Psychological impacts of COVID-19 on Vietnamese health workers over the prolonged restricted COVID-19 responses: a cross-sectional study
Objective We assessed the psychological impact posed by COVID-19 and its associated factors on the healthcare workforce nationwide during the peak of Vietnam’s fourth outbreak. Design A cross-sectional study. Setting Our study was conducted in 61 provinces of Vietnam. Methods A total of 2814...
Main Authors: | , , , , , , , , , , , , |
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Format: | Journal Article |
Language: | English |
Published: |
2023
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Online Access: | https://hdl.handle.net/10356/171670 |
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author | Tran, Bach Nguyen, Minh Trong Auquier, Pascal Boyer, Laurent Fond, Guillaume Vu, Giang Thu Hoang, Thao Phuong Ho, Phuong Thu Nguyen, Tu Huu Latkin, Carl A. Ho, Cyrus S. H. Ho, Roger C. M. Zhang, Melvyn |
author2 | Lee Kong Chian School of Medicine (LKCMedicine) |
author_facet | Lee Kong Chian School of Medicine (LKCMedicine) Tran, Bach Nguyen, Minh Trong Auquier, Pascal Boyer, Laurent Fond, Guillaume Vu, Giang Thu Hoang, Thao Phuong Ho, Phuong Thu Nguyen, Tu Huu Latkin, Carl A. Ho, Cyrus S. H. Ho, Roger C. M. Zhang, Melvyn |
author_sort | Tran, Bach |
collection | NTU |
description | Objective We assessed the psychological impact posed
by COVID-19 and its associated factors on the healthcare
workforce nationwide during the peak of Vietnam’s fourth
outbreak.
Design A cross-sectional study.
Setting Our study was conducted in 61 provinces of
Vietnam.
Methods A total of 2814 healthcare professionals in
61/63 provinces of Vietnam. An online questionnaire using
Patient Health Questionnaire-9 (PHQ-9), Perceived Stress
Scale-4 (PSS-4) and Generalised Anxiety Disorder-7 (GAD7) scales was distributed randomly to a subgroup of 503
respondents.
Primary and secondary outcome measures To
determine the impact of COVID-19 on the psychological of
health workers, we conducted analyses to test a primary
hypothesis related to participants based on three main
scales including PHQ-9, PSS-4 and GAD-7 scales.
Results Nearly half (49.7%) of healthcare workers
experienced mild depression symptoms, 34.0% underwent
moderate anxiety symptoms and 49.3% reported highstress levels. Respondents who had a monthly income
below 5million VND (~US$212) and had more than 3 days
of duty per week had a higher score on the anxiety scales.
Compared with medical doctors, nurses/midwives had
lower PHQ-9 (Coef=−2.53; 95% CI=−3.71 to −1.36) and
GAD-7 scores (Coef=−2.36; 95% CI=−3.56 L to −1.16).
Increased workload and work time was the harmful factor
that increase the PHQ-9, GAD-7 or PSS-4 scores. More
than half (53.9%) of respondents stated no demand for
mental healthcare services.
Conclusions Health workers who gained less financial
rewards are reported to have higher levels of mental
distress than others, implying the need for a raise in basic
salary as well as compensation and encouragement
schemes. To tackle hesitancy in seeking mental help,
integrating online mental health therapy with e-health
consultations via social media can be strategically
implemented to augment service delivery, and
simultaneously enhance the standard of mental health
services. |
first_indexed | 2024-10-01T06:12:55Z |
format | Journal Article |
id | ntu-10356/171670 |
institution | Nanyang Technological University |
language | English |
last_indexed | 2024-10-01T06:12:55Z |
publishDate | 2023 |
record_format | dspace |
spelling | ntu-10356/1716702023-11-05T15:39:36Z Psychological impacts of COVID-19 on Vietnamese health workers over the prolonged restricted COVID-19 responses: a cross-sectional study Tran, Bach Nguyen, Minh Trong Auquier, Pascal Boyer, Laurent Fond, Guillaume Vu, Giang Thu Hoang, Thao Phuong Ho, Phuong Thu Nguyen, Tu Huu Latkin, Carl A. Ho, Cyrus S. H. Ho, Roger C. M. Zhang, Melvyn Lee Kong Chian School of Medicine (LKCMedicine) Science::Medicine COVID-19 Mental Health Objective We assessed the psychological impact posed by COVID-19 and its associated factors on the healthcare workforce nationwide during the peak of Vietnam’s fourth outbreak. Design A cross-sectional study. Setting Our study was conducted in 61 provinces of Vietnam. Methods A total of 2814 healthcare professionals in 61/63 provinces of Vietnam. An online questionnaire using Patient Health Questionnaire-9 (PHQ-9), Perceived Stress Scale-4 (PSS-4) and Generalised Anxiety Disorder-7 (GAD7) scales was distributed randomly to a subgroup of 503 respondents. Primary and secondary outcome measures To determine the impact of COVID-19 on the psychological of health workers, we conducted analyses to test a primary hypothesis related to participants based on three main scales including PHQ-9, PSS-4 and GAD-7 scales. Results Nearly half (49.7%) of healthcare workers experienced mild depression symptoms, 34.0% underwent moderate anxiety symptoms and 49.3% reported highstress levels. Respondents who had a monthly income below 5million VND (~US$212) and had more than 3 days of duty per week had a higher score on the anxiety scales. Compared with medical doctors, nurses/midwives had lower PHQ-9 (Coef=−2.53; 95% CI=−3.71 to −1.36) and GAD-7 scores (Coef=−2.36; 95% CI=−3.56 L to −1.16). Increased workload and work time was the harmful factor that increase the PHQ-9, GAD-7 or PSS-4 scores. More than half (53.9%) of respondents stated no demand for mental healthcare services. Conclusions Health workers who gained less financial rewards are reported to have higher levels of mental distress than others, implying the need for a raise in basic salary as well as compensation and encouragement schemes. To tackle hesitancy in seeking mental help, integrating online mental health therapy with e-health consultations via social media can be strategically implemented to augment service delivery, and simultaneously enhance the standard of mental health services. Published version g This study is supported by Actionaid Vietnam, Vingroup Innovation Foundation (VINIF) (Grant No. VINIF.2020.COVID-19.DA03). The article process charge of this paper is supported by the NUS Department of Psychological Medicine (R-177-000-100-001/R-177-000-003-001/ R177000702733), NUS iHeathtech Other Operating Expenses (R-722-000-004-731). 2023-11-03T07:21:43Z 2023-11-03T07:21:43Z 2023 Journal Article Tran, B., Nguyen, M. T., Auquier, P., Boyer, L., Fond, G., Vu, G. T., Hoang, T. P., Ho, P. T., Nguyen, T. H., Latkin, C. A., Ho, C. S. H., Ho, R. C. M. & Zhang, M. (2023). Psychological impacts of COVID-19 on Vietnamese health workers over the prolonged restricted COVID-19 responses: a cross-sectional study. BMJ Open, 13(8), e069239-. https://dx.doi.org/10.1136/bmjopen-2022-069239 2044-6055 https://hdl.handle.net/10356/171670 10.1136/bmjopen-2022-069239 37536968 2-s2.0-85166585717 8 13 e069239 en BMJ Open © 2023 The Author(s) (or their employer(s)). Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. application/pdf |
spellingShingle | Science::Medicine COVID-19 Mental Health Tran, Bach Nguyen, Minh Trong Auquier, Pascal Boyer, Laurent Fond, Guillaume Vu, Giang Thu Hoang, Thao Phuong Ho, Phuong Thu Nguyen, Tu Huu Latkin, Carl A. Ho, Cyrus S. H. Ho, Roger C. M. Zhang, Melvyn Psychological impacts of COVID-19 on Vietnamese health workers over the prolonged restricted COVID-19 responses: a cross-sectional study |
title | Psychological impacts of COVID-19 on Vietnamese health workers over the prolonged restricted COVID-19 responses: a cross-sectional study |
title_full | Psychological impacts of COVID-19 on Vietnamese health workers over the prolonged restricted COVID-19 responses: a cross-sectional study |
title_fullStr | Psychological impacts of COVID-19 on Vietnamese health workers over the prolonged restricted COVID-19 responses: a cross-sectional study |
title_full_unstemmed | Psychological impacts of COVID-19 on Vietnamese health workers over the prolonged restricted COVID-19 responses: a cross-sectional study |
title_short | Psychological impacts of COVID-19 on Vietnamese health workers over the prolonged restricted COVID-19 responses: a cross-sectional study |
title_sort | psychological impacts of covid 19 on vietnamese health workers over the prolonged restricted covid 19 responses a cross sectional study |
topic | Science::Medicine COVID-19 Mental Health |
url | https://hdl.handle.net/10356/171670 |
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