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How COVID-19 Affected Healthcare Workers in the Hospital Locked Down due to Early COVID-19 Cases in Korea

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Abstract
Background: The healthcare workers (HCWs) were exposed to never-experienced
psychological distress during the early stage of the coronavirus disease 2019 (COVID-19)
pandemic. The aim of this study was to investigate how the COVID-19 pandemic affected
the mental health of HCWs during the hospital lockdown period due to mass healthcareassociated infection during the early spread of COVID-19.
Methods: A real-time online survey was conducted between April 14?18, 2020 among HCWs
who worked at the university hospital where COVID-19 was confirmed in a patient, and the
hospital was shut down for 3 weeks. Along with demographic variables and work-related
information, psychological distress was measured using the Generalized Anxiety Disorder-7
(GAD-7), the Patient Health Questionnaire-9 (PHQ-9), the Maslach Burnout InventoryGeneral Survey scale, and the Stress and Anxiety to Viral Epidemics-9.
Results: The HCWs working in the cohort ward and those who have experienced social
discrimination had significantly higher level of depression (PHQ-9 score; 5.24 ± 4.48 vs.
4.15 ± 4.38; P < 0.01 and 5.89 ± 4.78 vs. 3.25 ± 3.77; P < 0.001, respectively) and anxiety
(GAD-7 score; 3.69 ± 3.68 vs. 2.87 ± 3.73; P < 0.05 and 4.20 ± 4.22 vs. 2.17 ± 3.06; P < 0.001,
respectively) compared to other HCWs. Worries regarding the peer relationship and the
skepticism about job were associated with depression (odds ratio [OR], 1.39; 95% confidence
interval [CI], 1.07?1.79; P < 0.05 and OR, 1.69; 95% CI, 1.31?2.17; P < 0.001, respectively)
and anxiety (OR, 1.73; 95% CI, 1.21?2.49; P < 0.01 and OR, 1.54; 95% CI, 1.09?2.17; P < 0.05,
respectively), while fear of infection or worsening of health was not. Path analysis showed
that work-related stress associated with the viral epidemic rather than anxiety about the viral
epidemic mainly contributed to depression.
Conclusion: The present observational study indicates that mental health problems of HCWs
exposed to COVID-19 are associated with distress in work and social relationship. Early
intervention programs focusing on these factors are necessary
Author(s)
권용실변선정신용욱안명희이경욱이해국이현아정석훈
Issued Date
2021
Type
Article
Keyword
COVID-19pPsychological DistressSocial DiscriminationHealthcare Workers
DOI
10.3346/jkms.2021.36.e325
URI
https://oak.ulsan.ac.kr/handle/2021.oak/8648
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_nrf_kci_oai_kci_go_kr_ARTI_9892986&amp;context=PC&amp;vid=ULSAN&amp;lang=ko_KR&amp;search_scope=default_scope&amp;adaptor=primo_central_multiple_fe&amp;tab=default_tab&amp;query=any,contains,How%20COVID-19%20Affected%20Healthcare%20Workers%20in%20the%20Hospital%20Locked%20Down%20due%20to%20Early%20COVID-19%20Cases%20in%20Korea&amp;offset=0&amp;pcAvailability=true
Publisher
JOURNAL OF KOREAN MEDICAL SCIENCE
Location
대한민국
Language
영어
ISSN
1011-8934
Citation Volume
36
Citation Number
47
Citation Start Page
325
Citation End Page
325
Appears in Collections:
Medicine > Medicine
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