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VOLUME 26 , ISSUE 2 ( February, 2022 ) > List of Articles

Original Article

Mental Health Outcomes of Perceived Stress, Anxiety, Fear and Insomnia, and the Resilience among Frontline Nurses Caring for Critical COVID-19 Patients in Intensive Care Units

Aseem Mehra, Navneet Sharma

Keywords : Anxiety, Coronavirus disease warriors, Coronavirus disease-2019, Fear, Frontline nurses, Insomnia severity, Mental health outcomes, Resilience, Stress

Citation Information : Mehra A, Sharma N. Mental Health Outcomes of Perceived Stress, Anxiety, Fear and Insomnia, and the Resilience among Frontline Nurses Caring for Critical COVID-19 Patients in Intensive Care Units. Indian J Crit Care Med 2022; 26 (2):174-178.

DOI: 10.5005/jp-journals-10071-24119

License: CC BY-NC 4.0

Published Online: 09-02-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Background: The coronavirus disease-2019 (COVID-19) pandemic has led to a significant disruption in healthcare delivery and poses a unique long-term stressor among frontline nurses. Hence, the investigators planned to explore the adverse mental health outcomes and the resilience of frontline nurses caring for COVID-19 patients admitted in intensive care units (ICUs). Materials and methods: A cross-sectional online survey using Google form consisted of questionnaires on perceived stress scale (PSS-10), generalized anxiety disorder scale (GAD-7), Fear Scale for Healthcare Professionals regarding the COVID-19 pandemic, insomnia severity index, and the Connor-Davidson Resilience Scale-10 (CD-RISC) were administered among the nurses working in COVID ICUs of a tertiary care center in North India. Results: A considerable number of subjects in the study reported symptoms of distress (68.5%), anxiety (54.7%), fear (44%), and insomnia (31%). Resilience among the frontline nurses demonstrated a moderate to a high level with a mean percentage score of 77.5 (31.23 ± 4.68). A negative correlation was found between resilience and adverse mental outcomes; hence, resilience is a reliable tool to mitigate the adverse psychological consequences of the COVID-19 pandemic. Conclusion: Emphasizing the well-being of the nurses caring for critical COVID-19 patients during the pandemic is necessary to enable them to provide high-quality nursing care.


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  1. Euro surveillance editorial team. Note from the editors: World Health Organization declares novel coronavirus (2019-nCoV) sixth public health emergency of international concern. Euro Surveill 2020;25(5):1–2. DOI: 10.2807/1560-7917.ES.2020.25.5.200131.
  2. Maben J, Bridges J. Covid-19: supporting nurses’ psychological and mental health. J Clin Nurs 2020;29(15–16):2742–2750. DOI: 10.1111/jocn.15307.
  3. Kelly M. The pandemic's psychological toll: an emergency physician's suicide. Ann Emerg Med 2020;76(3):A21–A24. DOI: 10.1016/j.annemergmed.2020.07.009.
  4. Jose S, Dhandapani M, Cyriac MC. Burnout and resilience among frontline nurses during COVID-19 pandemic: a cross-sectional study in the emergency department of a tertiary care center, North India. Indian J Crit Care Med 2020;24(11):1081–1088. DOI: 10.5005/jp-journals-10071-23667.
  5. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open 2020;3(3):e203976. DOI: 10.1001/jamanetworkopen.2020.3976.
  6. Jose S, Cyriac MC, Dhandapani M. Health problems and skin damages caused by personal protective equipment: Experience of frontline nurses caring for critical COVID-19 patients in Intensive care units. Indian J Crit Care Med 2021;25(2):134–139. DOI: 10.5005/jp-journals-10071-23713.
  7. Cai H, Tu B, Ma J, Chen L, Fu L, Jiang Y, et al. Psychological impact and coping strategies of frontline medical staff in Hunan between January and March 2020 during the outbreak of Coronavirus disease 2019 (COVID19) in Hubei, China. Med Sci Monit 2020;26:e924171. DOI: 10.12659/MSM.924171.
  8. Hegney DG, Rees CS, Eley R, Osseiran-Moisson R, Francis K. The contribution of individual psychological resilience in determining the professional quality of life of Australian nurses. Front Psychol 2015;6:1613. DOI: 10.3389/fpsyg.2015.01613.
  9. Du J, Dong L, Wang T, Yuan C, Fu R, Zhang L, et al. Psychological symptoms among frontline healthcare workers during COVID-19 outbreak in Wuhan. Gen Hosp Psychiatry 2020;67:144–145. DOI: 10.1016/j.genhosppsych.2020.03.011.
  10. Pappa S, Ntella V, Giannakas T, Vassilis GG, 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 Behav Immun 2020;88:901–907. DOI: 10.1016/j.bbi.2020.05.026.
  11. Kang HS, Son YD, Chae SM, Corte C. Working experiences of nurses during the Middle East respiratory syndrome outbreak. Int J Nurs Pract 2018;24(5):e12664. DOI: 10.1111/ijn.12664.
  12. Hu D, Kong Y, Li W, Han Q, Zhang X, Zhu LX, et al. Frontline nurses’ burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: a large-scale cross-sectional study. EClinicalMedicine 2020;21(100424):48. DOI: 10.1016/j.eclinm.2020.100424.
  13. Ahmed MA, Jouhar R, Ahmed N, Adnan S, Aftab M, Zafar MS. Fear and practice modifications among dentists to combat novel coronavirus disease (COVID-19) outbreak. Int J Environ Res Public Health 2020;17(8):2821. DOI: 10.3390/ijerph17082821.
  14. Maunder R, Hunter J, Vincent L, Bennett J, Peladeau N, Leszcz M, et al. The immediate psychological and occupational impact of the 2003 SARS outbreak in a teaching hospital. Canadian Medical Association Journal 2003;168(10):1245–1251. PMID: 12743065.
  15. Zhang C, Yang L, Liu S, Ma S, Wang Y, Cai Z, et al. Survey of insomnia and related social psychological factors among medical staff involved in the 2019 novel coronavirus disease outbreak. Front Psychiatry 2020;11:306. DOI: 10.3389/fpsyt.2020.00306.
  16. Huang CL, Wu MP, Ho CH, Wang JJ. Risks of treated anxiety, depression, and insomnia among nurses: a nationwide longitudinal cohort study. PLoS One 2018;13(9):e0204224. DOI: 10.1371/journal.pone.0204224.
  17. Guo YF, Cross W, Plummer V, Lam L, Luo YH, Zhang JP. Exploring resilience in Chinese nurses: a cross-sectional study. J Nurs Manag 2017;25(3):223–230. DOI: 10.1111/jonm.12457.
  18. Rushton CH, Batcheller J, Schroeder K, Donohue P. Burnout and resilience among nurses practicing in high-intensity settings. Am J Crit Care 2015;24(5):412–420. DOI: 10.4037/ajcc2015291.
  19. Koh D. Occupational risks for COVID-19 infection. Occup Med (Lond) 2020;70(1):3–5. DOI: 10.1093/occmed/kqaa036.
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