Mental health of doctors and nurses in health crisis situations
Keywords:
pandemics, depression, anxiety, stress, health personnel.Abstract
Introduction: The COVID-19 pandemic has generated many repercussions in the mental health of the population, especially in those working in the front line of care.Objective: To characterize front-line health care personnel according to the level of depression, anxiety, and stress in the context of the COVID-19 pandemic.
Methods: Observational, descriptive, cross-sectional study. Health professionals involved in the first-line care of COVID-19 patients in critical areas were surveyed between October and December 2020. The Depression Anxiety and Stress Scale was used to measure the dependent variables; in addition, epidemiological variables were collected: sex, age and type of profession. A descriptive analysis of the data was performed using frequency/percentage tables and cross tables.
Results: Of the 86 physicians and nurses surveyed, 36.05 % presented depression, predominantly at the moderate level, 55.81 % presented anxiety, predominantly at the mild level, and 53.49 % presented stress, predominantly at the mild level. Higher levels of depression (71 %), anxiety (75 %) and stress were found in female personnel (73.91 %), in the 41-60 age group higher levels of stress (64.52 %), anxiety (64.58 %) and stress (30.43 %) were found, and in the professional group of nurses higher levels of depression (67.71 %), anxiety (72.92 %) and stress (67.39 %) were found.
Conclusion: Of the 3 psychopathological disorders studied in the health professionals, the one with the highest percentage is anxiety, followed by stress and depression. Female participants, the 41-60 years age group, and nurses have higher levels of depression, anxiety and stress.
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References
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2. Castro-Baca A, Villena-Pacheco A. La Pandemia del COVID-19 y su repercusión en la salud pública en Perú. Acta Med Peru. 2021; 38(3):161-2. DOI: 10.35663/amp.2021.383.2227
3. Gestión. Perú pasa a ser el país con la mayor mortalidad del mundo por el COVID-19. Gestión Noticias; 2020. [acceso: 16/11/2021]. Disponible en: https://gestion.pe/peru/peru-pasa-a-ser-el-pais-con-la-mayor-mortalidad-del-mundo-por-la-covid-19-noticia/
4. Heitzman J. Impact of COVID-19 pandemic on mental health. Psychiatr Pol. 2020; 54(2):187-98. DOI: 10.12740/PP/120373
5. Mejia CR, Quispe-Sancho A, Rodriguez-Alarcon JF, Ccasa-Valero L, Ponce-López VL, Varela-Villanueva ES, et al. Factores asociados al fatalismo ante la COVID-19 en 20 ciudades del Perú en marzo 2020. Rev Habanera Cienc Médicas. 2020 [acceso: 17/11/2021]; 19(2):1-13. Disponible en: http://www.revhabanera.sld.cu/index.php/rhab/article/view/3233/2495
6. Uhlen MM, Ansteinsson VE, Stangvaltaite-Mouhat L, Korzeniewska L, Skudutyte-Rysstad R, Shabestari M, et al. Psychological impact of the COVID-19 pandemic on dental health personnel in Norway. BMC Health Serv Res. 2021; 21(1):420. DOI: 10.1186/s12913-021-06443-y
7. Campo-Arias A, Jiménez-Villamizar MP, Caballero-Domínguez CC. Healthcare workers' distress and perceived discrimination related to COVID-19 in Colombia. Nurs Health Sci. 2021; 23(3):763-7. DOI: 10.1111/nhs.12854
8. Cruz Araújo AA, Fernandes MA, Aliaga Pérez LÁ, Pillon SC. Miedo experimentado por profesionales de salud en la pandemia por COVID-19 e implicaciones para la salud mental. Rev Cuba Enferm. 2021 [acceso: 20/11/2021]; 37(1):e3971. Disponible en: http://revenfermeria.sld.cu/index.php/enf/article/view/3971
9. López AB, Pérez AS, Andrés R. Psycometric properties of the Spanish version of Depression, Anxiety and Stress Scales (DASS). Psicothema. 2005 [acceso: 20/11/2021]; 17(4):679-83. Disponible en: https://reunido.uniovi.es/index.php/PST/article/view/8331
10. Vizheh M, Qorbani M, Arzaghi SM, Muhidin S, Javanmard Z, Esmaeili M. The mental health of healthcare workers in the COVID-19 pandemic: A systematic review. J Diabetes Metab Disord. 2020; 19(2):1967-78. DOI: 10.1007/s40200-020-00643-9
11. Magill E, Siegel Z, Pike KM. The mental health of frontline health care providers during pandemics: A rapid review of the literature. Psychiatr Serv. 2020; 71(12):1260-9. DOI: 10.1176/appi.ps.202000274
12. Zhang J, Wang Y, Xu J, You H, Li Y, Liang Y, et al. Prevalence of mental health problems and associated factors among front-line public health workers during the COVID-19 pandemic in China: an effort-reward imbalance model-informed study. BMC Psychol. 2021; 9(1):1-10. DOI: 10.1186/s40359-021-00563-0
13. Gutiérrez-Tudela JW. La pandemia de la COVID-19 en el Perú: análisis epidemiológico de la segunda ola. Rev Soc Peru Med Interna. 2021; 34(4):129. DOI: 10.36393/spmi.v34i2.595
14. Pappa S, Barnett J, Berges I, Sakkas N. Tired, worried and burned out, but still resilient: A cross-sectional study of mental health workers in the UK during the COVID-19 pandemic. Int J Environ Res Public Health. 2021; 18(9):4457. DOI: 10.3390/ijerph18094457
15. Muñoz-Fernández SI, Molina-Valdespino D, Ochoa-Palacios R, Sánchez-Guerrero O, Esquivel-Acevedo JA. Estrés, respuestas emocionales, factores de riesgo, psicopatología y manejo del personal de salud durante la pandemia por COVID-19. Acta Pediátrica México. 2020 [acceso: 23/03/2022]; 41(S1):127-36. Disponible en: https://www.medigraphic.com/pdfs/actpedmex/apm-2020/apms201q.pdf
16. Huaman DB, Canales BDB, Villar FLQ. Tensión laboral y salud mental del personal sanitario en el contexto de la pandemia de Coronavirus en el Perú. Rev Cuba Med Gen Integral. 2021 [acceso:23/03/2022]; 37(Sup):e1481. Disponible en: http://www.revmgi.sld.cu/index.php/mgi/article/view/1481
17. Ozamiz-Etxebarria N, Dosil-Santamaria M, Picaza-Gorrochategui M, Idoiaga-Mondragon N. Niveles de estrés, ansiedad y depresión en la primera fase del brote del COVID-19 en una muestra recogida en el norte de España. Cad Saúde Pública. 2020; 36(4):1-10. DOI: 10.1590/0102-311X00054020
18. Pieh C, Budimir S, Probst T. The effect of age, gender, income, work, and physical activity on mental health during coronavirus disease (COVID-19) lockdown in Austria. J Psychosom Res. 2020; 136(110186):1-9. DOI: 10.1016/j.jpsychores.2020.110186
19. Carballo Ortega B, Sánchez Cabrera MV. El manejo del estrés laboral en la planta de hospitalización de pacientes COVID-19. Ene. 2021 [acceso: 26/03/2022]; 15(1):1-14. Disponible en: http://ene-enfermeria.org/ojs/index.php/ENE/article/view/748
Published
2022-07-15
How to Cite
1.
Ayuque-Loayza A, Luna-Muñoz C, Chaduví Puicon WD, Vinelli-Arzubiaga D, De la Cruz-Vargas JA. Mental health of doctors and nurses in health crisis situations. Rev Cubana Med Milit [Internet]. 2022 Jul. 15 [cited 2025 Mar. 31];51(3):e02201995. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/1995
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