Psychological and Ocular Surface State of Ophthalmologists and Ophthalmic Nurses Working With Patients With Coronavirus Disease 2019

Abstract

IMPORTANCE The influence on the psychology and ocular surface of ophthalmologists and ophthalmic nurses in Wuhan, China, during the coronavirus disease 2019 (COVID-19) pandemic is not yet fully understood. OBJECTIVE To characterize mental state and ocular surface state of ophthalmologists and ophthalmic nurses in Wuhan, China, and similar areas during the COVID-19 outbreak. DESIGN, SETTING, AND PARTICIPANTS This survey study assessed ophthalmologists and ophthalmic nurses in Wuhan, China, and Jiangxi, China, a province approximately 300 km south of Wuhan. The Hospital Anxiety and Depression Scale, the Van Dream Anxiety Scale, and the Ocular Surface Disease Index were used to conduct questionnaire surveys via a messaging and social media app. MAIN OUTCOMES AND MEASURES Mean scores from the Hospital Anxiety and Depression Scale (0-10 points), the Van Dream Anxiety Scale (0-100 points), and the Ocular Surface Disease Index (0-100 points). RESULTS Of 126 individuals, there were 42 ophthalmologists (33.3%) and 21 ophthalmic nurses (16.7%) from Wuhan and 42 ophthalmologists (33.3%) and 21 nurses (16.7%) from Jiangxi. The mean (SD) age of ophthalmologists was 36.1 (7.6) years in Wuhan and 41.2 (8.8) years in Jiangxi. For ophthalmic nurses, the mean (SD) age was 35.2 (7.4) years in Wuhan and 33.4 (7.9) years in Jiangxi. The response rate for ophthalmologists was 90.3% (84 of 93) and for nurses was 91.3% (42 of 46). The participation rate of ophthalmologists and nurses in Wuhan was 0.06% (42 of 70 000) and 0.07% (21 of 30 000), respectively; the participation rate in Jiangxi was 0.06% (42 of 70 000; 21 of 35 000) for both groups. In Wuhan, the mean (SD) Hospital Anxiety and Depression Scale (anxiety and depression were counted as separate scores), Van Dream Anxiety Scale, and the Ocular Surface Disease Index scores were 6.

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Experiences and management of physician psychological symptoms during infectious disease outbreaks: a rapid review

“…The most common psychological symptoms measured with surveys or validated questionnaires reported included anxiety ( n = 103), depression ( n = 73), stress ( n = 68), fear ( n = 61), burnout ( n = 25), mental distress/health ( n = 21), and post-traumatic stress disorder (PTSD) ( n = 14) (Additional File 3 ). Most COVID-19 studies reported on physicians from USA ( n = 23) [ 41 , 52 , 66 , 70 , 77 , 90 – 107 ], China ( n = 22) [ 15 , 49 , 54 – 56 , 65 , 68 , 73 , 86 , 89 , 102 , 108 – 118 ] followed by India ( n = 21) [ 40 , 50 , 58 , 63 , 67 , 71 , 102 , 119 – 132 ] [ 41 , 52 , 66 , 70 , 77 ], Italy ( n = 10) [ 32 , 94 , 102 , 125 , 133 – 138 ], and Turkey ( n = 11) [ 35 , 44 , 94 , 139 – 146 ] [ 28 , 30 , 32 , 34 , 36 , 37 , 42 , 45 , 47 , 48 , 59 , 60 , 62 , 80 , 87 ]. .Sixtee...…”

Impacts for health and care workers of Covid-19 and other public health emergencies of international concern: living systematic review, meta-analysis and policy recommendations

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