A longitudinal cohort study on assessing the impact of COVID-19 pandemic on the mental health of cancer care providers: Developing world scenario

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL
A. Thaduri, A. Sehrawat, D. Poonia, Anindya Das, Rajesh Kumar, A. Varghese, L. Chadha, R. Seenivasagam, P. Garg, Deepak Sundryal, M. Gupta
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引用次数: 0

Abstract

Background: COVID-19 is one of the most unfortunate events seen in the 21st century. Cancer care providers (CCPs) are under immense mental burden due to the unpredictable pandemic and compromised cancer care among patients. The pandemic has taken a toll on caregivers, be it physically, mentally, or psychosocially. Hence, a longitudinal study was planned to evaluate the temporal changes and the impact of COVID-19 on CCPs. Subjects and Methods: A prospective longitudinal study was conducted from May 2020 to October 2020 to assess the pandemic's impact on mental health among CCPs. Depression, Anxiety, and Stress Scale-21 and PCL5 instruments were used to identify the temporal change with pandemic evolution. An online survey was administered at 6-week intervals through e-mail. Quantitative data were presented as mean with standard deviation, and an independent t-test was used to compare the mean score between the three surveys. Categorical variables were presented in percentages, and the Chi-squared test was used to analyze the differences in categorical variables between different surveys. Results: The questionnaire was e-mailed to 240 CCP's; 115 responses were valid. The mean age is 29.9 ± 5.86, 62.6% were male and 27.4% were female, 41.7% were nursing staff, and 58.3% were doctors. Sixty-seven percentage had <5 years of medical experience. Respondents who stayed with family had significant depression levels in the first and third surveys (odds ratio [OR]: 0.37, confidence interval [CI]-0.15–0.91, P = 0.03) and (OR: 0.17, CI-0.026–1.1, P = 0.04). Stress levels were significantly high in the caregivers staying with family in the first survey (OR: 4.38, CI: 1.2–15.7, P = 0.02). On analyzing three surveys, 55 respondents in both the first and second survey and 21, 8, and 17 respondents persisted in having depression, stress, and anxiety. Conclusions: Pandemic has severely affected the mental well-being of CCPs, with more than one-third of them suffering from depression, anxiety, and stress. In any disaster or an unnatural event, time helps the human mind acclimate to new conditions; it is similar to our initial results that show improvement in depression, stress, and anxiety levels with the second survey. It is crucial to assess and address mental health-related problems to ensure health-care workers well-being and deliver quality health care to the patients.
评估新冠肺炎大流行对癌症护理人员心理健康影响的纵向队列研究:发展中的世界情景
背景:2019冠状病毒病是21世纪最不幸的事件之一。由于不可预测的大流行和患者癌症治疗受损,癌症护理提供者(ccp)承受着巨大的精神负担。大流行对护理人员造成了身体、精神或心理社会方面的损害。因此,我们计划进行一项纵向研究,以评估COVID-19对ccp的时间变化和影响。对象和方法:2020年5月至2020年10月进行了一项前瞻性纵向研究,以评估大流行对ccp心理健康的影响。抑郁、焦虑和压力量表-21和PCL5工具用于确定大流行演变的时间变化。每隔6周通过电子邮件进行一次在线调查。定量资料以均数加标准差表示,三次调查的均分比较采用独立t检验。分类变量以百分比表示,采用卡方检验分析不同调查间分类变量的差异。结果:问卷通过电子邮件发送至240名CCP;115份回复有效。平均年龄29.9±5.86岁,男性占62.6%,女性占27.4%,护理人员占41.7%,医生占58.3%。67%的人有少于5年的医疗经验。在第一次和第三次调查中,与家人住在一起的受访者抑郁程度显著(优势比[OR]: 0.37,可信区间[CI] -0.15-0.91, P = 0.03)和(OR: 0.17, CI-0.026 - 1.1, P = 0.04)。在第一次调查中,与家人在一起的照顾者的压力水平显著较高(OR: 4.38, CI: 1.2-15.7, P = 0.02)。对3次调查结果进行分析,第1次和第2次调查中有55人、21人、8人、17人持续出现抑郁、紧张、焦虑等症状。结论:大流行严重影响了ccp的心理健康,超过三分之一的ccp患有抑郁、焦虑和压力。在任何灾难或非自然事件中,时间帮助人类的思维适应新的环境;这与我们最初的结果相似,即第二次调查显示抑郁、压力和焦虑水平有所改善。评估和处理与精神健康有关的问题,以确保卫生保健工作者的福祉,并向患者提供高质量的卫生保健,这一点至关重要。
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来源期刊
Journal of Head & Neck Physicians and Surgeons
Journal of Head & Neck Physicians and Surgeons MEDICINE, GENERAL & INTERNAL-
CiteScore
0.30
自引率
0.00%
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0
审稿时长
15 weeks
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