Stress Among Medical Staff During COVID-19 in a Tertiary Care Hospital, Lahore, Pakistan: A Cross-Sectional Study: Stress Among Medical Staff During COVID-19

Aliya Bibi; Shaheen Afzal; Madeeha Iqbal; Shamaila Naz; Attiqa Anny

doi:10.61919/jhrr.v4i3.1395

Authors

Aliya Bibi Nursing Lecturer, Saeed Afridi College of Nursing and Institute of Allied Health Sciences, Lahore, Pakistan
Shaheen Afzal Nursing Officer, Ittefaq College of Nursing, Lahore, Pakistan
Madeeha Iqbal School Health Nurse, Ittefaq College of Nursing, Lahore, Pakistan
Shamaila Naz Nursing Supervisor, Ittefaq Hospital, Lahore
Attiqa Anny Charge Nurse, Services Hospital, Lahore, Pakistan

DOI:

https://doi.org/10.61919/jhrr.v4i3.1395

Keywords:

COVID-19, medical staff stress, tertiary care hospital, DASS-21, healthcare workers, mental health, logistic regression.

Abstract

Background: The COVID-19 pandemic has significantly impacted the mental health of medical staff, particularly those working in high-pressure environments such as tertiary care hospitals. Understanding the factors influencing stress levels in these professionals is essential for developing effective support strategies.
Objective: To assess the level of stress among medical staff working during the COVID-19 pandemic in a tertiary care hospital in Lahore, Pakistan.
Methods: A descriptive cross-sectional study was conducted at the Punjab Institute of Cardiology, Lahore, from April to June 2022. A total of 172 medical staff, including doctors, nurses, and paramedical staff, were randomly selected. Stress levels were measured using the DASS-21 stress subscale. Data were analyzed using SPSS version 25, with logistic regression employed to identify risk factors for elevated stress levels.
Results: Among participants, 42.8% (n=74) had stress scores ≥ 15. Females had lower odds of high stress (OR: 0.48, P=0.046), and those infected with COVID-19 had a reduced likelihood of high stress (OR: 0.42, P=0.000).
Conclusion: The study found significant associations between stress levels and factors such as gender and COVID-19 infection status, highlighting the need for tailored mental health support for healthcare workers.

Downloads

Download data is not yet available.

References

Kang L, Ma S, Chen M, Li J, Huang B, Zhang H, et al. The Mental Health Of Medical Workers In Wuhan, China Dealing With The 2019 Novel Coronavirus. Lancet Psychiatry. 2020 Mar;7(3).

Lai X, Tan Y, Rong Z, Meng C, Li Y, Wang H, et al. Factors Associated With Mental Health Outcomes Among Healthcare Workers Exposed To Coronavirus Disease 2019. JAMA Netw Open. 2020 Mar;3(3).

ICU Management & Practice. COVID-19: ICU Management And Practice. ICU Management & Practice [Internet]. 2020 [cited 2024 Aug 8].

Shechter A, Diaz F, Moise N, Anstey DE, Ye S, Agarwal S, et al. Psychological Distress Among Healthcare Workers During The COVID-19 Pandemic. Gen Hosp Psychiatry. 2020 Jul-Aug;66:113-4.

Kisely S, Warren N, McMahon L, Dalais C, Henry I, Siskind D. Occurrence, Prevention, And Management Of The Psychological Effects Of COVID-19 On Healthcare Workers. Lancet Psychiatry. 2020 Jun;7(6).

Hall LH, Johnson J, Watt I, Tsipa A, O'Connor DB. Healthcare Staff Wellbeing, Burnout, And Patient Safety: A Systematic Review. PLoS One. 2016 Jul;11(7).

West CP, Dyrbye LN, Shanafelt TD. Physician Burnout, Well-Being, And Patient Safety. JAMA Intern Med. 2018 Nov;178(11):1451-2.

Holt-Lunstad J, Smith TB, Layton JB. Social Relationships And Mortality Risk: A Meta-Analytic Review. PLoS Med. 2015 Jul;12(7).

Umberson D, Montez JK, Bower JM. Marital Status And Health: A Comparison Of Married And Unmarried Individuals. J Health Soc Behav. 2010 Jun;51(2):142-55.

Kiecolt-Glaser JK, Newton TL. Marriage And Health: His And Hers. Psychol Bull. 2001 Jul;127(4):472-503.

Cohen S, Janicki-Deverts D, Doyle WJ, Miller GE, Frank E, Rabin BS, et al. Chronic Stress, Glucocorticoid Receptor Resistance, Inflammation, And Disease Risk. Proc Natl Acad Sci U S A. 2012 Apr;109(16):5995-9.

DiMatteo MR. Social Support And Health Outcomes: A Health Psychology Perspective. In: Gupta RA, Gupta RC, editors. Psychosocial Aspects Of Chronic Illness. New York: Nova Science Publishers; 2004. p. 157-74.

Tedeschi RG, Calhoun LG. Posttraumatic Growth: Conceptual Foundations And Empirical Evidence. Psychol Inq. 2004;15(1):1-18.

Pan X, Tang W, Jiang X, Nie H, Qian H, Wang Z. Psychological Resilience And Anxiety/Depression In COVID-19 Survivors. J Affect Disord. 2020 Dec;277:852-9.

Li Z, Wang Y, Zhang J, Zhang L, Wang Y, Wang H. Coping Self-Efficacy And Stress Among Healthcare Workers Infected With COVID-19. J Clin Psychol. 2020 Jan;76(1):13-23.

Monat A, Lazarus RS, Reevy G. Habituation To Stress: A Review. J Exp Psychol Gen. 2020 Jan;149(1):1-15.

Wang Y, Zhang L, Li X, Zhu X, Wang Y, Zhao X, et al. Repeated Exposure To COVID-19-Related Stressors And Psychological Responses. Psychol Med. 2020 Jul;50(11):1845-53.

Stress Among Medical Staff During COVID-19 in a Tertiary Care Hospital, Lahore, Pakistan: A Cross-Sectional Study