Mental health, the adoption of contagion prevention and the risk perception of hospital workers in São Paulo state during the COVID-19 pandemic

Authors

  • Tereza Etsuko Costa Rosa Instituto de Saúde/Secretaria de Estado da Saúde. São Paulo-SP
  • Sonia Isoyama Venâncio Instituto de Saúde/Secretaria de Estado da Saúde. São Paulo-SP
  • Maria Mercedes Loureiro Escuder Instituto de Saúde/Secretaria de Estado da Saúde. São Paulo-SP
  • Maria Cecília Goi Porto Alves Instituto de Saúde/Secretaria de Estado da Saúde. São Paulo-SP
  • Tazio Vanni Hospital Universitário da Universidade de Brasília. Brasília-DF
  • Alexander Precioso Centro de Segurança Clínica e Gestão de Risco do Instituto Butantan/Secretaria de Estado da Saúde. São Paulo-SP

DOI:

https://doi.org/10.57148/bepa.2022.v.19.37970

Keywords:

COVID-19, Mental Health, health personnel

Abstract

Objective: to assess mental health, the adoption of contagion prevention and the risk perception of hospital workers in São Paulo state, during the COVID-19 pandemic. Methods: cross-sectional study including health workers from 15 state hospitals who responded to an online questionnaire. For the assessment of mental health, the General Health Questionnaire (QSG-12) was applied. QSG-12 generated a scale ranging from 0 to 12 (worst situation). Scores above the median values were considered indicative of psychological distress. A multivariate logistic regression identified factors associated with psychological distress. Results: The study included 627 workers, mostly female, aged 40-59 years, white; 45% of the sample scored above the median of GHQ-12, which was 6.3. A greater chance of psychological distress was identified among women; physicians; those who responded that the hospital did not provide good quality Individual Protection Equipment; those who felt they had little control over becoming infected; those who were afraid of not surviving the disease; those whose families were afraid of becoming infected through them. Conclusion: psychological distress in this sample was expressive, and it is possible to act on some associated factors to minimize the problem.

 

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References

World Health Organization. WHO statement on the second meeting of the international health-regulations (2005) emergency commit­tee regarding the outbreak of novel coronavi­rus (2019-ncov). [Internet]. [cited 2022 mar 26]. Available from: https://www.who.int/news/item/30-01-2020-statement-on-the-second-meeting-of-the-international-health-regulations-(2005)-emergency-committee-regarding-the-outbreak-of-novel-coronavirus-(2019-ncov).

Johns Hopkins University of Medicine. Coronavirus Resource Center. [Internet]. [cited 2022 mar 26]. Available from: https://coronavirus.jhu.edu/region/brazil.

Teixeira CFS, Soares CM, Souza EA, Lisboa ES, Pinto ICM, Andrade LR, Espiridião MA. A saúde dos profissionais de saúde no enfrentamento da pandemia de Covid-19. Cienc Saude Colet [Periódico na Internet]. 2020; 25 (9): 3465-3474 [Acesso 2022 jun 10]. Disponível em: https://doi.org/10.1590/1413-81232020259.19562020 DOI: https://doi.org/10.1590/1413-81232020259.19562020

Campos JADB, Martins BG, Campos LA, Marôco J, Saadiq RA, Ruano R. Early psychological impact of the COVID-19 pandemic in Brazil: a national survey. J Clin Med. 2020;9(9):2976. [cited 2022 mar 26]. Available from: https://doi.org/10.3390/jcm9092976 DOI: https://doi.org/10.3390/jcm9092976

Silva DFO, Cobucci RN, Soares-Rachetti VP, Lima SCVC, Andrade FB. Prevalência de ansiedade em profissionais da saúde em tempos de COVID-19: revisão sistemática com metanálise. Ciênc Saude Colet [Periódico na Internet]. 2021; 26(2): 693-710 [Acessado 26 Mar 2022]. Disponível em: https://doi.org/10.1590/1413-81232021262.38732020 DOI: https://doi.org/10.1590/1413-81232021262.38732020

Ornell F, Halpern SC, Kessler FHP, Narvaez JCM. The impact of the COVID-19 pandemic on the mental health of healthcare professionals. Cad Saude Publica [serial on teh internet] 2020; 36(4):e00063520. [cited 2022 mar 26]. Available from: https://doi.org/10.1590/0102-311X00063520 DOI: https://doi.org/10.1590/0102-311x00063520

Greenberg N. Mental health of health-care workers in the COVID-19 era. Nat Rev Nephrol [serial on the internet] 2020; 16:425-426. [cited 2022 mar 26]. Available from: https://www.nature.com/articles/s41581-020-0314-5 DOI: https://doi.org/10.1038/s41581-020-0314-5

Schwartz J, King CC, Yen MY. Protecting healthcare workers during the coronavirus disease 2019 (COVID-19) outbreak: lessons from Taiwan’s severe acute respiratory syndrome response. Clin Infect Dis [serial on the internet] 2020; 71(15):858-860. [cited 2022 mar 26]. Available from: https://doi.org/10.1093/cid/ciaa255 DOI: https://doi.org/10.1093/cid/ciaa255

Huang J, Liu F, Teng Z, Chen J, Zhao J, Wang X, Wu R. Care for the psychological status of frontline medical staff fighting against COVID-19. Clin Infect Dis [serial on the internet] 2020; 71(12):3268-3269. [cited 2022 mar 26]. Available from: doi: 10.1093/cid/ciaa385 DOI: https://doi.org/10.1093/cid/ciaa385

Borges LO; Argolo JCT. Adaptação e validação de uma escala de bem-estar psicológico para uso em estudos ocupacionais. Aval Psicol [Periódico na internte] 2002; 1(1):17-27. [Acesso em 2021 jan 10]. Disponível em: http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1677-04712002000100003

Fortes S, Villano LAB, Lopes CS. Nosological profile and prevalence of common mental disorders of patients seen at the Family Health Program (FHP) units in Petrópolis, Rio de Janeiro. Rev Bras Psiquiatr. [serial on the internet] 2008; 30(1):32-37. [Cited 2022 mar 26]. Available from: https://doi.org/10.1590/S1516-44462006005000066 DOI: https://doi.org/10.1590/S1516-44462006005000066

Pasquali L, Gouveia VV, Andriola WB, Miranda FJ, Ramos ALM. Questionário de saúde geral de Goldberg (QSG): adaptação brasileira. Psic Teor Pesq. 1994; 10(3):421-437. [Periódico na internet]. [acesso em 2022 mar 15]. Disponível em: https://www.researchgate.net/publication/279191898_Questionario_de_Saude_Geral_de_Goldberg_QSG_Adaptacao_Brasileira

Portugal FB, Campos MR, Gonçalves DA, Mari JJ, Gask L, Bower P, et al.. Psychiatric morbidity and quality of life of primary care attenders in two cities in Brazil. J Bras Psiquiatr. 2014;63(1):23-32. [periódico na internet]. [Acesso em 2022 mar 22]. Disponível em: https://doi.org/10.1590/0047-2085000000004 DOI: https://doi.org/10.1590/0047-2085000000004

IBM Corp. Released 2015. IBM SPSS Statistics for Windows, Version 23.0. Armonk, NY: IBM Corp.

Sant’Ana G, Imoto AM, Amorim FF, Taminato M, Peccin MS, Santana LA, et al.. Infecção e óbitos de profissionais da saúde por COVID-19: revisão sistemática. Acta Paul Enferm. 2020; 33:1-9 [Periódico na Internet]. [Acesso em 2022 jul 20]. Disponível em: https://doi.org/10.37689/acta-ape/2020AO0107 DOI: https://doi.org/10.37689/acta-ape/2020AO0107

Tavares, V. (2020). Covid-19: a saúde dos que estão na linha de frente. Rio de Janeiro: Fiocruz. [Internet] abril de 2020; [Acesso em 2021 jul 15]. Disponível em: https://portal.fiocruz.br/noticia/Covid-19-saude-dos-que-estao-na-linha-de-frente

Wong J, Goh QY, Tan Z, Lie SA, Tay YC, Ng SY, Soh RC. Preparing for a COVID-19 pandemic: a review of operating room outbreak response measures in a large tertiary hospital in Singapore. Can J Anesth/J Can Anesth [Serial on the internet] 2020 67:732–745. [Cited 2022 mar 10]. Available from: https://doi.org/10.1007/s12630-020-01620-9 DOI: https://doi.org/10.1007/s12630-020-01620-9

Prado AD, Peixoto BC, Silva AMB, Scalia LAM. A saúde mental dos profissionais de saúde frente à pandemia do COVID-19: uma revisão integrativa REAS/EJCH [periódico na Internet] 2020. [Acesso em 2021 jul 15]| Vol.Esp.46 | e4128 |. [cerca de 9 p.]. Disponível em: https://doi.org/10.25248/reas.e4128.2020 DOI: https://doi.org/10.25248/reas.e4128.2020

Oliveira WA, Oliveira-Cardoso EA, Silva JL, Santos MA. Impactos psicológicos e ocupacionais das sucessivas ondas recentes de pandemias em profissionais da saúde: revisão integrativa e lições aprendidas. Estud Psicol [Periódico na internet] 2020; 37: e200066. [Cerca de 12 p.]. [Acesso em 2022 mar 26]. Disponível em: https://doi.org/10.1590/1982-0275202037e200066 DOI: https://doi.org/10.1590/1982-0275202037e200066

Bezerra G, Sena AS, Braga S, dos Santos ME, Correia LF, Clementino KM, Carneiro YV, Pinheiro W. O impacto da pandemia por Covid-19 na saúde mental dos profissionais da saúde: revisão integrativa. REAID [periódico na internet] 2020;93:e-20012: [cerca de 20 p.]. [Acesso em 2021 jul 15]. Disponível em: http://www.revistaenfermagematual.com.br/index.php/revista/article/view/758 DOI: https://doi.org/10.31011/reaid-2020-v.93-n.0-art.758

The Lancet. COVID-19: protecting health-care workers. [Editorial] Lancet. [serial on the internet] 2020;395(10228):922. [cited 2021 mar 26]. Available from: https://doi.org/10.1016/S0140-6736(20)30644-9 DOI: https://doi.org/10.1016/S0140-6736(20)30644-9

Ribeiro AP, Oliveira GL, Silva LS, Souza ER. Saúde e segurança de profissionais de saúde no atendimento a pacientes no contexto da pandemia de Covid-19: revisão de literatura. Rev Bras Saúde Ocup [Periódico na Internet] 2020; 45:e25 [cerca de 12 p.].. [Acesso em 2022 jul 2]. Disponível em: https://doi.org/10.1590/2317-6369000013920 DOI: https://doi.org/10.1590/2317-6369000013920

Duprat IP, Melo GC. Análise de casos e óbitos pela COVID-19 em profissionais de enfermagem no Brasil. Rev Bras Saude Ocup [Periódico na Internet]. 2020; 45:e30 [Cerca de 7 p.]. [Acesso em 2022 jul 2]. Disponível em: https://doi.org/10.1590/2317-6369000018220 DOI: https://doi.org/10.1590/2317-6369000018220

Aldrig A, Moura DG, Ribeiro E, Shimma E, Fortes LFC, Magalhães LDS, Piovesan RM, Elias R, Santos RRG, Coutinho RA, Silva ZS. Saúde mental para profissionais da saúde do estado de São Paulo no contexto da pandemia COVID-19. Bol Epidemiol Paulista 2020;17(204):1-13. [Periódico na Internet]. [Acesso em 2022 jul 2]. Disponível em: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1145585 DOI: https://doi.org/10.57148/bepa.2020.v.17.34418

Lotta G, Fernandez M, Corrêa MG, Magri G, Mello CAC, Beck AL. A pandemia de Covid-19 e os(as)profissionais de saúde pública no Brasil. Núcleo de Estudos da Burocracia (NEB FVG-EAESP). Fiocruz. Rede Covid-19 Humanidades. Nota Técnica. [Internet]. 2020. [Acesso em 2021 jul 15]. Disponível em: https://www.portalcoren-rs.gov.br/docs/enfermagem_sul.pdf

Lotta G, Fernandez M, Magri G, Mello CAC, Corrêa MG, Rocha MC Tamaki ER, Schall B, Pimenta DN. A pandemia de Covid-19 e os(as)profissionais de saúde pública no Brasil. Núcleo de Estudos da Burocracia (NEB FVG-EAESP). Fiocruz. Rede Covid-19 Humanidades. Nota Técnica. [internet]. 2021; [Acesso em 2021 jul 15].. Disponível em: http://www.cpqrr.fiocruz.br/pg/menos-de-metade-dos-profissionais-de-saude-publica-no-pais-recebeu-treinamento-na-pandemia/

Vedovato TG, Andrade CB, Santos DL, Bitencourt SM, Almeida LP, Sampaio JFS. Trabalhadores(as) da saúde e a COVID-19: condições de trabalho à deriva? Rev Bras Saude Ocup [Periódico na Internet] 2021; 46:e1 [Cerca de 15 p.]. [Acesso em 2022 fev 15]. Disponível em: https://doi.org/10.1590/2317-6369000028520 DOI: https://doi.org/10.1590/2317-6369000028520

Dai Y, Hul G, Xiong H, Qiu H, Yuan X. Psychological impact of the coronavirus disease 2019 (COVID-19) outbreak on healthcare workers in China. medRxiv preprint [Internet] 2020; [About 22 p.]. [cited 2021 may 10]. Available from: https://doi.org/10.1101/2020.03.03.20030874. DOI: https://doi.org/10.1101/2020.03.03.20030874

Chong MY, Wang WC, Hsieh WC, Lee CY, Chiu NM, YEH WC, Huang TL, Wen JK, Chen CL. Psychological impact of severe acute respiratory syndrome on health workers in a tertiary hospital. Br J Psychiatry [Serial on the internet]. 2004; 185, 127-133. [Cited 2021 may 10]. Available from: https://doi.org/10.1192/bjp.185.2.127 DOI: https://doi.org/10.1192/bjp.185.2.127

Wu P, Fang Y, Guan Z, Fan B, Kong J, Yao Z, Liu X, Fuller CJ, Susser E, Lu J, Hoven CW. The Psychological Impact of the SARS Epidemic on Hospital Employees in China: Exposure, Risk Perception, and Altruistic Acceptance of Risk. Can J Psychiatry [Serial on the internet] 2009; 54(5): 302–311. [Cited 2021 may 10]. Available from: https://doi.org/10.1177/070674370905400504 DOI: https://doi.org/10.1177/070674370905400504

Paiano M, Jaques AE, Nacamura PAB, Salci MA, Radovanovic CA, Carreira L. Saúde mental dos profissionais de saúde na China durante pandemia do novo coronavírus: revisão integrativa. Rev Bras Enferm. [Periódico na internet]. 2020;73(Suppl 2): e20200338 [Cerca de 9 p.]. [Acesso em 2021 jul 7]. Disponível em: https://doi.org/10.1590/0034-7167-2020-0338 DOI: https://doi.org/10.1590/0034-7167-2020-0338

Silva-Costa A, Griep RH, Rotenberg L. Percepção de risco de adoecimento por COVID-19 e depressão, ansiedade e estresse entre trabalhadores de unidades de saúde. Cad Saude Pública [Periódico na internet] 2022; 38(3):e00198321 [Cerca de 13 p.]. [Acesso em 2022 mar 25]. Disponível em: https://doi.org/10.1590/0102-311X00198321 DOI: https://doi.org/10.1590/0102-311x00198321

Cheng TA, Williams P. The design and development of a screening questionnaire (CHQ) for use in community studies of mental disorders in Taiwan. Psychol Med. [serial on the internet] 1986;16(2):415-22. [cited 2022 jul 15]. Available from: https://doi.org/10.1017/s0033291700009247 DOI: https://doi.org/10.1017/S0033291700009247

Chong MY, Wilkinson G. Validation of 30 and 12-item versions of the Chinese Health Questionnaire (CHQ) in patients admitted for general health screening. Psychol Med. [serial on the internet] 1989;19(2):495-505. [cited 2022 jul 15]. Available from: https://doi.org/10.1017/s0033291700012526 DOI: https://doi.org/10.1017/S0033291700012526

Maia AOB, Guimarães Neto AC. Resiliência de profissionais de saúde frente à COVID-19. Rev SBPH. [Periódico na Internet] 2021; 24(1):147-161. [Acesso em 2022 jul 7]. Disponível em http://pepsic.bvsalud.org/pdf/rsbph/v24n1/14.pdf DOI: https://doi.org/10.57167/Rev-SBPH.24.72

Robles R, Rodríguez E, Vega-Ramirez H, Álvarez-Icaza D, Madrigal E, Durand S, et al. Mental health problems among healthcare workers involved with the COVID-19 outbreak. Braz J Psychiatry. [periódico na internet] 2020 [acesso em 2021 jul 15] xxx-xxx;00(00):000-000 [cerca de 10 p.]. Disponível em: http://dx.doi.org/10.1590/1516-4446-2020-1346 DOI: https://doi.org/10.1590/1516-4446-2020-1346

Dal´Bosco EB, Floriano LSM, Skupien SV, Arcarol G, Martins AR, Anselmo ACR. A saúde mental da enfermagem no enfrentamento da COVID-19 em um hospital universitário regional. Rev Bras Enferm [Periódico na internet]. 2020;73(Suppl 2): e20200434 [Cerca de 7 p]. [Acesso em 2021 jul 15]. Disponível em: https://www.scielo.br/j/reben/a/ck98YrXKhsh6mhZ3RdB8ZVx/?format=pdf&lang=pt DOI: https://doi.org/10.1590/0034-7167-2020-0434

Published

2022-12-29

How to Cite

1.
Costa Rosa TE, Isoyama Venâncio S, Loureiro Escuder MM, Goi Porto Alves MC, Vanni T, Precioso A. Mental health, the adoption of contagion prevention and the risk perception of hospital workers in São Paulo state during the COVID-19 pandemic. Bepa [Internet]. 2022 Dec. 29 [cited 2024 Jul. 22];19:1-20. Available from: https://periodicos.saude.sp.gov.br/BEPA182/article/view/37970

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