Mental-Emotional Disorder, Fear and Depression Level of Emergency Nurses During Pandemic Covid-19: A Comparative Study
Abstract
Emergency nursing is specialized nursing that focuses on care that requires immediate medical attention to avoid long-term disability or death. During the COVID-19 pandemic, emergency nurses are on the front lines and must be prepared, and must be able to sort and select patients safely. However, emergency nursing services are very risky in transmitting exposure to the COVID-19 virus. This study aims to assess and compare the levels of mental and emotional disorders, depression, and anxiety suffered by emergency room nurses in the Intensive Care Unit, Operating Room, and Emergency Room. In this comparative study, we collected data from 92 nurses using a cross-sectional correlation design. In addition to the Sociodemographic Characterization, Psychoemotional Disorder Scale, Depression Scale, and COVID-19 Anxiety Scale. Levels of depression were higher in operating room nurses than in the intensive care unit and emergency room nurses (54.17 ± 14.08 vs 48.53 ± 11.92, p<0.01). (48.36 ± 13.40 vs 45.74 ± 11.79, p < 0.01). The pandemic is having a significant impact on the mental health of emergency room caregivers. New specific support measures should be formulated. More research is needed to focus on the psychological resilience of emergency department nurses.
References
Alexander, R., Arag´on, O. R., Bookwala, J., Cherbuin, N., Gatt, J. M., Kahrilas, I. J., K¨astner, N., Lawrence, A., Lowe, L., Morrison, R. G., Mueller, S. C., Nusslock, R., Papadelis, C., Polnaszek, K. L., Richter, S. H., Silton, R. L., & Styliadis, C. (2021). The neuroscience of positive emotions and affect: Implications for cultivating happiness and wellbeing. Neuroscience and Biobehavioral Reviews, 121, 220–249. https://doi.org/10.1016/j.neubiorev.2020.12.002
Alnazly, E., Khraisat, O. M., Al-Bashaireh, A. M., & Bryant, C. L. (2021). Anxiety, depression, stress, fear and social support during COVID-19 pandemic among Jordanian healthcare workers. PLoS ONE, 16(3 March). https://doi.org/10.1371/journal.pone.0247679
Amin, V., Flores, C. A., & Flores-Lagunes, A. (2020). The impact of BMI on mental health: Further evidence from genetic markers. Economics and Human Biology, 38(100895), 1–14. https://doi.org/10.1016/j.ehb.2020.100895
Ao, C., Dong, Y., & Kuo, P. (2021). China Economic Review Industrialization , indoor and ambient air quality , and elderly mental health. China Economic Review, 69(101676), 1–15. https://doi.org/10.1016/j.chieco.2021.101676
Ardan, M., Fadzlul Rahman, F., Bali Geroda, G., Kalimantan Timur, M., & Kalimantan, E. (2020). Journal of Critical Reviews the Influence of Physical Distance To Student Anxiety on Covid-19, Indonesia. Journal of Critical Review, 7(7), 1126–1132. https://doi.org/10.31838/jcr.07.17.141
Astin, A., & Paembonan, A. (2021). Faktor yang Berhubungan dengan Tingkat Kecemasan Perawat dalam Penanganan Pasien Covid-19 di Rumah Sakit Siloam Makassar. Jurnal Keperawatan Florence Nightingale, 4(1), 31–35. https://doi.org/10.52774/jkfn.v4i1.60
Benze, C., Spruce, L., & Groah, L. (2021). Perioperative nursing: Scope and standards of practice. AORN. https://doi.org/https://www.aorn.org/-/media/aorn/guidelines/standards-of-practice/periop-nursing-scope-standards-of-practice.pdf
Burri, A., Ogata, S., Rice, D., & Williams, F. (2018). Pain catastrophizing, neuroticism, fear of pain, and anxiety: Defining the genetic and environmental factors in a sample of female twins. PLoS ONE, 13(3), 1–15. https://doi.org/10.1371/journal.pone.0194562
Çelik, M. Y., & Kiliç, M. (2022). Family relationship of nurses in COVID-19 pandemic: A qualitative study. World Journal of Clinical Cases, 10(19), 6472–6482. https://doi.org/10.12998/wjcc.v10.i19.6472
Danu, V. K., Ningsih, O. S., & Suryati, Y. (2021). Faktor-Faktor Yang Mempengaruhi Kecemasan Perawat Selama Pandemi Covid-19 Di Kabupaten Manggarai. JWK, 6(1), 2548–4702.
Forrester, J. D., Nassar, A. K., Hawn, M. T., & Maggio, P. M. (2020). Precautions for Operating Room Team Members During the COVID-19 Pandemic. Journal of the American College of Surgeons, 230(6), 1098–1101. https://doi.org/10.1016/j.jamcollsurg.2020.03.030
Fountoulakis, K. N., Siamouli, M., Magiria, S., & Kaprinis, G. (2008). Late-life depression, religiosity, cerebrovascular disease, cognitive impairment and attitudes towards death in the elderly: Interpreting the data. Medical Hypotheses, 70, 493–496. https://doi.org/10.1016/j.mehy.2007.01.093
Garc´ıa-Fern´andez, L., Romero-Ferreiro, V., L´opez-Rold´an, P. D., Padilla, S., & Rodriguez-Jimenez, R. (2020). Mental health in elderly Spanish people in times of COVID-19 outbreak. The American Journal of Geriatric Psychiatry. https://doi.org/10.1016/j.jagp.2020.06.027
Han, K., Ko, Y., Yoon, H., Han, C., Ham, B.-J., & Kim, Y.-K. (2018). Relationship of depression, chronic disease, self-rated health, and gender with health care utilization among community-living elderly. Journal of Affective Disorders. https://doi.org/10.1016/j.jad.2018.08.044
Heijer, T. Den, Tiemeier, H., Luijendijk, H. J., Lijn, F. Van Der, Koudstaal, P. J., Hofman, A., & Breteler, M. M. B. (2011). A Study of the Bidirectional Association Between Hippocampal Volume on Magnetic Resonance Imaging and Depression in the Elderly. BIOL PSYCHIATRY, 70(2), 191–197. https://doi.org/10.1016/j.biopsych.2011.04.014
Kisely, S., Warren, N., Mcmahon, L., Dalais, C., Henry, I., & Siskind, D. (2020). Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare workers: rapid review and meta-analysis. The BMJ, 369. https://doi.org/10.1136/bmj.m1642
Kurniawan, K., Yosep, I., Maulana, S., Mulyana, A. M., Amirah, S., Abdurrahman, M. F., Sugianti, A., Putri, E. G., Khoirunnisa, K., Komariah, M., Kohar, K., & Rahayuwati, L. (2022). Efficacy of Online-Based Intervention for Anxiety during COVID-19: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Sustainability (Switzerland), 14(19), 1–17. https://doi.org/10.3390/su141912866
Laile, J., Awang, M., Ismuni, J., Fei, Y., Jaafar, S., Ahmad, Z., Ariff, M. R. M., Takwin, B., & Sugandi, Y. S. (2012). The Sources of Happiness to the Malaysians and Indonesians : Data from a Smaller Nation. Procedia - Social and Behavioral Sciences, 65(ICIBSoS), 549–556. https://doi.org/10.1016/j.sbspro.2012.11.164
Lei, S., Jiang, F., Su, W., Chen, C., Chen, J., Mei, W., Zhan, L., Jia, Y., Zhang, L., Liu, D., Xia, Z., & Xia, Z. (2020). Clinical characteristics and outcomes of patients undergoing surgeries during the incubation period ofCOVID-19 infection. EClinicalMedicine, 21, 1–8. https://doi.org/10.1016/j.eclinm.2020.100331
Luchesi, B. M., Alves, de O. N., Morais, D. De, Mendes, R. D. P. P., Pavarini, S. C. I., & Chagas, M. H. N. (2018). Factors associated with happiness in the elderly persons living in the community. Archives of Gerontology and Geriatrics Journal, 74, 83–87. https://doi.org/10.1016/j.archger.2017.10.006
Maroto, I. V., Romanob, P. C., Nogueroles, M., Matesanz-Fernández, Pérez-Belmonte, Criado, I. S., Gómez-Huelgas, R., & Manglano, J. D. (2021). Recommendations on the comprehensive, multidimensional assessment of hospitalized elderly people. Position of the Spanish Society of Internal Medicine. Revista Clínica Española, 221, 347–358. https://doi.org/10.1016/j.rceng.2020.10.007
Nayak, S., Mohapatra, M. K., & Panda, B. (2018). Prevalence of and Factors Contributing to Anxiety, Depression and Cognitive Disorders among Urban Elderly in Odisha – A Study through the Health Systems’ Lens. Archives of Gerontology and Geriatrics. https://doi.org/10.1016/j.archger.2018.09.008
Nemeroff, C. B. (2008). The Curiously Strong Relationship Between Cardiovascular Disease and Depression in the Elderly. American Journal of Geriatric Psychiatry, 16(11), 857–860. https://doi.org/10.1097/JGP.0b013e318189806a
Ozomaro, U., Wahlestedt, C., & Nemeroff, C. B. (2013). Personalized medicine in psychiatry : problems and promises. BMC Medicine, 11(132), 1–35.
Park, S., Joo, Y. H., Mcintyre, R. S., & Kim, B. (2014). Metabolic Syndrome and Elevated C-Reactive Protein Levels in Elderly Patients With Newly Diagnosed Depression. Psychosomatics, 1–10. https://doi.org/10.1016/j.psym.2013.12.010
Stuart, G., & Sundeen. (2016). Principle and practice of psychiatric nursing (10th ed.). Elsevier.
Sun, X., Zhou, M., Huang, L., & Nuse, B. (2020). Depressive costs : medical expenditures on depression and depressive symptoms among rural elderly in China. Public Health, 181, 141–150. https://doi.org/10.1016/j.puhe.2019.12.011
Susanti, R. D., Yudianto, K., Mulyana, A. M., & Amalia, I. N. (2023). A Systematic Scoping Review of Motivations and Barriers in COVID-19 Volunteering Among Health Students: The Potential for Future Pandemic Volunteers. Journal of Multidisciplinary Healthcare, 16, 1671–1681. https://doi.org/10.2147/JMDH.S411896
Tang, G., & Chan, A. K. M. (2020). Perioperative management of suspected/ confirmed cases of COVID-19. Anaesthesia Tutorial of The Week, 19(April), 1–13.
Toubasi, A. A., Abuanzeh, R. B., Abu, H. B., Aldebei, R. H., Aldeen, S., & Alryalat, S. (2021). A meta-analysis : The mortality and severity of COVID-19 among patients with mental disorders. Psychiatry Research, 299(March), 113856. https://doi.org/10.1016/j.psychres.2021.113856
Wetan, N. G. A. A. M. Y., & Novianti, P. A. (2020). Strategi Pembedahan di Era Pandemi COVID-19. Jurnal Bedah Nasional, 4(1), 1–4. https://doi.org/DOI: https://doi.org/10.24843/JBN.2020.v04.is01.p03
WHO. (2020). Coronavirus disease (COVID-19) pandemic. World Health Organizationealth Organization. https://www.who.int/emergencies/diseases/novel-coronavirus-2019
Xu, M., Chen, R., Liu, B., Chai, Y., Boer, D. D., Hu, P., & Hu, Z. (2018). Psychosocial determinants of depression in the community of the elderly with cardiovascular disease. Psychiatry Research. https://doi.org/10.1016/j.psychres.2018.03.008
Yan, Z., Chang, L., Zhang, Q., Li, C., & Li, Y. (2022). Depression and Opioid Misuse in Elderly Individuals With Chronic Pain: A Latent Class Analysis. Pain Management Nursing, 23(5), 602–607. https://doi.org/10.1016/j.pmn.2022.02.003
Zhang, D., Chan, D. C. C., Niu, L., Liu, H., Zou, D., Chan, A. T. Y., Gao, T. T., Zhong, B., Sit, R. W. S., & Wong, S. Y. S. (2018). Meaning and its association with happiness, health and healthcare utilization: A cross-sectional study. Journal of Affective Disorders, 227, 795–802. https://doi.org/10.1016/j.jad.2017.11.082
Zhang, G., Guo, Z., Cheng, Q., Sanz, I., & Abdullah, A. (2021). Multi-level integrated health management model for empty nest elderly people’s to strengthen their lives. Aggression and Violent Behavior, 1–7. https://doi.org/10.1016/j.avb.2020.101542
Zhifeng, W., & Yin, R. (2021). The influence of greenspace characteristics and building configuration on depression in the elderly. Building and Environment, 188(107477), 1–10. https://doi.org/10.1016/j.buildenv.2020.107477.
Copyright (c) 2024 Indonesian Journal of Global Health Research

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.



