Journal of Health Sciences & Surveillance System

Physical and Psychological Problem of COVID-19 Infection in Healthcare Workers: A Systematic Review and Meta-analysis

Document Type : Review Articles

Authors

Mohebat Vali 1
Alireza Mirahmadizadeh 2
Zahra Maleki 1
Sima Afrashteh 1
Arefe Abedinzade 3
Farzaneh Kasraei 1
Haleh Ghaem 2, 4

1 Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran

2 Non-Communicable Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

3 Department of Pediatric Dentistry, School of Dentistry,Tehran University of Medical Sciences, Tehran, Iran

4 Research Center for Health Sciences, Institute of Health, Department of Epidemiology, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran

https://doi.org/10.30476/jhsss.2021.90534.1195
Abstract
Background: Coronavirus is among the pathogens that primarily target the respiratory system. Given the importance of Health Care Workers (HCWs) in the fight against COVID-19, their infection with the virus and death can cause irreparable damage to public health. The present systematic review and meta-analysis aimed to investigate the physical and psychological implications of COVID-19 among HCWs. Methods: In this systematic review and meta-analysis, some well-known databases were searched for the studies published before 26 June 2020 using the following search strategy: “Novel coronavirus pneumonia”, “Nurses”, “Physicians”, “Medical Staff, Hospital”, “Health Personnel”, and “Community Health Workers”. Finally, 101 out of the 2234 primary screened articles were assessed. Results: Of the total studies included, 54 were related to Physical problems, and 47 were related to Psychosocial Stress. Skin damage (54.48%), Nasal bridge (58.79%), and Dryness tightness (58.57%) were the most common Physical Problems, and Insomnia (32.03%) and Distress (29.34%) were the most common psychosocial problems among HCWs. Conclusion: Training and awareness of the treatment staff about the unwanted side effects of these diseases should be considered in educational programs in different countries because patient care depends on their availability.

Keywords

COVID-19
Health personnel
Physical problems
Psychosocial stress
Systematic review
  1. Xiao H, Zhang Y, Kong D, Li S, Yang N. The effects of social support on sleep quality of medical staff treating patients with coronavirus disease 2019 (covid-19) in january and february 2020 in china. Medical science monitor: international medical journal of experimental and clinical research 2020;26:e923549-1.
  2. 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):1. doi: http://dx.doi.org/10.1001/jamanetworkopen.2020.3976
  3. Zhang W-r, Wang K, Yin L, Zhao W-f, Xue Q, Peng M, et al. Mental health and psychosocial problems of medical health workers during the covid-19 epidemic in china. Psychotherapy and Psychosomatics 2020:1-9.
  4. Penson DF, Krishnaswami S, Jules A, Seroogy JC, McPheeters ML. Evaluation and treatment of cryptorchidism.
  5. Klement E, Godefroy N, Burrel S, Kornblum D, Monsel G, Bleibtreu A, et al. The first locally acquired novel case of 2019-ncov infection in a healthcare worker in the paris area. Clinical infectious diseases: an official publication of the Infectious Diseases Society of America
  6. Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019 (covid-19) outbreak in china: Summary of a report of 72 314 cases from the chinese center for disease control and prevention. Jama
  7. Jiajia Lan ZS, Xiaoping Miao, Hang Li, Yan Li, Liyun Dong, Jing Yang,, Xiangjie An YZ, Liu Yang, Nuoya Zhou, Liu Yang, Jun Li, JingJiang Cao,, Jianxiu Wang JT. Skin damage among healthcare workers managing coronavirus disease-2019. Journal of the American Academy of Dermatology 5 March 2020.
  8. Li Z, Ge J, Yang M, Feng J, Qiao M, Jiang R, et al. Vicarious traumatization in the general public, members, and non-members of medical teams aiding in covid-19 control. Brain, behavior, and immunity
  9. https://www.worldometers.info/coronavirus/.
  10. Guan W-j, Ni Z-y, Hu Y, Liang W-h, Ou C-q, He J-x, et al. Clinical characteristics of coronavirus disease 2019 in china. New England Journal of Medicine
  11. Chen R, Chou K-R, Huang Y-J, Wang T-S, Liu S-Y, Ho L-Y. Effects of a sars prevention programme in taiwan on nursing staff's anxiety, depression and sleep quality: A longitudinal survey. International journal of nursing studies 2006;43(2):215-25.
  12. Thompson R. Pandemic potential of 2019-ncov. The Lancet Infectious Diseases 2020;20(3):280.
  13. Li Y, Wang W, Lei Y, Zhang B, Yang J, Hu J, et al. Comparison of the clinical characteristics between rna positive and negative patients clinically diagnosed with 2019 novel coronavirus pneumonia. Zhonghua jie he he hu xi za zhi= Zhonghua jiehe he huxi zazhi= Chinese journal of tuberculosis and respiratory diseases 2020;43:E023-E.
  14. Huh S. How to train the health personnel for protecting themselves from novel coronavirus (covid-19) infection during their patient or suspected case care. Journal of educational evaluation for health professions 2020;17:10.
  15. Surveillances V. The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (covid-19)—china, 2020. China CDC Weekly 2020;2(8):113-22.
  16. Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the covid-19 pandemic: A systematic review and meta-analysis. J Brain, behavior,immunity
  17. 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.
  18. Wang DMD, Hu BMD, Hu CMD, Zhu FMD, Liu XMD, Zhang JMD, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus–infected pneumonia in wuhan, china: The journal of the american medical association the journal of the american medical association. JAMA 2020;323(11):1061. doi: http://dx.doi.org/10.1001/jama.2020.1585
  19. Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus–infected pneumonia in wuhan, china. Jama 2020;323(11):1061-9.
  20. Oranges T, Janowska A, Dini V. Reply to:“Skin damage among healthcare workers managing coronavirus disease-2019”. Journal of the American Academy of Dermatology
  21. Lin P, Zhu S, Huang Y, Li L, Tao J, Lei T, et al. Adverse skin reactions among healthcare workers during the coronavirus disease 2019 outbreak: A survey in wuhan and its surrounding regions. British Journal of Dermatology
  22. Simonds A, Sokol D. Lives on the line? Ethics and practicalities of duty of care in pandemics and disasters. European Respiratory Journal 2009;34(2):303-9.
  23. Lan J, Song Z, Miao X, Li H, Li Y, Dong L, et al. Skin damage among health care workers managing coronavirus disease-2019. 2020;82(5):1215-6.
  24. Yan Y, Chen H, Chen L, Cheng B, Diao P, Dong L, et al. Consensus of chinese experts on protection of skin and mucous membrane barrier for health‐care workers fighting against coronavirus disease 2019. 2020:e13310.
  25. Adams JG, Walls RMJJ. Supporting the health care workforce during the covid-19 global epidemic. 2020;323(15):1439-40.
  26. Foo CCI, Goon ATJ, Leow YH, Goh CLJCd. Adverse skin reactions to personal protective equipment against severe acute respiratory syndrome–a descriptive study in singapore. 2006;55(5):291-4.
  27. Yan Y, Chen H, Chen L, Cheng B, Diao P, Dong L, et al. Consensus of chinese experts on protection of skin and mucous membrane barrier for healthcare workers fighting against coronavirus disease 2019. Dermatologic Therapy 2020:e13310.
  28. 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. 2020;3(3):e203976-e.
  29. Zhang W-r, Wang K, Yin L, Zhao W-f, Xue Q, Peng M, et al. Mental health and psychosocial problems of medical health workers during the covid-19 epidemic in china. 2020;89(4):242-50.
  30. Lu W, Wang H, Lin Y, Li L. Psychological status of medical workforce during the covid-19 pandemic: A cross-sectional study. Psychiatry Research 2020:112936.
  31. Fardin MA. Covid-19 and anxiety: A review of psychological impacts of infectious disease outbreaks. Arch Clin Infect Dis 2020;15(COVID-19):e102779. doi: 10.5812/archcid.102779
  32. Xiao H, Zhang Y, Kong D, Li S, Yang NJMsmimjoe, research c. The effects of social support on sleep quality of medical staff treating patients with coronavirus disease 2019 (covid-19) in january and february 2020 in china. 2020;26:e923549-1.
  33. Lu W, Wang H, Lin Y, Li LJPr. Psychological status of medical workforce during the covid-19 pandemic: A cross-sectional study. 2020:112936.
  34. de Pablo GS, Serrano JV, Catalan A, Arango C, Moreno C, Ferre F, et al. Impact of coronavirus syndromes on physical and mental health of health care workers: Systematic review and meta-analysis.
  35. Maunder RG, Lancee WJ, Balderson KE, Bennett JP, Borgundvaag B, Evans S, et al. Long-term psychological and occupational effects of providing hospital healthcare during sars outbreak. Emerging infectious diseases 2006;12(12):1924.
  36. Maunder RG, Lancee WJ, Rourke S, Hunter JJ, Goldbloom D, Balderson K, et al. Factors associated with the psychological impact of severe acute respiratory syndrome on nurses and other hospital workers in toronto. Psychosomatic Medicine 2004;66(6):938-42.
  37. Lee SM, Kang WS, Cho A-R, Kim T, Park JK. Psychological impact of the 2015 mers outbreak on hospital workers and quarantined hemodialysis patients. Comprehensive psychiatry 2018;87:123-7.
  38. Maunder R. The experience of the 2003 sars outbreak as a traumatic stress among frontline healthcare workers in toronto: Lessons learned. Philosophical Transactions of the Royal Society of London. Series B: Biological Sciences 2004;359(1447):1117-25.
  39. Um DH, Kim JS, Lee HW, Lee SH. Psychological effects on medical doctors from the middle east respiratory syndrome (mers) outbreak: A comparison of whether they worked at the mers occurred hospital or not, and whether they participated in mers diagnosis and treatment. Journal of Korean Neuropsychiatric Association 2017;56(1):28-34.

 

Journal of Health Sciences & Surveillance System
Volume 10, Issue 3
July 2022
Pages 250-256

Home

Guide for Authors

Submit Manuscript

Guide for Reviewers

Contact Us

Forms