Stress, Resilience and Moral Distress among Health Care Providers During COVID-19 Pandemic

Esculapio Pub Date : 2021-03-31 DOI:10.51273/ESC21.2517116

A. Latif, S. Yaqub, Qudsia Anwar Dar, Umer Sultan Awan, Hina Farhat, M. A. Khokhar

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Abstract

Objective: This study aims to determine level of stress, resilience and moral distress among health care providers during covid-19 pandemic. Methods: This is a cross-sectional study performed using an online questionnaire. Data was collected from Health Care Providers, working in various tertiary care hospitals of Lahore, using an online questionnaire. Perceived stress scale (PSS), Connor-Davidson Resilience Scale (CD-RISC 10) and Moral Distress Thermometer were used to determine level of stress, resilience and moral stress respectively among the HCPs. Scores on the PSS can range from 0 to 40 with scores of 0-13, 14-26 and 27-40 being considered as low, moderate and high stress respectively. The Moral Distress Thermometer has scores ranging from 0-10 with value of ≥4 considered high. Data was analyzed using SPSS version.23.Descriptive variables were reported as means and frequencies. Intergroup analysis was done using Chi square test with p<0.05 taken as significant. Results: A total of 278 (n=278) HCPs participated in study. According to the PSS (Perceived Stress Scale) scores, 5.03% (14) reported low, 86.69% (241) moderate and 8.27% (23) high stress levels. The mean stress score is 21.56+/-4.32. Providing patient care (mean = 2.28+/-1.15 SD) and transmitting infection to others (mean = 3.02+/-1.10 SD) were deemed major causes of stress. The mean CD-RISC score was 23.14+/-7.81 SD. Only 10.8% (30) had a score of ≥ 32. The mean Moral Distress score was 4.2+/-2.98 SD, with 53.2% (149) participants reporting high Moral distress (score ≥4). Conclusion: The high level of stress among HCPs during COVID-19 pandemic highlights the need of urgent measures to overcome this psychological issue which if left un-addressed can affect performance of HCPs. Key Words: Stress, Resilience, HCPs How to cite: Latif A., Yaqub S., Dar A.Q., Awan S.U., Farhat Hina., Khokhar A.M., Stress, Resilience and Moral Distress among Health care Providers during COVID-19 pandemic. Esculapio 2021;17 (01):79-82

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新冠肺炎大流行期间医护人员的压力、复原力和道德困境

目的：本研究旨在确定新冠肺炎大流行期间卫生保健提供者的压力、复原力和道德痛苦水平。方法：这是一项使用在线问卷进行的横断面研究。数据是使用在线问卷从拉合尔各三级护理医院的医疗保健提供者那里收集的。采用感知压力量表（PSS）、康纳·戴维森复原力量表（CD-RISC10）和道德压力温度计分别测定HCP的压力、复原力和道德压力水平。PSS的得分范围从0到40，0-13分、14-26分和27-40分分别被认为是低压力、中等压力和高压力。道德困境温度计的得分范围为0-10分，≥4分被认为是高分。使用SPSS 23版对数据进行分析。描述变量报告为平均值和频率。采用卡方检验进行组间分析，p＜0.05为显著性。结果：共有278名HCP参与了研究。根据PSS（感知压力量表）评分，5.03%（14）的人报告低压力水平，86.69%（241）的人表示中等压力水平，8.27%（23）的人认为高压力水平。平均压力评分为21.56+/-4.32。提供患者护理（平均值=2.28+/-1.15 SD）和将感染传染给他人（平均值=3.02+/-1.10 SD）被认为是压力的主要原因。CD-RISC的平均得分为23.14+/7.81 SD。只有10.8%（30）的得分≥32。平均道德痛苦评分为4.2+/-2.98标准差，53.2%（149）的参与者报告了高道德痛苦（评分≥4）。结论：在新冠肺炎大流行期间，HCP中的高压力水平突出表明需要采取紧急措施来克服这一心理问题，如果不加以应对，这可能会影响HCP的表现。关键词：压力、韧性、HCP如何引用：Latif A.、Yaqub S.、Dar A.Q.、Awan S.U.、Farhat Hina。，Khokhar A.M.，新冠肺炎大流行期间医疗保健提供者的压力、复原力和道德困境。Esculapio 2021；17（01）：79-82

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Esculapio

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12 weeks