Burnout and Anxiety Among Health Care Professionals During COVID-19 Pandemic In Indian Subset

Document Type : Research/Original Article

Authors

1 General Hospital, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Luckno

2 Assistant Professor and Unit Incharge, Department of Dentistry, Autonomous State Medical College, Shahjahanpur (U.P.)

3 Department of Pedodontics and Preventive Dentistry, Sardar Patel Post Graduate Institute of Dental and Medical Sciences, Luckno

4 Department of Pediatrics, Hind Institute of Medical Sciences, Lucknow

Abstract

Introduction
Coronavirus pandemic (COVID-19) undoubtedly is having a sustained psychological impact on healthcare professionals, as such frontline workers are particularly at risk. Actions are needed to mitigate impacts of COVID-19 on mental health by protecting and promoting psychological wellbeing of healthcare workers during and after the outbreak. In light of the unprecedented public health crisis of COVID-19 pandemic, it is thereby crucial to acknowledge the psychological impact of this mounting threat.

Aim
To determine various healthcare professional’s views on the fight against COVID-19 pandemic and to present their concernsas well as assess their stress and burnout levels along with evaluation of awareness and measures of prevention utilized by them during the testing times.

Subjects and methods
The study utilised a survey form developed by researchers as data collection tool. Research was conducted on 242 health care professionals in the Indian population using online survey method. Appropriate statistical methods, chi-square analysis, Kruskal Walis test and Mann Whitney U test using SPSS version 21 were employed in analysis of the data. Finalised questionnaire was composed of three parts asking background information, questions about the stress caused by the COVID-19, Generalized Anxiety Disorder 7-item (GAD-7) scale; Evaluation of awareness and preventive measures against Covid-19 pandemic.

Results
Doctors were found to be most anxious of different HCW’s with higher anxiety in females and use of television as the most preferred source of information.

Conclusion
Results of the present study showed that although health care workers provide services to COVID-19 diagnosed patients, they are not protected against the risk of infection.

Keywords COVID-19, Burn out, Anxiety, Health Care professionals, Stress

Keywords


  1. Sedat Bostan MA, Ahmet Kaya, Musa Ozata , Deniz Gunes Assessments of Anxiety Levels and Working
    Conditions of Health Employees Working in COVİD-19 Pandemic Hospitals. Electronic Journal of General Medicine. 2020;17(5).
  2. Wu Z, McGoogan JM. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-
    19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. Jama. 2020;323(13):1239-42.
  3. Liu Y, Yang Y, Zhang C, Huang F, Wang F, Yuan J, et al. Clinical and biochemical indexes from 2019-nCoV infected patients linked to viral loads and lung injury. Science China Life sciences. 2020;63(3):364-74.
  4. Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A Novel Coronavirus from Patients with Pneumonia in
    China, 2019. The New England journal of medicine. 2020;382(8):727-33.
  5. Afulani PA, Gyamerah AO, Nutor JJ, Laar A, Aborigo RA, Malechi H, et al. Inadequate preparedness for
    response to COVID-19 is associated with stress and burnout among healthcare workers in Ghana. PloS one. 2021;16(4):e0250294.
  6. Alnazly E, Khraisat OM, Al-Bashaireh AM, Bryant CL. Anxiety, depression, stress, fear and social support
    during COVID-19 pandemic among Jordanian healthcare workers. PloS one. 2021;16(3):e0247679.
  7. Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, behavior, and immunity. 2020;88:901-7.
  8. Blake H, Bermingham F, Johnson G, Tabner A. Mitigating the Psychological Impact of COVID-19 on Healthcare Workers: A Digital Learning Package. International journal of environmental research
    and public health. 2020;17(9).
  9. Liang L, Gao T, Ren H, Cao R, Qin Z, Hu Y, et al. Post-traumatic stress disorder and psychological distress in
    Chinese youths following the COVID- 19 emergency. Journal of health psychology. 2020;25(9):1164-75.
  10. Talaee N, Varahram M, Jamaati H, Salimi A, Attarchi M, Kazempour Dizaji M, et al. Stress and burnout
    in health care workers during COVID-19 pandemic: validation of a questionnaire. Zeitschrift fur Gesundheitswissenschaften=Journal of public health. 2020:1-6.
  11. Önen Sertöz Ö, Kuman Tunçel Ö, Sertöz N, Hepdurgun C, İşman Haznedaroğlu D, Bor C. Burnout in Healthcare Professionals During the Covid-19 Pandemic in a Tertiary Care University Hospital: Evaluation of the Need for Psychological Support. Turk psikiyatri dergisi=Turkish journal of psychiatry. 2021;32(2):75-86.
  12. Tan BYQ, Kanneganti A, Lim LJH, Tan M, Chua YX, Tan L, et al. Burnout and Associated Factors Among Health Care Workers in Singapore During the COVID-19 Pandemic. Journal of the American Medical Directors
    Association. 2020;21(12):1751-8.e5.
  13. Zohra Saleem MMM, Sara Rafique, Zarah Siqqiqui, Dinaz Ghandhi, Hira Tariq, Jonathan Adrián Zegarra-
    Valdivia. COVID-19 pandemic fear and anxiety among healthcare professionals in Pakistan. preprint.
  14. Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder:
    the GAD-7. Archives of internal medicine. 2006;166(10):1092-7.
  15. Tsamakis K, Rizos E, Manolis AJ, Chaidou S, Kympouropoulos S, Spartalis E, et al. COVID-19 pandemic and its impact on mental health of healthcare professionals. Experimental and therapeutic medicine. 2020;19(6):3451-3.
  16. Kamali Haghighi F, Kouhi P, Amini M, Mohammadkarimi V, Sepehrpoor M, Hosseini SA, et al. Knowledge,
    Attitude, and Practice Toward COVID-19 Among Healthcare Workers in Shiraz, Iran. Shiraz E-Med J. 2020;21(12):e108872.
  17. Mobaraki K, Ahmadzadeh J. Current epidemiological status of Middle East respiratory syndrome coronavirus in the world from 1.1.2017 to 17.1.2018: a cross-sectional study. BMC infectious diseases. 2019;19(1):351.
  18. Sim K, Chua HC. The psychological impact of SARS: a matter of heart and mind. CMAJ : Canadian Medical
    Association journal=journal de l’Association medicale canadienne. 2004;170(5):811-2.
  19. Mehta S, Machado F, Kwizera A, Papazian L, Moss M, Azoulay É, et al. COVID-19: a heavy toll on health-
    care workers. The Lancet Respiratory medicine. 2021;9(3):226-8.
  20. De Kock JH, Latham HA, Leslie SJ, Grindle M, Munoz SA, Ellis L, et al. A rapid review of the impact of COVID- 19 on the mental health of healthcare workers: implications for supporting psychological well-being. BMC public health. 2021;21(1):104.
  21. Balasubramanian A, Paleri V, Bennett R, Paleri V. Impact of COVID-19 on the mental health of surgeons and coping strategies. Head & neck. 2020;42(7):1638-44.
  22. Miia Jansson* JR. Mental Health in Healthcare Workers and the Covid-19 Pandemic Era: Novel Challenge for Critical Care. Journal of Intensive and Critical Care. 2020;6(2:6)