Bahiana School of Medicine and Public Health, Salvador, BA, Brazil.
Federal University of Bahia, Faculty of Medicine, Salvador, BA, Brazil.
Braz J Infect Dis. 2021 Sep-Oct;25(5):101618. doi: 10.1016/j.bjid.2021.101618. Epub 2021 Aug 30.
COVID-19 pandemic caused increased workload and stress for health professionals involved in the care of such patients. We aimed to describe the health-related quality of life, and burnout in frontline physicians diagnosed with anxiety during the COVID-19 pandemic.
This was a cross-sectional study conducted during the first-wave phase of COVID-19, from September to October 2020. Questionnaires were sent electronically to 450 physicians from State of Bahia, assessing symptoms of anxiety, health-related quality of life (HRQOL) and burnout syndrome. For the categorical variables, the Pearson's chi-square test was used and difference between means was compare using the Mann-Whitney test. was Groups with and without anxiety symptoms were compared using prevalence ratios (PR). Pearson's correlation measured the correlation between WHOQOL-BREF and MBI (Maslach Burnout Inventory) domains. The Fisher r-to-z transformation was used to assess the significance of the difference between two correlation coefficients. The significance level was <0.05.
Out of the 450 physicians, 223 (49,6%) completely answered the questionnaire and 38 (17%) showed symptoms of anxiety. Physicians with anxiety had higher scores in emotional exhaustion (EE) (38.31 ± 8.59 vs 25.31±0.87; p = 0.0001) and depersonalization (DP) (9.0 ± 5.6 vs 5.9 ± 5.3; p = 0.001) domains, and lower scores in personal accomplishment (PA) (32.1 ± 8.2 vs 36.3 ± 7.6; p = 0.004), than those without anxiety. All correlations between WHOQOL-BREF domains and MBI in physicians without anxiety were significant (p = 0.01).
Physicians with anxiety showed more emotional exhaustion, less personal accomplishment, and lower quality of life. All domains of WHOQOL BREF were correlated with all MBI domains among physicians without anxiety. Differences in correlation according to anxiety were remarkable in psychological HOQOL BREF domain and emotional exhaustion and depersonalization MBI domains. The effect of anxiety leading to poorer levels of perceived health needs to be further investigated.
COVID-19 大流行导致参与此类患者护理的卫生专业人员工作量和压力增加。我们旨在描述 COVID-19 大流行期间被诊断患有焦虑症的一线医生的健康相关生活质量和倦怠情况。
这是一项横断面研究，于 2020 年 9 月至 10 月在 COVID-19 第一波期间进行。向巴伊亚州的 450 名医生发送了电子问卷，评估焦虑症状、健康相关生活质量 (HRQOL) 和倦怠综合征。对于分类变量，使用 Pearson 卡方检验，使用曼-惠特尼检验比较平均值之间的差异。使用患病率比 (PR) 比较有和没有焦虑症状的组。Pearson 相关系数测量 WHOQOL-BREF 和 MBI（马氏倦怠量表）域之间的相关性。Fisher r-to-z 转换用于评估两个相关系数之间差异的显著性。显著性水平 <0.05。
在 450 名医生中，有 223 名（49.6%）完全回答了问卷，有 38 名（17%）出现焦虑症状。有焦虑症的医生在情绪疲惫 (EE)（38.31 ± 8.59 vs 25.31±0.87；p=0.0001）和去人格化 (DP)（9.0 ± 5.6 vs 5.9 ± 5.3；p=0.001）方面得分更高，个人成就感 (PA)（32.1 ± 8.2 vs 36.3 ± 7.6；p=0.004）较低，与无焦虑症的医生相比。无焦虑症医生的 WHOQOL-BREF 各领域与 MBI 之间的所有相关性均具有统计学意义（p=0.01）。
有焦虑症的医生表现出更多的情绪疲惫、更少的个人成就感和更低的生活质量。无焦虑症医生的 WHOQOL-BREF 所有领域均与 MBI 所有领域相关。根据焦虑症的差异，在心理 HOQOL BREF 领域和 MBI 的情绪疲惫和去人格化领域，相关性差异显著。焦虑导致感知健康水平下降的影响需要进一步调查。
