Is Anxiety a Rising Concern during COVID-19 Pandemic among Healthcare Workers?

Murthy, Pooja R; Gupta, Kuldeep; Kumar, Arun

doi:10.5005/jp-journals-10071-23434

Cited by 7 publications

(4 citation statements)

References 4 publications

(4 reference statements)

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Section: Introductionmentioning

confidence: 99%

“…1 The World Health Organization (WHO) declared the spread of coronavirus disease of 2019 (COVID-19) as a pandemic in March 2020. 2 As of August 31 2020, COVID-19 has spread to 213 countries, infecting 26 million people and leading to 850 000 deaths globally. 3 Any natural or human-made catastrophe will increase the risk of (or worsen) existing psychiatric and emotional issues in those who are vulnerable or affected.…”

Section: Introductionmentioning

confidence: 99%

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COVID-19: Fear and Anxiety among Healthcare Workers in Saudi Arabia. A Cross-Sectional Study

Mohsin

Agwan

Shaikh

et al. 2021

INQUIRY

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The novel coronavirus (COVID-19) is an extremely contagious respiratory disease. It poses a serious threat to healthcare workers which may cause substantial degree of psychological distress. This study aimed to evaluate the level of fear and anxiety among healthcare workers. A cross sectional study was designed to collect data from healthcare workers in Saudi Arabia using an online questionnaire. A non-probability convenient sampling technique was used to collect the data from 1st August to 10th August 2020 with the exclusion of non-healthcare worker and general public. A 5-point Likert scale was used to evaluate the level of fear and anxiety. The data was analyzed by using Spss version 23 .The descriptive data were represented as frequencies and percentage. Multinomial logistic regression analysis was applied to control the confounding factors and assess the relationship between variables. Data analyzed 737 participants revealed that 10.7%, 73.5%, and 15.7% of HCWs had a mild, moderate, and severe degree of fear and anxiety respectively. The multinomial logistic regression analysis revealed that gender and specialty of the participants were significantly associated with moderate and severe anxiety level. This study demonstrates that two-third of the healthcare workers had a moderate risk of fear and anxiety. However, females participants found to have elevated fear and anxiety level. Social distancing has a major impact on social well-being therefore its important to address social support through a policy. Further studies are needed to explore the mental health condition of healthcare workers in order to develop evidence based strategies.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

COVID-19: Fear and Anxiety among Healthcare Workers in Saudi Arabia. A Cross-Sectional Study

Mohsin

Agwan

Shaikh

et al. 2021

INQUIRY

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“…The financial burden of purchasing their own PPE can aggravate the distress. 35 , 36 , 37 In some cases, hospital heads asked HCWs not to disclose the PPE shortage which raised ethical concerns and increased distress in HCWs. 38 …”

Section: Discussionmentioning

confidence: 99%

Availability of personal protective equipment among dermatologists in the COVID-19 pandemic: Assessment and risk factors in a web-based, global study

Bhargava

McKeever

Sadoughifar³

et al. 2021

Clinics in Dermatology

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The availability of personal protective equipment (PPE) among dermatologists in COVID-19 pandemic has not previously been studied. We have assessed PPE availability among dermatologists and relevant aspects of hospital service by surveying 733 dermatologists. Considerable percentages of responders had to purchase own PPE and were not provided with it at the hospital (40.2% and 37.7%, respectively). Only 27% of responders provided hospital service, and 18.4% were allotted a non-dermatologic duty. A substantial percentage (64.4%) indicated the availability of hospital issued management guidelines (HIMG) for COVID-19 patients. Almost half of the participants (49.1%) responded that the healthcare system was not equipped for the pandemic. Purchasing one's own PPE was strongly associated with private practice setting and continent (highest rates in Central/South America and Europe) (P<.001). PPE availability at a hospital was associated with two continents (highest rates in Europe and North America) (P <.001). In logistic regression, the most important factor reducing the odds ratio (OR) for purchasing own PPE was HIMG for COVID-19 patients (OR, 0.55 [95% CI, 0.32-0.97]). Responder's assessment that healthcare system was equipped for COVID-19 was the most powerful increaser of OR for PPE availability (OR, 9.43 [95% CI, 5.37-16.56]) followed by >1,000 COVID-19 cases in the participant's country. In conclusion, substantial percentages of responders had to purchase their own PPE and were not provided with it at the hospital. Strategies to increase PPE availability should be implemented by hospitals, industry, and government authorities.

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“…This may be particularly difficult in India, which has low numbers of ventilator beds and intensivists per capita , 14 , 15 and has already seen high numbers of HCWs infections even before the surge. 16 , 17 …”

Section: Introductionmentioning

confidence: 99%

Non-invasive Oxygen Strategies to Manage Confirmed COVID-19 Patients in Indian Intensive Care Units: A Survey

Subramaniam

Haji²,

Kumar³

et al. 2020

Indian Journal of Critical Care Medicine

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A bstract Background About 5% of hospitalized coronavirus disease 2019 (COVID-19) patients will need intensive care unit (ICU) admission for hypoxemic respiratory failure requiring oxygen support. The choice between early mechanical ventilation and noninvasive oxygen therapies, such as, high-flow nasal oxygen (HFNO) and/or noninvasive positive-pressure ventilation (NPPV) has to balance the contradictory priorities of protecting healthcare workers by minimizing aerosol-generation and optimizing resource management. This survey over two timeframes aimed to explore the controversial issue of location and noninvasive oxygen therapy in non-intubated ICU patients using a clinical vignette. Materials and methods An online survey was designed, piloted, and distributed electronically to Indian intensivists/anesthetists, from private hospitals, government hospitals, and medical college hospitals (the latter two referred to as first-responder hospitals), who are directly responsible for admitting/managing patients in ICU. Results Of the 204 responses (125/481 in phase 1 and 79/320 in phase 2), 183 responses were included. Respondents from first-responder hospitals were more willing to manage non-intubated hypoxemic patients in neutral pressure rooms, while respondents from private hospitals preferred negative-pressure rooms ( p < 0.001). In both the phases, private hospital doctors were less comfortable to use any form of noninvasive oxygen therapies in neutral-pressure rooms compared to first-responder hospitals (low-flow oxygen therapy: 72 vs 50%, p < 0.01; HFNO: 47 vs 24%, p < 0.01 and NPPV: 38 vs 28%, p = 0.20). Interpretation Variations existed in practices among first-responder and private intensivists/anesthetists. The resource optimal private hospital intensivists/anesthetists were less comfortable using noninvasive oxygen therapies in managing COVID-19 patients. This may reflect differential resource availability necessitating resolution at national, state, and local levels. How to cite this article Subramaniam A, Haji JY, Kumar P, Ramanathan K, Rajamani A. Noninvasive Oxygen Strategies to Manage Confirmed COVID-19 Patients in Indian Intensive Care Units: A Survey. Indian J Crit Care Med 2020;24(10):926–931.

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Is Anxiety a Rising Concern during COVID-19 Pandemic among Healthcare Workers?

Abstract: How to cite this article : Murthy PR, Venkatesha Gupta KV, Ajith Kumar AK. Is Anxiety a Rising Concern during COVID-19 Pandemic among Healthcare Workers? Indian J Crit Care Med 2020;24(5):369–370.

Cited by 7 publications

References 4 publications

COVID-19: Fear and Anxiety among Healthcare Workers in Saudi Arabia. A Cross-Sectional Study

COVID-19: Fear and Anxiety among Healthcare Workers in Saudi Arabia. A Cross-Sectional Study

Availability of personal protective equipment among dermatologists in the COVID-19 pandemic: Assessment and risk factors in a web-based, global study

Non-invasive Oxygen Strategies to Manage Confirmed COVID-19 Patients in Indian Intensive Care Units: A Survey

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