When health professionals look death in the eye: the mental health of professionals who deal daily with the 2019 coronavirus outbreak.

Autor: Neto MLR; School of Medicine of Juazeiro do Norte (FMJ/Estácio) - Juazeiro do Norte, Ceará, Brazil; School of Medicine, Federal University of Cariri (UFCA) - Barbalha, Ceará, Brazil. Electronic address: modesto.neto@ufca.edu.br., Almeida HG; School of Medicine of Juazeiro do Norte (FMJ/Estácio) - Juazeiro do Norte, Ceará, Brazil., Esmeraldo JD; School of Medicine of Juazeiro do Norte (FMJ/Estácio) - Juazeiro do Norte, Ceará, Brazil., Nobre CB; School of Medicine of Juazeiro do Norte (FMJ/Estácio) - Juazeiro do Norte, Ceará, Brazil., Pinheiro WR; Regional University of Cariri - URCA, Crato, Ceará, Brazil., de Oliveira CRT; Regional University of Cariri - URCA, Crato, Ceará, Brazil., Sousa IDC; Regional University of Cariri - URCA, Crato, Ceará, Brazil., Lima OMML; Postgraduate Program in Health Sciences, School of Medicine of ABC, Santo André, São Paulo, Brazil., Lima NNR; Suicidology Research Group, Universidade Federal do Ceará (UFC) - Fortaleza, Ceará, Brazil., Moreira MM; School of Medicine of Juazeiro do Norte (FMJ/Estácio) - Juazeiro do Norte, Ceará, Brazil; School of Medicine, Federal University of Cariri (UFCA) - Barbalha, Ceará, Brazil; Postgraduate Program in Health Sciences, School of Medicine of ABC, Santo André, São Paulo, Brazil., Lima CKT; Postgraduate Program in Health Sciences, School of Medicine of ABC, Santo André, São Paulo, Brazil., Júnior JG; Department of Internal Medicine, Santa casa de Misericórdia de Fortaleza, Fortaleza, Ceará, Brazil., da Silva CGL; School of Medicine of Juazeiro do Norte (FMJ/Estácio) - Juazeiro do Norte, Ceará, Brazil; School of Medicine, Federal University of Cariri (UFCA) - Barbalha, Ceará, Brazil.
Jazyk: angličtina
Zdroj: Psychiatry research [Psychiatry Res] 2020 Jun; Vol. 288, pp. 112972. Date of Electronic Publication: 2020 Apr 13.
DOI: 10.1016/j.psychres.2020.112972
Abstrakt: Background: The fact that COVID-19 is transmissible from human to human and associated with high morbidity and potentially fatality can intensify the perception of personal danger. In addition, the foreseeable shortage of supplies and an increasing flow of suspected and real cases of COVID-19 contribute to the pressures and concerns of health professionals.
Method: The studies were identified in well-known international journals found in two electronic databases: Scopus and Embase. The data were cross-checked with information from the main international newspapers.
Results: Work-related stress is a potential cause of concern for health professionals. It has been associated with anxiety including multiple clinical activities, depression in the face of the coexistence of countless deaths, long work shifts with the most diverse unknowns and demands in the treatment with patients with COVID-19. Therefore, it is an important indicator of psychic exhaustion.
Conclusions: As coronavirus cases increase and deaths surge in Italy, new figures show an "enormous" level of contagion among the country's medical personnel. At least 2,629 health workers have been infected with coronavirus since the outbreak onset in February, representing 8.3% of total cases. The percentage of infected health workers has almost doubled the number registered in China throughout the epidemic. Intensive care unit physicians are on their stress limit, especially when dealing with older patients and with death prospects. Doctors, not a relative, are inevitably the last people a dying COVID-19 patient will see.
Competing Interests: Declaration of competing interest The authors declare that they have no competing interests.
(Copyright © 2020 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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