifieur interne : 000B27 ( Pmc/Corpus ); précédent : 000B26; suivant : 000B28Psychological status of surgical staff during the COVID-19 outbreak
Auteurs : Jian Xu ; Qian-Hui Xu ; Chang-Ming Wang ; Jun WangSource :
- Psychiatry Research [ 0165-1781 ] ; 2020.
Abstract
The mental health problems of surgical staff during the COVID-19 epidemic are more serious, and the anxiety and depression are more obvious.
Url:
DOI: 10.1016/j.psychres.2020.112955
PubMed: 32302815
PubMed Central: 7151272
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Psychological status of surgical staff during the COVID-19 outbreak</title><author><name sortKey="Xu, Jian" sort="Xu, Jian" uniqKey="Xu J" first="Jian" last="Xu">Jian Xu</name><affiliation><nlm:aff id="aff0001">Department of Gastrointestinal Surgery, Baoshan Branch, Shuguang Hospital Affiliated with Shanghai University of Traditional Chinese Medicine, Shanghai 201900, China</nlm:aff></affiliation></author><author><name sortKey="Xu, Qian Hui" sort="Xu, Qian Hui" uniqKey="Xu Q" first="Qian-Hui" last="Xu">Qian-Hui Xu</name><affiliation><nlm:aff id="aff0002">Nanchang University, Nanchang 330006, Jiangxi Province, China</nlm:aff></affiliation></author><author><name sortKey="Wang, Chang Ming" sort="Wang, Chang Ming" uniqKey="Wang C" first="Chang-Ming" last="Wang">Chang-Ming Wang</name><affiliation><nlm:aff id="aff0001">Department of Gastrointestinal Surgery, Baoshan Branch, Shuguang Hospital Affiliated with Shanghai University of Traditional Chinese Medicine, Shanghai 201900, China</nlm:aff></affiliation></author><author><name sortKey="Wang, Jun" sort="Wang, Jun" uniqKey="Wang J" first="Jun" last="Wang">Jun Wang</name><affiliation><nlm:aff id="aff0001">Department of Gastrointestinal Surgery, Baoshan Branch, Shuguang Hospital Affiliated with Shanghai University of Traditional Chinese Medicine, Shanghai 201900, China</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">32302815</idno><idno type="pmc">7151272</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7151272</idno><idno type="RBID">PMC:7151272</idno><idno type="doi">10.1016/j.psychres.2020.112955</idno><date when="2020">2020</date><idno type="wicri:Area/Pmc/Corpus">000B27</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000B27</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Psychological status of surgical staff during the COVID-19 outbreak</title><author><name sortKey="Xu, Jian" sort="Xu, Jian" uniqKey="Xu J" first="Jian" last="Xu">Jian Xu</name><affiliation><nlm:aff id="aff0001">Department of Gastrointestinal Surgery, Baoshan Branch, Shuguang Hospital Affiliated with Shanghai University of Traditional Chinese Medicine, Shanghai 201900, China</nlm:aff></affiliation></author><author><name sortKey="Xu, Qian Hui" sort="Xu, Qian Hui" uniqKey="Xu Q" first="Qian-Hui" last="Xu">Qian-Hui Xu</name><affiliation><nlm:aff id="aff0002">Nanchang University, Nanchang 330006, Jiangxi Province, China</nlm:aff></affiliation></author><author><name sortKey="Wang, Chang Ming" sort="Wang, Chang Ming" uniqKey="Wang C" first="Chang-Ming" last="Wang">Chang-Ming Wang</name><affiliation><nlm:aff id="aff0001">Department of Gastrointestinal Surgery, Baoshan Branch, Shuguang Hospital Affiliated with Shanghai University of Traditional Chinese Medicine, Shanghai 201900, China</nlm:aff></affiliation></author><author><name sortKey="Wang, Jun" sort="Wang, Jun" uniqKey="Wang J" first="Jun" last="Wang">Jun Wang</name><affiliation><nlm:aff id="aff0001">Department of Gastrointestinal Surgery, Baoshan Branch, Shuguang Hospital Affiliated with Shanghai University of Traditional Chinese Medicine, Shanghai 201900, China</nlm:aff></affiliation></author></analytic><series><title level="j">Psychiatry Research</title><idno type="ISSN">0165-1781</idno><idno type="eISSN">1872-7123</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Highlights</title><p><list list-type="simple" id="celist0001"><list-item id="celistitem0001"><label>•</label><p id="para0001">The mental health problems of surgical staff during the COVID-19 epidemic are more serious, and the anxiety and depression are more obvious.</p></list-item></list></p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><pmc article-type="letter"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Psychiatry Res</journal-id><journal-id journal-id-type="iso-abbrev">Psychiatry Res</journal-id><journal-title-group><journal-title>Psychiatry Research</journal-title></journal-title-group><issn pub-type="ppub">0165-1781</issn><issn pub-type="epub">1872-7123</issn><publisher><publisher-name>Elsevier B.V.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">32302815</article-id><article-id pub-id-type="pmc">7151272</article-id><article-id pub-id-type="publisher-id">S0165-1781(20)30614-4</article-id><article-id pub-id-type="doi">10.1016/j.psychres.2020.112955</article-id><article-id pub-id-type="publisher-id">112955</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Psychological status of surgical staff during the COVID-19 outbreak</article-title></title-group><contrib-group><contrib contrib-type="author" id="au0001"><name><surname>Xu</surname><given-names>Jian</given-names></name><email>xjqhy0348@163.com</email><xref rid="aff0001" ref-type="aff">a</xref><xref rid="cor0001" ref-type="corresp">⁎</xref></contrib><contrib contrib-type="author" id="au0002"><name><surname>Xu</surname><given-names>Qian-hui</given-names></name><xref rid="aff0002" ref-type="aff">b</xref><xref rid="cor0001" ref-type="corresp">⁎</xref></contrib><contrib contrib-type="author" id="au0003"><name><surname>Wang</surname><given-names>Chang-ming</given-names></name><xref rid="aff0001" ref-type="aff">a</xref></contrib><contrib contrib-type="author" id="au0004"><name><surname>Wang</surname><given-names>Jun</given-names></name><xref rid="aff0001" ref-type="aff">a</xref></contrib></contrib-group><aff id="aff0001"><label>a</label>Department of Gastrointestinal Surgery, Baoshan Branch, Shuguang Hospital Affiliated with Shanghai University of Traditional Chinese Medicine, Shanghai 201900, China</aff><aff id="aff0002"><label>b</label>Nanchang University, Nanchang 330006, Jiangxi Province, China</aff><author-notes><corresp id="cor0001"><label>⁎</label>Corresponding author: Department of Gastrointestinal Surgery, Baoshan Branch, Shuguang Hospital Affiliated with Shanghai University of Traditional Chinese Medicine, No 181, YouYi Street, Baoshan District, Shanghai 201900, People's Republic of China <email>xjqhy0348@163.com</email></corresp></author-notes><pub-date pub-type="pmc-release"><day>11</day><month>4</month><year>2020</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="epub"><day>11</day><month>4</month><year>2020</year></pub-date><elocation-id>112955</elocation-id><history><date date-type="received"><day>21</day><month>3</month><year>2020</year></date><date date-type="rev-recd"><day>25</day><month>3</month><year>2020</year></date><date date-type="accepted"><day>26</day><month>3</month><year>2020</year></date></history><permissions><copyright-statement>© 2020 Elsevier B.V. All rights reserved.</copyright-statement><copyright-year>2020</copyright-year><copyright-holder>Elsevier Ltd</copyright-holder><license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p></license></permissions><abstract abstract-type="author-highlights" id="abs0001"><title>Highlights</title><p><list list-type="simple" id="celist0001"><list-item id="celistitem0001"><label>•</label><p id="para0001">The mental health problems of surgical staff during the COVID-19 epidemic are more serious, and the anxiety and depression are more obvious.</p></list-item></list></p></abstract><abstract id="abs0002"><p>The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which appeared in early December 2019, had an atypical viral pneumonia outbreak in Wuhan, Hubei, China. And there is a high risk of global proliferation and impact. The sudden increase in confirmed cases has brought tremendous stress and anxiety to frontline surgical staff. The results showed that the anxiety and depression of surgical staff during the outbreak period were significantly higher and mental health problems appeared, so psychological interventions are essential.</p></abstract></article-meta></front><body><p id="para0002">Dear editor,</p><p id="para0003">In the outbreak of novel coronavirus pneumonia that occurred in early December 2019, the World Health Organization named this new coronavirus SARS-CoV-2 (<xref rid="bib0002" ref-type="bibr">XINHUANET, 2020</xref>). The World Health Organization has raised the assessment of the global spread and risk of COVID-19 virus to "very high" (WTO, 2020). As of March 21, 81,416 people had been diagnosed with new coronary pneumonia in China, and 3,261 had died. More than 188,876 confirmed cases and 7,956 deaths occurred in more than 160 countries around the world. The sudden increase in confirmed cases has brought tremendous stress and anxiety to frontline medical staff. This includes not only internal medicine departments such as the respiratory department, but also surgical medical staff is also facing huge pressure. Therefore, this study hopes to draw public attention to the mental health of surgical staff.</p><p id="para0004">A total of 120 subjects from the surgical medical staff of Baoshan Branch of Shanghai Shuguang Hospital were divided into two groups (60 in each group) at two time periods (outbreak period: January 28, 2020 to February 29, 2020; Non-epidemic outbreak period: March 2nd to March 21st, 2020) fill out four scales (Anxiety scale, Depression score, Dream anxiety score and SF-36 scale). By comparing the capital data of surgical staff from different periods of the epidemic, we found that there was no significant difference in the age, gender, and marital status of the surgical staff in the two periods(P>0.05). According to statistics, the anxiety score of surgical staff during the outbreak period was 7.817 ± 2.508, of which 28 were positive (≥8 points). The anxiety score of surgical staff during the non-outbreak period was 5.283 ± 1.738, of which 6 were anxiety positive. The anxiety score of the surgical staff during the outbreak period was significantly higher than that of the surgical staff during the non-outbreak period (t = 6.432, P <0.001). The depression score of surgical staff during the outbreak period was 7.333 ± 2.508, of which 24 were positive for depression (≥8 points). The depression score of surgical staff during the non-outbreak period was 4.933 ± 2.154, of which 7 were positive for depression. Obviously, the depression score of surgical staff during the outbreak was higher than that of surgical staff during the non-outbreak (t = 4.531, P <0.001). At the same time, the dream anxiety score and SF-36 of the surgical staff during the outbreak were significantly higher than those of the surgical staff during the non-outbreak (t = 17.365, P <0.001; t = 1.974, P <0.001). In addition, the anxiety score, depression score, and dream anxiety score of the surgical staff during the outbreak period were positively correlated (<xref rid="fig0001" ref-type="fig">Figure 1</xref>D, E, F), and the depression score and dream anxiety score of the surgical staff during the outbreak period were strongly positively correlated Sex (<xref rid="fig0001" ref-type="fig">Figure 1</xref>A).<fig id="fig0001"><label>Figure 1</label><caption><p>Correlation between anxiety, depression and dream anxiety</p><p>Note:Correlation between anxiety and depression in surgical staff during the non-outbreak period (A) (P<0.0001), correlation between anxiety and dream anxiety (B), and correlation between depression and dream anxiety (C). Correlation between anxiety and depression in surgical staff during the outbreak period (D) (P<0.0001), correlation between anxiety and dream anxiety (E) (P<0.0001), and correlation between depression and dream anxiety (F) (P<0.0001).</p></caption><alt-text id="alt0001">Figure 1</alt-text><graphic xlink:href="gr1_lrg"></graphic></fig></p><p id="para0005">The results showed that the degree of anxiety and depression of the surgical staff during the outbreak was significantly higher than that of the surgical staff during the non-outbreak. COVID-19 is an acute respiratory disease. It can spread through a variety of routes, such as close air and close contact, and can cause infections in hospitals. COVID-19 causes many medical personnel to be easily infected in a short time when treating patients. Surgical medical personnel also occupy an important position in this epidemic, there are also many SARS-CoV-2 confirmed cases that require surgical treatment. Surgical patients will not be reduced due to the outbreak of the epidemic. Especially, not all patients undergoing emergency operation and confine operation have been tested for viral nucleic acid, and it is impossible to determine whether the patient has no history of exposure to SARS-CoV-2. Therefore, during the month of the epidemic outbreak (January 28, 2020 to February 29, 2020), the medical staff faced all patients who must be treated as soon as possible and inevitably need to worry about their own risk of infection. These include surgeons and anesthesiologists, who need to perform intubation and other operations, and they all need to be in close contact with patients at high risk. It is even more common for patients to conceal their exposure to high-risk areas of SARS-CoV-2 in order to receive timely treatment. Therefore, during the outbreak, the surgical medical staff suffered the risk of self-infection, and the huge psychological pressure caused the anxiety and depression. However, mental health problems will affect the working status of surgical medical personnel to a certain extent, and affect the treatment of patients. Therefore, it is necessary to pay attention to the mental health of surgical medical personnel. Studies have shown that acute stress events such as SARS have significant negative psychological effects on medical staff. Surgical medical staff is also one of the forces to resist COVID-19, while preventing and controlling the epidemic, we must not forget the treatment of the remaining patients with severe surgery. In summary, in order to protect the mental health of surgical medical personnel, ensure adequate rest time and must pay attention to as early as possible, and give certain psychological intervention measures.</p><sec id="sec0001"><label>1</label><title>Authors' contributions</title><p id="para0006">JX and QHX designed the current study. CMW and JW collected data. QHX and JX analyzed the data. QHX wrote the manuscript. All the authors read and approved the final manuscript.</p></sec><sec id="sec0002"><label>2</label><title>Consent for publication</title><p id="para0007">All authors agree to publish</p></sec><sec sec-type="data-availability" id="sec0003"><label>3</label><title>Data availability</title><p id="para0008">The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.</p></sec><sec id="sec0004"><label>4</label><title>Author Statement</title><p id="para0009">Manuscript number: PSY_2020_578</p><p id="para0010">Manuscript Title: Psychological status of surgical staff during the COVID-19 outbreak</p><p id="para0011">I have made substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work; AND I have drafted the work or revised it critically for important intellectual content; AND I have approved the final version to be published; AND I agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved</p><p id="para0012">All persons who have made substantial contributions to the work reported in the manuscript, including those who provided editing and writing assistance but who are not authors, are named in the Acknowledgments section of the manuscript and have given their written permission to be named. If the manuscript does not include Acknowledgments, it is because the authors have not received substantial contributions from nonauthors.</p><p id="para0013">Attachment: No</p><p id="para0014">Author signature:</p><p id="para0015">Jian Xu, Qian-hui Xu, Chang-ming Wang, Jun Wang</p><p id="para0016"><xref rid="tbl0001" ref-type="table">Table 1</xref>. xxx<table-wrap position="float" id="tbl0001"><label>Table 1</label><caption><p>Basic characteristics and Anxiety, Depression, Dream Anxiety Index and SF-36 of surgical staff.</p></caption><alt-text id="alt0002">Table 1</alt-text><table frame="hsides" rules="groups"><thead><tr><th valign="top">Clinical characteristics</th><th valign="top">COVID-19 outbreak period (n=60)</th><th valign="top">Non-COVID-19 outbreak period (n=60)</th><th valign="top">t</th><th valign="top">P</th></tr></thead><tbody><tr><td valign="top"><bold>Age (years)</bold></td><td valign="top">36.68±9.67</td><td valign="top">35.77±7.06</td><td valign="top">0.593</td><td valign="top">0.554</td></tr><tr><td valign="top"><bold>Gender</bold></td><td valign="top"></td><td valign="top"></td><td valign="top">0.462</td><td valign="top">0.438</td></tr><tr><td valign="top">male</td><td valign="top">22)36.7(</td><td valign="top">28)46.7(</td><td valign="top"></td><td valign="top"></td></tr><tr><td valign="top">Female</td><td valign="top">38)63.3(</td><td valign="top">32)53.3(</td><td valign="top"></td><td valign="top"></td></tr><tr><td valign="top"><bold>Marital status</bold></td><td valign="top"></td><td valign="top"></td><td valign="top">0.665</td><td valign="top">0.478</td></tr><tr><td valign="top">married</td><td valign="top">51(85.0)</td><td valign="top">49(81.7)</td><td valign="top"></td><td valign="top"></td></tr><tr><td valign="top">unmarried</td><td valign="top">9)15.0(</td><td valign="top">11)18.3(</td><td valign="top"></td><td valign="top"></td></tr><tr><td valign="top"><bold>Sleeping time)h(</bold></td><td valign="top">6.28±0.44</td><td valign="top">7.21±0.89</td><td valign="top">3.134</td><td valign="top">0.012</td></tr><tr><td valign="top"><bold>Anxiety Index</bold></td><td valign="top">7.817±2.508</td><td valign="top">5.283±1.738</td><td valign="top">6.432</td><td valign="top"><0.001</td></tr><tr><td valign="top"><bold>Depression Index</bold></td><td valign="top">7.333±2.508</td><td valign="top">4.933±2.154</td><td valign="top">4.531</td><td valign="top"><0.001</td></tr><tr><td valign="top"><bold>Dream Anxiety Index</bold></td><td valign="top">48.183±13.592</td><td valign="top">15.983±4.645</td><td valign="top">17.365</td><td valign="top"><0.001</td></tr><tr><td valign="top"><bold>SF-36</bold></td><td valign="top">512.56±58.34</td><td valign="top">658.32±61.23</td><td valign="top">1.974</td><td valign="top"><0.001</td></tr></tbody></table><table-wrap-foot><fn><p>Notes: Chi-squared tests or the two-tailed, paired Student's t-test were used. P-value < 0.05 was considered statistically significant.</p></fn></table-wrap-foot></table-wrap></p></sec><sec id="sec0005"><title>Uncited References:</title><p id="para0017"><xref rid="bib0001" ref-type="bibr">WHO March 2020</xref></p></sec><sec sec-type="COI-statement"><title>Declaration of Competing Interests</title><p id="para0018">This study did not receive any industrial support. The authors have no competing interests to declare regarding this study.</p></sec></body><back><ref-list id="cebibl1"><title>Reference</title><ref id="bib0001"><mixed-citation publication-type="other" id="othref0001">WHO. WHO Director-General's opening remarks at the media briefing on COVID-19 - 9March 2020. https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19—9-march-2020.</mixed-citation></ref><ref id="bib0002"><mixed-citation publication-type="other" id="othref0002">XINHUANET News Report (<ext-link ext-link-type="uri" xlink:href="http://www.xinhuanet.com/english/2020-01/09/c_138690570.htm" id="interref0001">http://www.xinhuanet.com/english/2020-01/09/c_138690570.htm</ext-link>).</mixed-citation></ref></ref-list><ack id="ack0001"><title>Acknowledgments</title><p>Jian Xu had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. We thank Chang-ming Wang</p><p>(Department of Gastrointestinal Surgery, Baoshan Branch, Shuguang Hospital Affiliated with Shanghai University of Traditional Chinese Medicine) and Jun Wang (Department of Gastrointestinal Surgery, Baoshan Branch, Shuguang Hospital Affiliated with Shanghai University of Traditional Chinese Medicine) for correcting the English in the manuscript for this article.</p></ack></back></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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