Impacto de la pandemia COVID-19 en la salud mental de profesionales sanitarios de los servicios de emergencias médicas extrahospitalarios españoles

  1. Raúl Soto-Cámara 1
  2. Rosa Mª Cárdaba-García 2
  3. Noemí García-Santa-Basilia 3
  4. Henar Onrubia-Baticón 3
  5. María Paz Matellán-Hernández 4
  6. Susana Navalpotro-Pascual 5
  1. 1 Doctor por la Universidad de Burgos. Emergencias Sanitarias de Castilla y León-Sacyl. Departamento de Ciencias de la Salud. Universidad de Burgos. España
  2. 2 Doctora por la Universidad Complutense de Madrid. Emergencias Sanitarias de Castilla y León-Sacyl. Departamento de Enfermería. Universidad de Valladolid. España
  3. 3 Diplomada en Enfermería. Emergencias Sanitarias de Castilla y León-Sacyl. España
  4. 4 Licenciada en Antropología Social y Cultural. Emergencias Sanitarias de Castilla y León-Sacyl. España
  5. 5 Doctora por la Universidad Pontificia de Comillas. SUMMA 112. Departamento de Enfermería. Universidad Autónoma de Madrid. España
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Revista:
Metas de enfermería

ISSN: 1138-7262

Ano de publicación: 2023

Volume: 26

Número: 4

Páxinas: 22-32

Tipo: Artigo

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Outras publicacións en: Metas de enfermería

Resumo

Objetivo: analizar el nivel de afectación psicológica de los profesionales sanitarios (PS) de servicios de emergencias extrahospitalarias (SEM) españoles en función de la incidencia acumulada de COVID-19 de las comunidades autónomas (CC.AA.) en las que trabajaban, identificando posibles factores predictores de una mayor severidad. Método: estudio descriptivo transversal multicéntrico en el que se incluyeron a todos los PS que se encontrasen trabajando en algún SEM de la geografía española entre el 01/02/2021 y el 30/04/2021. Las variables principales fueron: nivel de estrés, ansiedad y depresión, evaluados mediante la escala DASS-21, recogiéndose también información sociodemográfica, clínica y laboral. Se llevó a cabo un análisis univariante y multivariante de regresión logística. Resultados: la muestra estuvo formada por 1.710 PS. El 37,39%, el 39,36% y el 30,46% de las personas participantes presentaron niveles graves de estrés, ansiedad y depresión, respectivamente. Las mujeres, quienes eran más jóvenes o con menos experiencia laboral en SEM, el personal técnico en emergencias sanitarias, quienes declararon consumo previo de psicoterapia y/o psicofármacos, o quienes modificaron sus condiciones laborales, tuvieron más probabilidades de desarrollar niveles más graves de estrés, ansiedad o depresión, variando estos factores en función del área geográfica (clasificada según la IA de COVID-19) de trabajo. Conclusiones: la IA de casos COVID-19 en las diferentes CC.AA. no ha condicionado la aparición de niveles psicopatológicos de estrés, ansiedad y depresión en los PS del ámbito extrahospitalario español; si bien, en cada una de ellas, se han identificado factores sociodemográficos, clínicos o laborales que predisponen a una mayor afectación psicológica.

Referencias bibliográficas

  • Holtermann KA, González AGR. Emergency medical services systems development: lessons learned from the United States of America for developing countries. USA: Pan American Health Organization; 2003.
  • Pap R, Lockwood C, Stephenson M, Simpson P. Indicators to measure prehospital care quality: a scoping review. JBI Database System Rev Implement Rep. 2018; 16(11):2192-223. Doi: https://doi.org/10.11124/JBISRIR-2017-003742
  • Barroeta Urquiza J, Boada Bravo N. Los servicios de emergencia y urgencias médicas extrahospitalarias en España. Madrid: Mensor; 2011.
  • Petrie K, Milligan-Saville J, Gayed A, Deady M, Phelps A, Dell L, et al. Prevalence of PTSD and common mental disorders amongst ambulance personnel: a systematic review and meta-analysis. Soc Psychiatry Psychiatr Epidemiol. 2018; 53(9):897-909. Doi: https://doi.org/10.1007/s00127-018-1539-5
  • Flamm A, Lee A, Mencl F. COVID-19: A comprehensive analysis of the pandemic’s effect on an emergency department. Disaster Med Public Health Prep. 2021; 1-4. Doi: https://doi.org/10.1017/dmp.2021.182
  • Lindsley WG, Blachere FM, McClelland TL, Neu DT, Mnatsakanova A, Martin SB, et al. Efficacy of an ambulance ventilation system in reducing EMS worker exposure to airborne particles from a patient cough aerosol simulator. J Occup Environ Hyg. 2019; 16(12):804-16. Doi: https://doi.org/10.1080/15459624.2019.1674858
  • Núñez-Gil IJ, Estrada V, Fernández-Pérez C, Fernández-Rozas I, Martín-Sánchez FJ, Macaya C. The COVID-19 curve, health system overload, and mortality. Emergencias. 2020; 32(4): 293-5.
  • Alwidyan MT, Oteir AO, Trainor J. Working during pandemic disasters: Views and predictors of EMS providers. Disaster Med Public Health Prep. 2022; 16(1):116-22. Doi: https://doi.org/10.1017/dmp.2020.131
  • Rebmann T, Charney RL, Loux TM, Turner JA, Abbyad YS, Silvestros M. Emergency Medical Services personnel’s pandemic influenza training received and willingness to work during a future pandemic. Prehosp Emerg Care. 2020;24(5):601-9. Doi: https://doi.org/10.1080/10903127.2019.1701158
  • Ventura C, Gibson C, Collier GD. Emergency Medical Services resource capacity and competency amid COVID-19 in the United States: preliminary findings from a national survey. Heliyon. 2020; 6(5):e03900 Doi: https://doi.org/10.1016/j.heliyon.2020.e03900
  • Shreffler J, Petrey J, Huecker M. The impact of COVID-19 on healthcare worker wellness: A scoping review. West J Emerg Med. 2020; 21(5):1059-66. Doi: https://doi.org/10.5811/westjem.2020.7.48684
  • Vindegaard N, Benros ME. COVID-19 pandemic and mental health consequences: Systematic review of the current evidence. Brain Behav Immun. 2020; 89:531-42. Doi: https://doi.org/10.1016/j.bbi.2020.05.048
  • Romero CS, Delgado C, Catalá J, Ferrer C, Errando C, Iftimi A, et al. COVID-19 psychological impact in 3109 healthcare workers in Spain: The PSIMCOV group. Psychol Med. 2020:1-7. Doi: https://doi.org/10.1017/S0033291720001671
  • Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995; 33(3):335-43. Doi: https://doi.org/10.1016/0005-7967(94)00075-u
  • Bados A, Solanas A, Andrés R. Psychometric properties of the Spanish version of Depression, Anxiety and Stress Scales (DASS). Psicothema. 2005; 17 (4):679-83.
  • Rodríguez-Fernández P, González-Santos J, Santamaría-Peláez M, Soto-Cámara R, Sánchez-González E, González-Bernal JJ. Psychological effects of home confinement and social distancing derived from COVID-19 in the general population-A systematic review. Int J Environ Res Public Health. 2021; 18(12):6528. Doi: https://doi.org/10.3390/ijerph18126528
  • Soto-Cámara R, García-Santa-Basilia N, Onrubia-Baticón H, Cárdaba-García RM, Jiménez-Alegre JJ, Reques-Marugán AM, et al. Psychological impact of the COVID-19 pandemic on out-of-hospital health professionals: A living systematic review. J Clin Med. 2021; 10(23):5578. Doi: https://doi.org/10.3390/jcm10235578
  • Mitchell MC, Burns NR, Dorstyn DS. Screening for depression and anxiety in spinal cord injury with DASS-21. Spinal Cord. 2008; 46(8):547-51. Doi: https://doi.org/10. 1038/sj.sc.3102154
  • Brillon P, Philippe FL, Paradis A, Geoffroy MC, Orri M, Ouellet-Morin I. Psychological distress of mental health workers during the COVID-19 pandemic: A comparison with the general population in high- and low-incidence regions. J Clin Psychol. 2022; 78(4):602-21. Doi: https://doi.org/10.1002/jclp.23238
  • Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 2020; 3(3):e203976. Doi: https://doi.org/10.1001/jamanetworkopen.2020.3976
  • Dosil Santamaría M, Ozamiz-Etxebarria N, Redondo Rodríguez I, Jaureguizar Alboniga-Mayor J, Picaza Gorrotxategi M. Psychological impact of COVID-19 on a sample of Spanish health professionals. Rev Psiquiatr Salud Ment. 2021; 14(2):106-12. Doi: https://doi.org/10.1016/j.rpsm.2020.05.004
  • Hummel S, Oetjen N, Du J, Posenato E, Resende de Almeida RM, Losada R, Ribeiro O, et al. Mental health among medical professionals during the COVID-19 pandemic in eight european countries: Cross-sectional survey study. J Med Internet Res. 2021; 23(1):e24983. Doi: https://doi.org/10.2196/24983
  • Vagni M, Maiorano T, Giostra V, Pajardi D. Protective factors against emergency stress and burnout in healthcare and emergency workers during second wave of COVID-19. Soc Sci. 2021; 10(5):178.
  • Alonso J, Vilagut G, Mortier P, Ferrer M, Alayo I, Aragón-Peña A, et al. Mental health impact of the first wave of COVID-19 pandemic on Spanish healthcare workers: A large cross-sectional survey. Rev Psiquiatr Salud Ment. 2021; 14(2):90-105. Doi: https://doi.org/10.1016/j.rpsm.2020.12.001
  • Danet Danet A. Psychological impact of COVID-19 pandemic in Western frontline healthcare professionals. A systematic review. Med Clin. 2021; 156(9):449-58. Doi: https://doi.org/10.1016/j.medcli.2020.11.009
  • De Brier N, Stroobants S, Vandekerckhove P, De Buck E. Factors affecting mental health of health care workers during coronavirus disease outbreaks (SARS, MERS & COVID-19): A rapid systematic review. PLoS One. 2020; 15(12):e0244052. Doi: https://doi.org/10.1371/journal.pone.0244052
  • Zhang WR, Wang K, Yin L, Zhao WF, Xue Q, Peng M, et al. Mental health and psychosocial problems of medical health workers during the COVID-19 epidemic in China. Psychother Psychosom. 2020; 89(4):242-50. Doi: https://doi.org/10.1159/000507639
  • Li G, Miao J, Wang H, Xu S, Sun W, Fan Y, et al. Psychological impact on women health workers involved in COVID-19 outbreak in Wuhan: a cross-sectional study. J Neurol Neurosurg Psychiatry. 2020; 91(8):895-7. Doi: https://doi.org/10.1136/jnnp-2020-323134
  • Sanford J, Agrawal A, Miotto K. Psychological distress among women healthcare workers: A health system’s experience developing emotional support services during the COVID-19 pandemic. Front Glob Womens Health. 2021; 2:614723. Doi: https://doi.org/10.3389/fgwh.2021.614723
  • Di Tella M, Romeo A, Benfante A, Castelli L. Mental health of healthcare workers during the COVID- 19 pandemic in Italy. J Eval Clin Pract. 2020; 26(6):1583-7. Doi: https://doi.org/10.1111/jep.13444
  • Walton M, Murray E, Christian MD. Mental health care for medical staff and affiliated healthcare workers during the COVID-19 pandemic. Eur Heart J Acute Cardiovasc Care. 2020; 9(3):241-7. Doi: https://doi.org/10.1177/2048872620922795
  • Sorokin MY, Kasyanov ED, Rukavishnikov GV, Makarevich OV, Neznanov NG, Morozov PV, et al. Stress and stigmatization in health-care workers during the COVID-19 pandemic. Indian J Psychiatry. 2020; 62(Suppl 3):S445-S453.
  • Usul E, an I, Bekgöz B. The Effect of the COVID-19 Pandemic on the anxiety level of emergency medical services professionals. Psychiatr Danub. 2020; 32(3-4):563-9. Doi: https://doi.org/10.24869/psyd.2020.563
  • Luo M, Guo L, Yu M, Jiang W, Wang H. The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public - A systematic review and meta-analysis. Psychiatry Res. 2020; 291:113190. Doi: https://doi.org/10.1016/j.psychres.2020.113190
  • Su Q, Ma X, Liu S, Liu S, Goodman BA, Yu M, et al. Adverse psychological reactions and psychological aids for medical staff during the COVID-19 outbreak in China. Front Psychiatry. 2021; 12:580067. Doi: https://doi.org/10.3389/fpsyt.2021.580067
Fonte de datos: Dialnet