Volume 29, Issue 4 (Fall 2021)                   Avicenna J Nurs Midwifery Care 2021, 29(4): 340-348 | Back to browse issues page

Ethics code: IR.SHMU.REC.1399.081


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1- Associate Professor of Nursing, Center for Health Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, Iran
2- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
3- Department of Epidemiology and Biostatistics, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
4- Imam Hossein Center for Education, Research and Treatment, Shahroud University of Medical Sciences, Shahroud, Iran , shariati.esmail@yahoo.com
Abstract:   (3224 Views)

Background and Objective: Due to the growing prevalence of COVID-19 in the world and the increasing workload of health care providers, health workers face many problems such as long working hours, being away from family, and worrying about themselves and their families, which can affect their health and consequently challenge their job performance. The aim of this study was to investigate the prevalence of Post-Traumatic Stress Disorder (PTSD) following the COVID-19 epidemic in health workers of Shahroud University of Medical Sciences, Iran.
Material and Methods: In this descriptive cross-sectional study, 228 Shahroud University of Medical Sciences health workers were studied from July 22 to August 22, 2020. Participants included nursing, medical, radiology, and laboratory personnel. The Demographic Information Questionnaire and PTSD Checklist – Civilian version (PCL-C) was completed online. Descriptive statistics and the multivariate linear regression model were used to analyze the data.

Results: Based on the results, 85.5% of people were experienced PTSD. The regression determination coefficient (R2) was 15.1, so that men experienced 4.88 units of lower posttraumatic stress than women. People whose relatives died of COVID-19 experienced 7/04 unit higher PTSD than others.
Conclusion: Given that a significant proportion of health workers experienced PTSD, senior treatment center managers must include more supportive measures to reduce PTSD in their work schedule.

Persian Full-Text [PDF 826 kb]   (815 Downloads) |   |   Extended Abstract (HTML)  (949 Views)  

✅ In general, based on our findings, it seems that concurrent training improves sexual function in postmenopausal women by increasing serum testosterone levels.


Type of Study: Original Research | Subject: Nursing
Received: 2021/06/7 | Accepted: 2021/11/29 | Published: 2021/12/21

References
1. Samarathunga W. Post-COVID19 Challenges and Way Forward for Sri Lanka Tourism. Available at SSRN 3581509. 2020. [DOI:10.2139/ssrn.3581509]
2. Organization WH. Mental health and psychosocial considerations during the COVID-19 outbreak, 18 March 2020. World Health Organization, 2020.
3. Adams JG, Walls RM. Supporting the health care workforce during the COVID-19 global epidemic. Jama. 2020;323(15):1439-40. [DOI:10.1001/jama.2020.3972] [PMID]
4. Canova V, Lederer Schläpfer H, Piso RJ, Droll A, Fenner L, Hoffmann T, et al. Transmission risk of SARS-CoV-2 to healthcare workers-observational results of a primary care hospital contact tracing. Swiss medical weekly. 2020;150(1718). [DOI:10.4414/smw.2020.20257] [PMID]
5. Torrens C, Campbell P, Hoskins G, Strachan H, Wells M, Cunningham M, et al. Barriers and facilitators to the implementation of the advanced nurse practitioner role in primary care settings: a scoping review. International Journal of Nursing Studies. 2020;104:103443. [DOI:10.1016/j.ijnurstu.2019.103443] [PMID]
6. Fiksenbaum L, Marjanovic Z, Greenglass ER, Coffey S. Emotional exhaustion and state anger in nurses who worked during the SARS outbreak: The role of perceived threat and organizational support. Canadian Journal of Community Mental Health. 2007;25(2):89-103. [DOI:10.7870/cjcmh-2006-0015]
7. da Silva FC, Neto ML. Psychiatric symptomatology associated with depression, anxiety, distress, and insomnia in health professionals working in patients affected by COVID-19: A systematic review with meta-analysis. Progress in Neuro-Psychopharmacology and Biological Psychiatry. 2021 Jan 10;104:110057. [DOI:10.1016/j.pnpbp.2020.110057] [PMID] [PMCID]
8. Spoorthy MS, Pratapa SK, Mahant S. Mental health problems faced by healthcare workers due to the COVID-19 pandemic-A review. Asian journal of psychiatry. 2020;51:102119. [DOI:10.1016/j.ajp.2020.102119] [PMID] [PMCID]
9. Siyu C, Xia M, Wen W, Cui L, Yang W, Liu S, et al. Mental health status and coping strategy of medical workers in China during The COVID-19 outbreak. medRxiv. 2020.
10. Alaqeel MK, Aljerian NA, AlNahdi MA, Almaini RY. Post-Traumatic Stress Disorder among Emergency Medical Services Personnel: A Cross-sectional Study. Asian Journal of Medical Sciences. 2019;10(4):28-31. [DOI:10.3126/ajms.v10i4.23990]
11. de Wijn AN, van der Doef MP. Patient-related stressful situations and stress-related outcomes in emergency nurses: A cross-sectional study on the role of work factors and recovery during leisure time: STRESSFUL SITUATIONS IN EMERGENCY NURSES. International Journal of Nursing Studies. 2020:103579. [DOI:10.1016/j.ijnurstu.2020.103579] [PMID]
12. Sheerin CM, Brick LA, Nugent NR, Amstadter AB. Genetic Studies of PTSD and Substance Use Disorders: Background, Developments, and Future Directions. Posttraumatic Stress and Substance Use Disorders: Routledge; 2019. p. 285-309. [DOI:10.4324/9781315442648-15]
13. Uphoff E, Robertson L, Cabieses B, Villalón FJ, Purgato M, Churchill R, et al. An overview of systematic reviews on mental health promotion, prevention, and treatment of common mental disorders for refugees, asylum seekers, and internally displaced persons. Cochrane Database of Systematic Reviews. 2020(9). [DOI:10.1002/14651858.CD013458.pub2] [PMID] [PMCID]
14. Hilton NZ, Ham E, Rodrigues NC, Kirsh B, Chapovalov O, Seto MC. Contribution of critical events and chronic stressors to PTSD symptoms among psychiatric workers. Psychiatric services. 2020;71(3):221-7. [DOI:10.1176/appi.ps.201900226] [PMID]
15. Safa M, Ismaili Dolabi Nejad Sh, Qasem Boroujerdi F, Hajizadeh F, Mirabzadeh Ardakani B. Evaluation of post-traumatic stress disorder in nursing staff involved in the care of patients with COVID-19 in Masih Daneshvari Hospital. Scientific Journal of the Medical System Organization of the Islamic Republic of Iran. 2021; 38 (1): 27-33
16. Weathers FW, Litz BT, Herman DS, Huska JA, Keane TM, editors. The PTSD Checklist (PCL): Reliability, validity, and diagnostic utility. annual convention of the international society for traumatic stress studies, San Antonio, TX; 1993: San Antonio, TX.
17. Ruggiero KJ, Del Ben K, Scotti JR, Rabalais AE. Psychometric properties of the PTSD Checklist-Civilian version. Journal of traumatic stress. 2003;16(5):495-502. [DOI:10.1023/A:1025714729117] [PMID]
18. Sadeghi M, Taghva A, Goudarzi N, Rah Nejat A. Validity and reliability of persian version of "post-traumatic stress disorder scale" in war veterans. Iranian Journal of War and Public Health. 2016;8(4):243-9.
19. Zhang H, Shi Y, Jing P, Zhan P, Fang Y, Wang F. Posttraumatic stress disorder symptoms in healthcare workers after the peak of the COVID-19 outbreak: A survey of a large tertiary care hospital in Wuhan. Psychiatry research. 2020;294:113541. [DOI:10.1016/j.psychres.2020.113541] [PMID] [PMCID]
20. Song X, Fu W, Liu X, Luo Z, Wang R, Zhou N, et al. Mental health status of medical staff in emergency departments during the Coronavirus disease 2019 epidemic in China. Brain, Behavior, and Immunity. 2020. [DOI:10.2139/ssrn.3605323]
21. Tang L, Pan L, Yuan L, Zha L. Prevalence and related factors of post-traumatic stress disorder among medical staff members exposed to H7N9 patients. International journal of nursing sciences. 2017;4(1):63-7. [DOI:10.1016/j.ijnss.2016.12.002] [PMID] [PMCID]
22. 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 network open. 2020;3(3):e203976-e. [DOI:10.1001/jamanetworkopen.2020.3976] [PMID] [PMCID]
23. Cohen H, Yehuda R. Gender differences in animal models of posttraumatic stress disorder. Disease markers. 2011;30(2, 3):141-50. [DOI:10.1155/2011/734372] [PMID] [PMCID]
24. Huang L, Wang Y, Liu J, Ye P, Chen X, Xu H, et al. Factors influencing anxiety of health care workers in the radiology department with high exposure risk to COVID-19. Medical science monitor: international medical journal of experimental and clinical research. 2020;26:e926008-1. [DOI:10.12659/MSM.926008]
25. Boelen PA, Lenferink LI. Associations of Depressive Rumination and Positive Affect Regulation with Emotional Distress After the Death of a Loved One. Clinical Psychology & Psychotherapy. 2020. [DOI:10.1002/cpp.2482] [PMID] [PMCID]
26. Keyes KM, Pratt C, Galea S, McLaughlin KA, Koenen KC, Shear MK. The burden of loss: unexpected death of a loved one and psychiatric disorders across the life course in a national study. American Journal of Psychiatry. 2014;171(8):864-71. [DOI:10.1176/appi.ajp.2014.13081132] [PMID] [PMCID]
27. Boyraz G, Legros DN. Coronavirus Disease (COVID-19) and Traumatic Stress: Probable Risk Factors and Correlates of Posttraumatic Stress Disorder. Journal of Loss and Trauma. 2020:1-20. [DOI:10.1080/15325024.2020.1763556]
28. Arafa A, Mohammed Z, Mahmoud O, Elshazley M, Ewis A. Depressed, anxious, and stressed: What have healthcare workers on the frontlines in Egypt and Saudi Arabia experienced during the COVID-19 pandemic? Journal of affective disorders. 2020;278:365-71. [DOI:10.1016/j.jad.2020.09.080] [PMID] [PMCID]
29. Mirhosseini S, Dadgari A, Basirinezhad MH, Mohammadpourhodki R, Ebrahimi H. The Role of Hope to Alleviate Anxiety in COVID-19 Outbreak among Community Dwellers: An Online Cross-sectional Survey. Annals of the Academy of Medicine, Singapore. 2020;49(10):723-30. [DOI:10.47102/annals-acadmedsg.2020341]
30. Moghanibashi-Mansourieh A. Assessing the anxiety level of Iranian general population during COVID-19 outbreak. Asian journal of psychiatry. 2020:102076. [DOI:10.1016/j.ajp.2020.102076] [PMID] [PMCID]
31. Fullana MA, Hidalgo-Mazzei D, Vieta E, Radua J. Coping behaviors associated with decreased anxiety and depressive symptoms during the COVID-19 pandemic and lockdown. Journal of Affective Disorders. 2020;275:80-1. [DOI:10.1016/j.jad.2020.06.027] [PMID] [PMCID]

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