Mental health and fatigue status of the medical workforce during the COVID-19 outbreak in the Yangzhou city, China

Tang, Xiaojia; Pei, Yunlong; Wang, Xin; Jiang, Li; Li, Peipei; Chen, Yingzhu; Meng, Zhaoxiang

doi:10.3389/fpsyt.2022.1018069

Cited by 3 publications

(2 citation statements)

References 38 publications

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“…Hal ini membuat tingginya tingkat kecemasan, burnout, depresi, dan kepanikan di dalam struktur tenaga kesehatan sendiri, yang kemudian menurunkan kualitas pelayanan medis. 15,17 Dalam hal ini psikiater berperan penting sebagai dukungan bagi komponen tenaga kesehatan, terutama dalam meningkatkan resiliensi mental untuk menghadapi beban kerja yang berat di masa pandemi. 15,16,18 Dalam masyarakat, pandemi COVID-19 telah menimbulkan kecemasan dan kepanikan yang signifikan.…”

Section: Pembahasanunclassified

Pengaruh Pandemi Covid-19 Terhadap Karakteristik Pekerjaan Dan Kualitas Hidup Profesional Psikiater: Sebuah Studi Eksplorasi

Putri

Andarini

Yudhantara

et al. 2023

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Banyak tenaga kesehatan profesional yang mengalami burnout selama pandemi Coronavirus diseases-19 , termasuk psikiater sebagai pemberi layanan kesehatan jiwa. Meningkatnya jumlah kasus, konsulan, rujukan, serta keterbatasan sumber daya membuat karakteristik kerja psikiater penuh tekanan dan menurunkan kualitas kehidupan profesional psikiater. Penelitian ini bertujuan mengeksplorasi karakteristik pekerjaan dan kualitas hidup profesional psikiater selama pandemi COVID-19. Responden dalam penelitian ini berjumlah sepuluh orang psikiater anggota Perhimpunan Dokter Spesialis Kedokteran Jiwa Indonesia (PDSKJI) cabang Malang yang bertugas dalam pelayanan klinis selama pandemi COVID-19 dan dipilih menggunakan purposive sampling. Penelitian ini menggunakan pendekatan fenomenologi interpretatif dengan metode wawancara mendalam. Didapatkan dua tema terkait karakteristik pekerjaan psikiater selama pandemi COVID-19, yaitu peran penting dalam mendukung kesejahteraan pasien, keluarga pasien, staf tenaga kesehatan lain yang berisiko, dan masyarakat, serta dualitas tanggung jawab menghadapi masalah neuropsikiatri maupun kondisi medis umum. Didapatkan tiga tema terkait kualitas hidup psikiater selama pandemi COVID-19, yaitu dilema antara hak atas keselamatan dan tanggung jawab, kepuasan kerja, serta kelelahan dalam bekerja. Kesimpulannya, karakteristik kerja psikiater selama pandemi COVID-19 cukup kompleks karena memainkan peran penting bagi pasien dan keluarganya, tenaga kesehatan lain, masyarakat, serta menghadapi dualitas tanggung jawab. Kualitas hidup psikiater selama pandemi COVID-19 dipengaruhi oleh dilema antara tanggung jawab dan hak atas keselamatan. Psikiater menemukan rasa kepuasan, walaupun secara umum kepuasan kerja menurun karena tidak bisa melakukan pelayanan maksimal. Meningkatnya rasa cemas, menurunnya kepuasan kerja, serta peningkatan beban kerja menimbulkan kelelahan pada psikiater, sehingga menurunkan kualitas hidup profesional psikiater.

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Section: Pembahasanunclassified

Pengaruh Pandemi Covid-19 Terhadap Karakteristik Pekerjaan Dan Kualitas Hidup Profesional Psikiater: Sebuah Studi Eksplorasi

Putri

Andarini

Yudhantara

et al. 2023

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“…A meta-analysis on mental health revealed that 29% of Chinese medical staff experienced depression, 27% faced anxiety, and 40% encountered sleep problems during the COVID-19 pandemic [5]. Notably, higher depression scores can exacerbate fatigue symptoms and increase the susceptibility to COVID-19 [6,7]. Working in a state of fatigue and emotional distress significantly jeopardizes medical safety.…”

Section: Introductionmentioning

confidence: 99%

PFC/M1 activation and excitability: a longitudinal cohort study on fatigue symptoms in healthcare workers post-COVID-19

Han,

Dai,

Liang

et al. 2024

Preprint

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Background Fatigue is one of the most common neurological symptoms reported post coronavirus disease 2019 (COVID-19) infection. In order to establish effective early intervention strategies, more emphasis should be placed on the correlation between fatigue and cortical neurophysiological changes, especially in healthcare workers, who are at a heightened risk of COVID-19 infection. Methods A prospective cohort study was conducted involving 29 COVID-19 medical workers and 24 healthy controls. The assessment included fatigue, sleep and health quality, psychological status, and physical capacity. Functional near-infrared spectroscopy (fNIRS) was employed to detect activation of brain regions. Bilateral primary motor cortex (M1) excitabilities were measured using single- and paired-pulse transcranial magnetic stimulation. Outcomes were assessed at 1, 3, and 6 months into the disease course. Results At 1-month post-COVID-19 infection, 37.9% of patients experienced severe fatigue symptoms, dropping to 10.3% at 3 months. Interestingly, the remarkable decreased activation/excitability of bilateral prefrontal lobe (PFC) and M1 were closely linked to fatigue symptoms after COVID-19. Notably, greater increase in M1 region excitability correlated with more significant fatigue improvement. Re-infected patients exhibited lower levels of brain activation and excitability compared to single-infection patients. Conclusions Both single infection and reinfection of COVID-19 lead to decreased activation and excitability of the PFC and M1. The degree of excitability improvement in the M1 region correlates with a greater recovery in fatigue. Based on these findings, targeted interventions to enhance and regulate the excitability of M1 may represent a novel strategy for COVID-19 early rehabilitation. Trial registration The Ethics Review Committee of Xijing Hospital, No. KY20232051-F-1, registered February 3, 2023. The Chinese Clinical Trial Registry, ChiCTR2300068444, registered February 20, 2023. https://www.chictr.org.cn

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PFC/M1 activation and excitability: a longitudinal cohort study on fatigue symptoms in healthcare workers post-COVID-19

Han,

Dai,

Liang

et al. 2024

J Transl Med

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Background Fatigue is one of the most common neurological symptoms reported post coronavirus disease 2019 (COVID-19) infection. In order to establish effective early intervention strategies, more emphasis should be placed on the correlation between fatigue and cortical neurophysiological changes, especially in healthcare workers, who are at a heightened risk of COVID-19 infection. Methods A prospective cohort study was conducted involving 29 COVID-19 medical workers and 24 healthy controls. The assessment included fatigue, sleep and health quality, psychological status, and physical capacity. Functional near-infrared spectroscopy (fNIRS) was employed to detect activation of brain regions. Bilateral primary motor cortex (M1) excitabilities were measured using single- and paired-pulse transcranial magnetic stimulation. Outcomes were assessed at 1, 3, and 6 months into the disease course. Results At 1-month post-COVID-19 infection, 37.9% of patients experienced severe fatigue symptoms, dropping to 10.3% at 3 months. Interestingly, the remarkable decreased activation/excitability of bilateral prefrontal lobe (PFC) and M1 were closely linked to fatigue symptoms after COVID-19. Notably, greater increase in M1 region excitability correlated with more significant fatigue improvement. Re-infected patients exhibited lower levels of brain activation and excitability compared to single-infection patients. Conclusions Both single infection and reinfection of COVID-19 lead to decreased activation and excitability of the PFC and M1. The degree of excitability improvement in the M1 region correlates with a greater recovery in fatigue. Based on these findings, targeted interventions to enhance and regulate the excitability of M1 may represent a novel strategy for COVID-19 early rehabilitation. Trial registration: The Ethics Review Committee of Xijing Hospital, No. KY20232051-F-1; www.chictr.org.cn, ChiCTR2300068444.

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Mental health and fatigue status of the medical workforce during the COVID-19 outbreak in the Yangzhou city, China

Cited by 3 publications

References 38 publications

Pengaruh Pandemi Covid-19 Terhadap Karakteristik Pekerjaan Dan Kualitas Hidup Profesional Psikiater: Sebuah Studi Eksplorasi

Pengaruh Pandemi Covid-19 Terhadap Karakteristik Pekerjaan Dan Kualitas Hidup Profesional Psikiater: Sebuah Studi Eksplorasi

PFC/M1 activation and excitability: a longitudinal cohort study on fatigue symptoms in healthcare workers post-COVID-19

PFC/M1 activation and excitability: a longitudinal cohort study on fatigue symptoms in healthcare workers post-COVID-19

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