Objective Long-term social distancing, isolation, and economic fallout may be significant psychological triggers during pandemic, such as COVID-19, especially for those with underlying psychiatric illness. This study was conducted to address the psychological impact of COVID-19 pandemic among patients with depression based at a teaching hospital in Malaysia. Methods This is a cross-sectional online study among patients with depression from University Malaya Medical Centre, using Generalized Anxiety Disorder-7 (GAD-7), Montgomery-Åsberg Depression Rating Scale-Self Assessment (MADRS-S), Insomnia Severity Index (ISI), Multidimensional Scale of Perceived Social Support (MSPSS), Knowledge, Attitudes, and Practices (KAP), and Social Media Addiction during COVID-19 Pandemic (SMACOP). Results One hundred seventy-eight patients participated in this study. The mean total of the KAP score is 12.65 (SD = 2.65), with knowledge section (mean = 7.34 [SD = 2.13]), attitudes section (mean = 2.63 [SD = 0.58]), and practices section (mean = 2.69 [SD = 1.00]). They scored moderately on the MADRS-S (mean = 21.03 [SD = 4.62]) and ISI (mean = 20.25 [SD = 4.62]) but had high GAD-7 scores (mean = 16.8 (SD = 6.27]). From the multiple logistic regression analyses, depressive symptoms of greater severity (MADRS-S 18–34) are significantly associated with more severe insomnia ( P < .001, adjusted OR = 9.101, 95% CI: 3.613–22.924). Furthermore, the high anxiety level is associated with the younger age group ( P = .029, Adjusted OR = 2.274, 95% CI: 1.090–4.746), greater severity of insomnia ( P < .001, Adjusted OR = 22.9, 95% CI: 6.145–85.343), and higher risk of COVID-19 related social media addiction ( P = .011, adjusted OR = 2.637, 95% CI: 1.253–5.550). Conclusion This study demonstrates the high levels of sleep disturbances and anxiety symptoms experienced by outpatients with depression during the COVID-19 pandemic. These are closely linked to the younger age group and at-risk social media addiction related to COVID-19.
During this COVID-19 pandemic, massive unverified information has flooded the social media platforms, causing heightened levels of anxiety and depressive symptoms among public. This study aimed to investigate the relationship between the COVID-19 related knowledge, attitude, and practice (KAP) and its psychological impact, such as anxiety and depressive symptoms in Malaysia population. A crosssectional online survey was conducted from 8th to 22nd April 2020, involving 227 respondents. The set of questionnaire included sociodemographic characteristics, the KAP questionnaire – 11 items on knowledge (K1-K11), 3 items on attitude (A1- A3), 4 items on practice (P1-P4), together with Patient Health Questionnaire (PHQ-9) and Generalised Anxiety Disorder (GAD-7) Scale. To evaluate the data, descriptive analysis, Chi-square test and item response theory analysis were implemented. The percentage of respondents who answered the true statements items from Knowledge component (K1-K3) correctly was almost 100%. However, that of items testing on COVID-19 myths (K4-K11) ranged from 38.8% to 95.2%. The only item from Attitude component which had less than 95% being answered correctly was A1 (78.9%), regarding face masks usage. From the Practice component, over 80% of respondents identified that they used social media to obtain updates on COVID-19 all the time. This is alarming as most of the information circulating on social media have not been verified by relevant authorities, which might lead to, and continuously reinforce anxiety-inducing myths. This study showed that lower overall KAP scores, particularly for Knowledge component items, are related to higher anxiety levels and more depressive symptoms.
AimsTo ensure physical health and resuscitation equipment on all wards in a mental health hospital fulfil relevant standards. A closed-loop audit of this was performed on four acute adult inpatient wards after implementing interventions.MethodsData were collected from treatment rooms on each ward, with standards based on Physical Health in Mental Health; Final Report of a Scoping Group (Royal College of Psychiatrists) and Mental Health Inpatient Care Equipment and Drug Lists (Resuscitation Council UK) – parallel to the trust approved standards.Percentage of availability and functionality against audit standards were tabulated and interventions were carried out, including: 1.Awareness presentations at trust clinical governance meetings.2.Each ward to have own complete sets of physical health and resuscitation equipment.3.Policy for wards to register their physical health equipment and service details on the trust maintenance services database. The medical device engineering team to complete maintenance and repair as needed.4.Resuscitation equipment on each ward being checked weekly and replaced as needed (monthly before).A re-audit was performed one year post intervention on four acute adult inpatient wards in the mental health hospital using similar parameters.Results1.In general, 90.0% of the standards are met (out of 160 pieces of equipment, 144 are in stock and functional), similar to that of previous year (90.0%).2.Decrease in overall available and functional physical health equipment: 76.6% (49/64) compared to 83.8% last year.3.Increase in overall in overall available and functional resuscitation equipment: 99.2% (95/96) compared to 94.2% last year.ConclusionThere is a significant decrease in percentage of overall available and functional physical health equipment; while that of resuscitation equipment has significantly improved when checked and corrected weekly using the trust Resuscitation Check Form.Action plan: 1.All unavailable/ inadequate equipment to be reordered or sent for maintenance immediately.2.Discussion in the upcoming trust Physical Health Nurses Forum and Medical Devices Standards Group on audit recommendations below: . Allocation of named permanent staff member to check presence and functionality of medical equipment regularly.a. Creating a checklist similar to the Resuscitation Check Form for physical health equipment.3.Discussion in the trust Resus Standards Group on ‘My Kit Check’ (MKC), a centrally monitored electronic checking platform with alerts automatically sent for incomplete checks or expired resuscitation items (e.g., AED batteries, anaphylaxis kit) that are not replaced. A funding request has been submitted for this.
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