Journal articles on the topic 'Medical personnel and patient Mental health'
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1
Wieczorek, Aleksandra, Agnieszka Fusińska-Korpik, and Łukasz Cichocki. "Educational program “Communication in the Treatment Process” – description, goals, and theoretical background." Psychiatria i Psychologia Kliniczna 21, no. 2 (July 30, 2021): 134–40. http://dx.doi.org/10.15557/pipk.2021.0015.
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Effective medical communication is an extremely important aspect of patient-centered medicine. It allows for achieving better treatment outcomes and is of key importance in the case of patients experiencing mental problems. Research clearly indicates that the quality of communication is a fundamental element of medical services, which not only affects patient satisfaction, but can also reduce the risk of burnout among staff who have contact with patients. A sense of mutual understanding translates into trust and contributes to more conscientious adherence to medical recommendations. Considering the cooperation of all medical and non-medical personnel, high-quality communication reduces the risk of tensions and conflicts, as well as the number of complaints reported by patients. Both research findings and our own experience show that individuals with mental disorders often feel misunderstood, stigmatised, or ignored by healthcare personnel. Based on the above assumptions, the experts from Józef Babiński Specialist Hospital in Kraków developed their own program entitled “Communication in the Treatment Process.” It was implemented in 2018 by the Ministry of Health among over 2,500 professionals in the Małopolskie and Podkarpackie provinces. The aim of the project was to improve the communication skills of medical and non-medical personnel in the context of communication with patients with mental disorders. The paper describes in detail the theoretical background, the goals, and the course of the program.
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Restuputri, Dian Palupi, Anindia Karunia Pangesti, and Annisa Kesy Garside. "The measurement of Physical Workload and Mental Workload Level of Medical Personnel." Jurnal Teknik Industri 20, no. 1 (February 26, 2019): 34. http://dx.doi.org/10.22219/jtiumm.vol20.no1.34-44.
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As the primary health reference center, a hospital is required to provide excellent quality services to each patient. The impact of the extreme physical and mental workload cause negligence in activities. It affects the quality of services provided by medical personnel. This study investigated the level of mental workload and physical workload in medical staff in a hospital. This study was conducted at 15 units in the hospital. The mental workload was assessed using the NASA-TLX Questionnaire. The physical workload analysis was carried out with the Heart Rate reserve percentage of medical personnel. The results of this study show that the mental workload on nurses in the ICU is higher than the other units. Whereas the calculation of physical load using% HR reserve turns out the head of the nurse in-unit class 1 has the highest value compared to the others unit. The statistical analysis showed there was a difference in the general practitioner workload toward the Head of the NursingAs the primary health reference center, a hospital is required to provide excellent quality services to each patient. The impact of the extreme physical and mental workload cause negligence in activities. It affects the quality of services provided by medical personnel. This study investigated the level of mental workload and physical workload in medical staff in a hospital. This study was conducted at 15 units in the hospital. The mental workload was assessed using the NASA-TLX Questionnaire. The physical workload analysis was carried out with the Heart Rate reserve percentage of medical personnel. The results of this study show that the mental workload on nurses in the ICU is higher than the other units. Whereas the calculation of physical load using% HR reserve turns out the head of the nurse in-unit class 1 has the highest value compared to the others unit. The statistical analysis showed there was a difference in the general practitioner workload toward the Head of the Nursing.
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Swain, Sarada Prasanna, Manoj Kumar Dash, Jigyansha Ipsita Pattnaik, and Neelamadhab Rath. "An analysis of occupation related mental health referrals of paramillitary forces to a tertiary care hospital." International Journal Of Community Medicine And Public Health 4, no. 4 (March 28, 2017): 1131. http://dx.doi.org/10.18203/2394-6040.ijcmph20171337.
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Background: The security personnel of our country including Army Personnel, C.I.S.F., Police and other security personnel bear a large amount of physical and psychological stress to maintain law and order situations at different corners of the country at different situations. To assess the Psychiatric Morbidity in C.I.S.F., the course of referrals of Para-military persons to a tertiary care hospital and to evaluate the Mental Health burden in the Para-military set up by virtue of their occupation. Methods: The study sample included all the consecutive patients referred by CISF Headquarters Hospital to the Mental Health Institute (MHI), S.C.B. Medical College, Cuttack, Odisha, from April 2015 to March 2016. The clinical information is collected from the patient and accompanying personnel from CISF or family members who accompanied the patient. The diagnosis is based on ICD-10 and the final opinion is given by the consultants of Psychiatry after final evaluation of all the reports. Results: Psychiatric assessment for job fitness (48%) was the dominant cause for referral of PMF staff to MHI. Substance abuse (alcohol) related disorders were the next common cause of referral (20%).Conclusions: Mental health burden in Para-military bases are substantial which should be taken care of in urgency basis. There is urgent need of posting of Psychiatrists with Clinical Psychologists and Psychiatric Social Worker or a team of the Mental Health Professionals should visit the paramilitary set ups regularly to look into improper diagnosis and review cases.
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Goldsmith, Jill, and Sharon Kurpius. "Older Adults and Integrated Health Settings: Opportunities and Challenges for Mental Health Counselors." Journal of Mental Health Counseling 37, no. 2 (March 31, 2015): 124–37. http://dx.doi.org/10.17744/mehc.37.2.q57403638j4671n0.
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The growing number of older adults and the increasing recognition and growth of integrated health teams are creating expanded career opportunities for mental health counselors (MHCs). Collaborative integrated teams, staffed with medical personnel and MHCs, can provide comprehensive patient-centered care that addresses client issues from a biopsychosocial perspective. However, working with older adults on an integrated health team or in an interdisciplinary setting presents unique challenges and raises ethical issues. The evolving opportunities and strategies to address accompanying challenges are highlighted so that MHCs can be prepared to work effectively with older adults in interdisciplinary settings and on integrated health care teams.
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Iversen, Amy C., Lauren van Staden, Jamie Hacker Hughes, Tess Browne, Neil Greenberg, Matthew Hotopf, Roberto J. Rona, Simon Wessely, Graham Thornicroft, and Nicola T. Fear. "Help-seeking and receipt of treatment among UK service personnel." British Journal of Psychiatry 197, no. 2 (August 2010): 149–55. http://dx.doi.org/10.1192/bjp.bp.109.075762.
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BackgroundFor armed forces personnel, data on help-seeking behaviour and receipt of treatment for mental disorders are important for both research and policy.AimsTo examine mental healthcare service use and receipt of treatment in a sample of the UK military.MethodParticipants were drawn from an existing UK military health cohort. The sample was stratified by reserve status and by participation in the main war-fighting period of the Iraq War. Participants completed a telephone-based structured diagnostic interview comprising the Patient Health Questionnaire and Primary Care Post-Traumatic Stress Disorder Screen (PC–PTSD), and a series of questions about service utilisation and treatment receipt.ResultsOnly 23% of those with common mental disorders and still serving in the military were receiving any form of medical professional help. Non-medical sources of help such as chaplains were more widely used. Among regular personnel in receipt of professional help, most were seen in primary care (79%) and the most common treatment was medication or counselling/psychotherapy. Few regular personnel were receiving cognitive–behavioural therapy (CBT). These findings are comparable with those reported for the general population.ConclusionsIn the UK armed forces, the majority of those with mental disorders are not currently seeking medical help for their symptoms. Further work to understand barriers to care is important and timely given that this is a group at risk of occupational psychiatric injury.
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Boothby, Neil, Maggie Veatch, and Matina Pentes. "Evaluating treatment of Axis I mental health disorders in Aceh, Indonesia." Psychiatrist 35, no. 7 (July 2011): 248–55. http://dx.doi.org/10.1192/pb.bp.110.030205.
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Aims and methodTo share evaluation findings of a new decentralised mental healthcare system addressing Axis I disorders, developed in four subdistricts of Aceh Besar in Indonesia following the 2004 Asian tsunami. Two complementary methodologies were employed: an adequacy survey that assessed whether agreed programme implementation tasks were completed, and an outcome study that utilised patient, caregiver and staff assessment of the programme to determine what changes, if any, resulted from participation in the programme.ResultsThe system is functional in 3 of 4 subdistricts, and 47 of 53 subdistrict clinics (puskesmas) have trained mental healthcare nurses. Both patients and caregivers reported statistically significant differences when ranking patient wellbeing and were able to qualitatively describe specific changes in patient symptomatology and social functioning.Clinical implicationsResults indicate that (a) the creation of a decentralised system with outreach at multiple levels, (b) emphasis on staff capacity building within a wider household-to-hospital continuum of care, and (c) incorporation of community volunteers working with trained medical personnel led to effective treatment options for people with Axis I disorders in a resource-poor setting.
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Langlen Devi, Thangjam, and Arunjyoti Baruah. "Practice of Standard Safety Measures among Nursing Personnel at Tertiary Mental Health Institute, North-East, India." International Journal of Research and Review 8, no. 6 (June 29, 2021): 324–31. http://dx.doi.org/10.52403/ijrr.20210641.
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Background: Health care-associated infection (HAI) is a serious problem that deeply impacts patient safety and is a major cause of patient morbidity and mortality. Adherence to standard safety measures while performing procedures and related infection control measures is a part of nurses responsibility as it protects patients and health care workers from transmission of health-care associated infections. Assessing practice of standard safety measures while performing nursing procedures is immensely important so that necessary changes can be brought to enhanced quality nursing care. Methodology: The study adopted an observational descriptive research design. The setting of the study was the Tertiary Mental Health Institute, North-East, India. The sample of the study consisted of the thirty eight (38) nursing personnel who performed the total 150 procedures i.e. 30 times of each five domains (waste disposal, intramuscular injection, intravenous injection, hand-washing, aseptic wound dressing). Convenience sampling technique was used. Result: Finding showed that all the nursing personnel followed proper waste disposal practice but partially adhere to standard safety measures while administering intramuscular and intravenous injections. Whereas practice on standard safety measures while performing hand washing and aseptic wound dressing were less than average. Conclusion: The present study highlights the importance of in-service education on standard safety measures by incorporating new guidelines of nursing procedures based on evidence based practices. In-service education brought changes in the performance level as it is showed that the nursing personnel who had earlier received in-service education on Bio-medical waste management from the institute followed satisfactory waste disposal practice. Keywords: Standard safety measures, nursing personnel.
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Darmadi, Darmadi, and Riska Habriel Ruslie. "Coronavirus Disease-2019 and Mental Health." Open Access Macedonian Journal of Medical Sciences 8, T1 (October 5, 2020): 268–71. http://dx.doi.org/10.3889/oamjms.2020.5304.
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BACKGROUND: Coronavirus disease-2019 (COVID-19) emerges in Wuhan, China and becomes a pandemic on March 2020. Its manifestations mainly cover respiratory and gastrointestinal symptoms. In fact, mental health disorders are common in patients with COVID-19 but receive minimum attention.
AIM: We aimed to discuss mental health disturbances in relation to COVID-19 and its management.
MATERIALS AND METHODS: We gathered literature regarding the topic from electronic sources, including PubMed and Google Scholar.
RESULTS: There are several pathogeneses proposed regarding the incidence of mental health problems. The symptoms of mental health problems vary widely and also affect health-care personnel. Diagnosing mental health problem in COVID-19 patients is quite difficult because no examinations are specific enough. The management of mental health problems includes psychological and medical managements.
CONCLUSION: Further study regarding mental health problem and its management in patients with COVID-19 is mandatory.
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Pawlikowska - Łagód, Katarzyna, and Magdalena Suchodolska. "The Relationship between Doctor and Patient as an Indicator of the Level of Trust in Medical Care." Global Journal of Health Science 13, no. 7 (May 31, 2021): 56. http://dx.doi.org/10.5539/gjhs.v13n7p56.
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Communication between the doctor and the patient is one of the most important elements affecting the treatment process. The trust, which determines the patients’ health attitude and their implementation of medical recommendations, is built by maintaining an appropriate doctor-patient relationship. A trusting patients demonstrate better mental and physical well-being, obtain better diagnostic results, use preventive healthcare services more frequently, and show greater confidence in the overall health system. Nevertheless, in order for the patients to exhibit such behaviors, they must trust the physician, which is influenced by many important issues: the maintenance an appropriate doctor-patient relationship, the patients’ hope, the prevailing opinion about the physician as well as stereotypes about the medical profession (including age, gender, professional experience, professional and scientific title). This paper presents different models of the doctor-patient relationship and how each of them affects the level of trust in the discussed relationship. In addition, it is described how stereotypes about medical personnel influence the trust among patients. All information included in the study are based on the available literature.
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Chawłowska, Ewelina, Monika Karasiewicz, Katarzyna Marcinkowska, Bogusz Giernaś, Paulina Jóźwiak, and Agnieszka Lipiak. "Nurses’ Perspectives on Smoking Policies, Safety and Cessation Support in Psychiatric Wards: A Cross-Sectional Survey." Healthcare 10, no. 9 (September 9, 2022): 1735. http://dx.doi.org/10.3390/healthcare10091735.
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A high prevalence of smoking and low rates of smoking cessation interventions can be observed in psychiatric wards. A questionnaire-based, cross-sectional study was performed in five hospitals among 107 psychiatric ward nurses. The aim was to investigate nurses’ views on patients’ smoking practices and their influence on the safety of both the patients and medical personnel. In addition, we asked about the availability of smoking cessation support. Most of the respondents noticed the negative impacts of smoking on patients and medical personnel. Nearly a third of our respondents (29.0%) recalled smoking-related accidents in their facilities. In 45.2% of these accidents, a patient set someone else on fire. Around one fifth of nurses had rather permissive attitudes towards tobacco use in hospital wards. Significant associations were identified between respondents’ smoking status and their opinions on amending smoking policies and on unsupervised smoking. Regarding professional help available to smoking patients, 88.8% of participants reported that interventions to address smoking were available in their wards. Psychiatric hospitalisation can be an opportunity to offer tobacco treatment to patients with mental health conditions. To make use of this opportunity, smoke-free policies need to be put in place and hospital personnel, particularly nurses, should be trained and equipped with the knowledge and skills needed to assist in the smoking care of psychiatric ward patients.
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Kwon, Chan-Young, Boram Lee, O.-Jin Kwon, Myo-Sung Kim, Kyo-Lin Sim, and Yung-Hyun Choi. "Emotional Labor, Burnout, Medical Error, and Turnover Intention among South Korean Nursing Staff in a University Hospital Setting." International Journal of Environmental Research and Public Health 18, no. 19 (September 26, 2021): 10111. http://dx.doi.org/10.3390/ijerph181910111.
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Nurses are vulnerable to mental health challenges, including burnout, as they are exposed to adverse job conditions such as high workload. The mental health of this population can relate not only to individual well-being but also to patient safety outcomes. Therefore, there is a need for a mental health improvement strategy that targets this population. This cross-sectional survey study investigates emotional labor, burnout, turnover intention, and medical error levels among 117 nursing staff members in a South Korean university hospital; it also analyzes correlations among outcomes and conduct correlation analysis and multiple regression analysis to determine relationships among these factors. The participants had moderate to high levels of emotional labor and burnout, and 23% had experienced medical errors within the last six months. Save for medical errors, all outcomes significantly and positively correlated with each other. These results can be used to improve the mental health outcomes of nurses working in the hospital and their consequences. Specifically, the job positions of nursing personnel may be a major consideration in such a strategy, and job-focused emotional labor and employee-focused emotional labor may be promising targets in ameliorating turnover intention and client-related burnout, respectively.
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Chang, Yu-Tung, and Yih-Jin Hu. "Burnout and Health Issues among Prehospital Personnel in Taiwan Fire Departments during a Sudden Spike in Community COVID-19 Cases: A Cross-Sectional Study." International Journal of Environmental Research and Public Health 19, no. 4 (February 16, 2022): 2257. http://dx.doi.org/10.3390/ijerph19042257.
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A spike in COVID-19 cases in Taiwan’s communities caused a significant increase in workload and infection concerns among prehospital personnel working in Taiwan fire departments. The present study was aimed at investigating their health status during this period. The target population was prehospital personnel who are from Taiwan fire departments, and who responded to COVID-19 patients during the community outbreak period. A questionnaire was employed to assess their physical and mental health status. The results showed that prehospital personnel suffered from moderate to severe degrees of burnout. Workload, body burden, and perceived pressure increased significantly during this period. Participants received more support from friends, family, and colleagues than they did from authorities. The paramedics reported higher scores for personal burnout than the emergency medical technicians (EMTs). Compared to non-COVID-19 response units, special COVID-19 response units reported higher scores for workload, body burden, and supportive environment. The results suggested that personal and work-related burnout were associated with higher perceived pressure. This study is the first investigation of physical and mental health burdens among prehospital personnel in Taiwan fire departments during the COVID-19 pandemic. The physical and mental health status of these personnel should be continuously monitored, and intervention provided as necessary.
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Chorna, V. V., V. M. Makhnyuk, S. S. Khliestova, N. I. Gumeniuk, and I. V. Khliestova. "Issues of stigmatization to mental patients from medical students and medical staff of psychiatric institutions and measures for its minimization." Reports of Vinnytsia National Medical University 24, no. 2 (December 13, 2020): 309–15. http://dx.doi.org/10.31393/reports-vnmedical-2020-24(2)-19.
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Annotation. The aim of the study was to identify the presence of stigmatization among students of medical educational institutions and medical stuff of psychiatric institutions toward mental patients, to establish the causes and develop measures to minimize it. Methods were used in the work: bibliosemantic, historical, content analysis, as well as a questionnaire method using a specially designed questionnaire. Using Telegram, Microsoft Excel 2003 software, 1062 students were interviewed anonymously of 4–5 courses of medical institutions of higher education of Ukraine. The average age of students ranged from 20 to 22 years – 913 (85.9 %); from 23 to 24 years old – 119 (11.3 %) and from 25 to 26 years old – 30 (2.8 %). It was found that 93.8% of respondents from the total number of students surveyed are convinced that people with mental illness need special treatment; 87.9 % – were convinced that people who have mental illness pose a threat to society; 17.3 % respondents witnessed the humiliation of mental patients by working medical personnel in the presence of medical students. It is a fact, but in 2.1 % of cases, future doctors allowed themselves to offend patients who were hospitalized in psychiatric healthcare facilities during training. Thus, the inheritance of the Soviet system of medical education in the field of training young specialists for the mental health sector in Ukraine, which, unfortunately, has not experienced significant structural changes, is reflected in the behavior of the working medical personnel of psychiatric hospitals and the views of future doctors. Stigmatization of mental patients was carried out by every fourth medical worker (24.5 %) in psychiatric institutions in Odessa and every fifth medical worker in psychiatric institutions in Poltava (21.4 %) and Chernivtsi (20.9 %), which is violation of the moral and ethical principles of the doctor's behavior and unacceptable. The stigmatization of the mentally ill by medical students of medical schools is 2.1 %, which indicates that students use the negative example of the medical personnel of psychiatric institutions for their future medical activities.
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Grajek, Mateusz, Patryk Szlacheta, Karolina Sobczyk, Karolina Krupa-Kotara, Beata Łabuz-Roszak, and Ilona Korzonek-Szlacheta. "Postpandemic Stress Disorder among Health Care Personnel: A Cross-Sectional Study (Silesia, Poland)." Behavioural Neurology 2022 (November 14, 2022): 1–9. http://dx.doi.org/10.1155/2022/1816537.
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Background. Postpandemic stress disorder (PPSD) is an unofficial term that refers to posttraumatic stress disorder (PTSD), a mental disorder resulting from increased stress, anxiety, and trauma associated with unpleasant life experiences. Many scientific studies indicate that symptoms of increased stress, job burnout, anxiety, and depressive disorders are associated with medical personnel performing their professional duties around COVID-19 patients. Objective. The purpose of this study was to assess the prevalence of symptoms that may indicate the presence of PPSD symptoms—depression, anxiety, and stress—in medical personnel. Material and Methods. The survey included 300 people, representatives of medical personnel. The group was divided into two sections. The first section numbered 150 and consisted of personnel in direct contact with COVID-19 patients (FR); the second group also consisted of 150 medical professionals, who but no longer directly involved in helping with COVID-19 cases (SR). The survey was conducted by indirect survey method using CAWI (computer-assisted web interview). The survey used a questionnaire technique. A proprietary tool enriched with standardized psychometric scales: BDI, GAD-7, FCV-19S, and PSS-10 was used. Kruskal-Wallis and Mann–Whitney U statistical tests were used in the statistical processing of the data. The probability level was 0.05. Results. Statistical inference made it clear that mental health problems that may indicate trauma are mainly present in the FR group. These symptoms decreased slightly in comparison between periods 2020 and 2021 ( p < 0.05 ). Conclusions. The COVID-19 pandemic significantly increased the prevalence of depression, anxiety, and stress among first responders. To ensure the psychological well-being of first responders, early assessment and care of mild depression, anxiety, and stress should be promoted to prevent the development of moderate and severe forms.
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Batov, Vyacheslav E., Sergey M. Kuznetsov, and Stanislav I. Merkushev. "Aspects of the special assessment of working conditions of the medical personnel working with coronavirus patients." Russian Military Medical Academy Reports 39, no. 4 (December 15, 2020): 49–53. http://dx.doi.org/10.17816/rmmar50954.
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RELEVANCE: The medical personnel of military medical organizations are put under unfavorable working conditions during their professional activity. These conditions increase the risk of developing work-related diseases, lead to deterioration in health and wellness, and decrease efficiency in the workplace. Physical and mental stress increase significantly during the pandemic especially for health care providers providing treatment for COVID-19.
AIM: To establish the correspondence between real working conditions and the results of the special assessment of working conditions for health care providers providing treatment for the new coronavirus infection.
RESULTS: The biological factor is the main cause of harm for all types of medical personnel, according to the study of the special assessment of working conditions of medical personnel in military-medical organizations cards in 20162019. Dealing with patients with the new coronavirus infection is in the 3.3 class of harmfulness, which grants the right to shorter work hours/work days to all medical personnel. However, working hours increase during a pandemic. Factors such as emotional stress and work schedules are not taken into account during the special assessment of working conditions. The negative impact of the use of personal protective equipment (e.g. anti-plague suits) during the entire shift has not been evaluated.
CONCLUSION: The analysis of the special assessment of working conditions of the medical personnel of the military medical organizations shows that the existing system for assessing working conditions does not fully reflect the actual working conditions of workers in present-day conditions, who work with patients who have COVID-19 (1 table, bibliography: 8 refs).
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Wańkowicz, Paweł, Aleksandra Szylińska, and Iwona Rotter. "Assessment of Mental Health Factors among Health Professionals Depending on Their Contact with COVID-19 Patients." International Journal of Environmental Research and Public Health 17, no. 16 (August 12, 2020): 5849. http://dx.doi.org/10.3390/ijerph17165849.
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It seems that the medical personnel in contact with patients infected with SARS-CoV-2 are at an especially high risk of adverse psychological effects. Therefore, the aim of this study was to assess the mental health factors among healthcare workers by quantifying the severity of anxiety, depression, and sleep disorders during the current SARS-CoV-2 pandemic, while taking into account coexisting diseases. The study involved 441 healthcare professionals including 206 healthcare workers at emergency wards, infectious wards, and intensive care units. The control group consisted of 235 healthcare workers working in wards other than those where individuals from the study group worked. Regression adjusted by age, gender, the occurrence of hypertension, diabetes mellitus, dyslipidemia, asthma, autoimmune diseases, and cigarette smoking showed the elevated risk of anxiety on the Generalized Anxiety Disorder (GAD-7) scale (OR = 1.934; p < 0.001), depression on the Patient Health Questionnaire (PHQ-9) scale (OR = 2.623; p < 0.001), and sleep disorders on the Insomnia Severity Index (ISI) scale (OR = 3.078; p < 0.001). Our study showed that healthcare workers who are exposed to SARS-CoV-2-infected patients at emergency wards, infectious wards, and intensive care units are at a much higher risk of showing symptoms of anxiety, depression, and sleep disorders than healthcare workers working in other wards.
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LAZZARINI, ZITA, STEPHEN ARONS, and ALICE WISNIEWSKI. "Legal and policy lessons from the Schiavo case: Is our right to choose the medical care we want seriously at risk?" Palliative and Supportive Care 4, no. 2 (June 2006): 145–53. http://dx.doi.org/10.1017/s1478951506060202.
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The article explores the individual patient's right to refuse, withdraw, or insist on medical treatment where there is conflict over these issues involving health care personnel or institutions, family members, legal requirements, or third parties concerned with public policy or religious/ideological/political interests. Issues of physician assistance in dying and medical futility are considered. The basis and the current legal status of these rights is examined, and it is concluded that threats to the autonomy of patients, to the privacy of the doctor/patient relationship, and to the quality of medical care should be taken seriously by individuals, medical practitioners, and others concerned with developing and maintaining reasonable, effective, and ethical health care policy.
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Saleha, Nurmukaromatis, Rina Delfina, Nurlaili Nurlaili, Fourni Ardiansyah, and Mercy Nafratilova. "Online Affirmation and Peer Support are Effective for Reducing Medical Personnel Stress in Dealing with Covid-19 Patients." Unnes Journal of Public Health 10, no. 2 (July 15, 2021): 151–61. http://dx.doi.org/10.15294/ujph.v10i2.42861.
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The Covid-19 outbreak has psychological impacts on frontline medical personnel at risk of infection. Therefore, this study aimed to evaluate the effect of online affirmations and peer support on medical personnel stress level in dealing with Covid-19 patients, as well as social support and spiritual intelligence's influence. It was a quasi-experiment with pre- and post-test administered to 25 and 30 medical personnel as the intervention and control groups, respectively. The intervention was carried out on WhatsApp group for 4 weeks. The stress level pair T-test results showed p = 0.000 in the intervention group and p = 0.238 in the control, while the independent T-test results showed p = 0.009. Social support did not affect medical personnel’s stress (p=0.978), but the effect of spiritual intelligence was significant (p=0.000). According to the results of multiple regression test conducted using the Enter method, the coefficient value (R2) = 0.584. This intervention was effective in helping medical personnel to manage stress. Hence, hospital managers need to carry out stress management training to maintain medical personnel’s mental health.
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Pankov, Vladimir A., Oleg A. Lakhman, Marina V. Kuleshova, and Viktor S. Rukavishnikov. "Emotional burnout in medical workers during the work in extreme conditions." Hygiene and sanitation 99, no. 10 (November 30, 2020): 1034–41. http://dx.doi.org/10.47470/0016-9900-2020-99-10-1034-1041.
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Medical staff is exposed to a complex of adverse occupational factors of physical, chemical, and biological nature, high severity and intensity of the labor process. Unsatisfactory working conditions are associated with health risks for medical personnel and can lead to occupational and work-related diseases. The most often occupational diseases detected in medical staff are infectious ones. In the context of the spread of the new coronavirus infection (COVID-19), the probability of infection of the medical personnel themselves with possible damage to organs and body systems with a subsequent disability is high. The article pays considerable attention to the high level of neuro-emotional stress, the problem of burnout, accompanying the work of medical personnel, especially in extreme conditions, which include epidemics and pandemics, in particular the COVID-19 pandemic. The prevalence of burnout syndrome (BS) among medical personnel in many countries has reached crisis proportions, exceeding the level of any other occupational group. Despite a significant number of studies related to the study of BS in medical personnel, there are still difficulties with its diagnosis, primarily associated with the subjectivity of the methods used; there is little scientific evidence about the clinical manifestations of BS, its symptoms. The study of the phenomenon of emotional burnout, its prevention, treatment, and rehabilitation is relevant in connection with the direct relationship of BS not only to maintaining the health, mental stability, and professional longevity of specialists involved in long-term interpersonal communication but also to the preservation of the patients’ health. It is necessary to discuss making additions to the list of occupational diseases and to the list of harmful and dangerous industrial factors and works in which preliminary and periodic medical examinations are carried out, concerning medical staff whose working conditions are associated with the high nervous and emotional stress, in particular during work in extreme conditions.
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Babicki, Mateusz, Ilona Szewczykowska, and Agnieszka Mastalerz-Migas. "The Mental Well-Being of Health Care Workers during the Peak of the COVID-19 Pandemic—A Nationwide Study in Poland." International Journal of Environmental Research and Public Health 18, no. 11 (June 5, 2021): 6101. http://dx.doi.org/10.3390/ijerph18116101.
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Introduction: The current epidemiological situation has quickly led to several changes in the daily functioning of people around the world, especially among medical personnel, who in this difficult period were burdened with new professional duties, which significantly affects their mental health. Materials: This study aims to assess the mental health of health professionals at a critical point in their workload, to compare the results with those the general population, and to explore the potential determinants affecting it. The CAWI survey includes a sociodemographic section, work experience and a standardised psychometric tool (GHQ-28). Data were collected during the second wave of the COVID-19 pandemic in Poland (3–29 November 2020), which had the highest mortality rates and SARS-CoV-2 morbidity rates, as well as during the period of a significant increase in deaths, compared to the corresponding pre-pandemic period. Results: A total of 2150 surveys were eligible for analysis. Among them, 848 (39.4%) were active health professionals. In the analysis of the scores of the GHQ-28 scale and its sub-scales, evaluating anxiety/insomnia and somatic symptoms, medical workers scored significantly higher scores than non-medical professions (p < 0.001). Frontline medical workers (p < 0.001) and those who were forcibly seconded to work with COVID-19-infected patients (p = 0.011) achieved significantly higher GHQ-28 scores. Conclusions: The COVID-19 pandemic has had a significant impact on mental deterioration among health professionals, especially among those directly working with SARS-CoV-2-infected patients and those who were forcibly seconded to work with such patients. To mitigate the effects of the pandemic, appropriate psychological care for medical personnel needs to be implemented.
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Carta, MG, A. Preti, I. Portoghese, E. Pisanu, D. Moro, M. Pintus, E. Pintus, et al. "Risk for Depression, Burnout and Low Quality of Life Among Personnel of a University Hospital in Italy is a Consequence of the Impact One Economic Crisis in the Welfare System?" Clinical Practice & Epidemiology in Mental Health 13, no. 1 (October 13, 2017): 156–67. http://dx.doi.org/10.2174/1745017901713010156.
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Background:Research literature suggests that burnout, depression, and a low mental quality of life (QOL) are common among health care workers. Economic crisis might have increased the burden of burnout, depression and low QOL in health care workers.Objectives:To identify depression risk, burnout levels, and quality of life in a sample of workers of an Italian university hospital.Method:Cross sectional study with comparison with two community surveys database results (n = 2000 and 1500, respectively). Overall, 522 workers accepted to take part in the study, representing a 78% response rate (out of 669 individuals).Results:The frequency of positivity at the screener for Major Depressive Disorder among health care workers was more than double than that in the standardized community sample (33.3% vs 14.1%, p<0.0001). All professionals, except the administrative staff and technicians (i.e.those who do not have contact with patients), showed a statistically higher frequency of positivity for depressive episodes compared to the controls. Among the medical staff, the highest risk was found in the surgeon units, while the lowest one was in the laboratories. Surgeons also were those most exposed to high risk of burnout, as measured by the Maslach Burnout Inventory.Conclusion:Since burnout is linked to patient safety and quality of patient care, and contribute to medical errors, dedicated interventions aimed at reducing poor mental health and low quality of life in medical staff are indicated.
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Sutanto, Sutanto, Dadang Amiruddin, and Gagan Nugraha. "RANCANG BANGUN APLIKASI SKRINING KESEHATAN MENTAL REMAJA BERBASIS WEB DI RSUD DR.DRADJAT PRAWIRANEGARA DENGAN MENGGUNAKAN METODE ANALYTIC HIERARCHY PROCESS (AHP)." Journal of Innovation And Future Technology (IFTECH) 4, no. 1 (March 3, 2022): 29–38. http://dx.doi.org/10.47080/iftech.v4i1.1813.
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The development of information systems is now very fast and rapid, one form of information system that is easy to develop is web-based. The use of information systems in the medical world is very much, but there are still some who have not utilized the information system to help the work of a medical worker, especially in helping the development of mental health. The system used to help improve mental health in dr.Dradjat Prawiranegara Hospital is now still conventional, namely face to face between medical personnel and patients, this is what makes teenagers who have problems with their mental health have a variety of reasons not to visit a psychiatrist. The web-based adolescent mental health screening application is designed using php programming language, MySQL database and decision making system using Analytic Hierarchy Process (AHP) method. By implementing Web- Based Adolescent Mental Health Screening Application Using Analytic Hierarchy Process (AHP) method is expected to help teenagers know their mental health independently and provide information and education about mental health disorders.
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Samushiya, Mariya A., Aynur A. Ragimova, Natalia A. Amosova, Irina G. Smolentseva, Olga S. Oinotkinova, Tatyana I. Bonkalo, and Tamara Z. Berishvili. "Problems of Psycho-Emotional Well-Being of Medical Personnel Working in the Context of the COVID-19 Pandemic." Annals of the Russian academy of medical sciences 75, no. 5S (December 4, 2020): 426–33. http://dx.doi.org/10.15690/vramn1426.
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Background. The COVID-19 pandemic has a significant impact on the mental state of not only quarantined citizens and patients, but also health workers.
Aims asessment of the mental health of doctors involved in work in the red zone during the COVID-19 pandemic.
Materials and methods. 77 respondents were interviewed using the HADS questionnaires and the Maslach burnout test. For statistical data processing Microsoft Office Excel 2016, IBM SPSS were used.
Results. An increase on the depression scales was noted in 7%, anxiety in 23%, and anxiety and depression together 27%. According to the Maslach questionnaire, 32 doctors (41.5%) noted a reaction of the type of emotional devastation. 10 doctors (12.9%) noted a reaction reduction of professional achievements. Three doctors (3.8%) had a dehumanization reaction in the form of dull emotions to colleagues and patients.
Conclusions. Work in the red zone has a significant negative impact on the mental health of doctors and medical personnel.
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Shetu, Sabakun Naher, and Takrima Jannat. "Telemedicine's Role in Pandemic Response and Control Measures." International Journal of Applied Research on Public Health Management 7, no. 1 (January 1, 2022): 1–18. http://dx.doi.org/10.4018/ijarphm.309410.
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The COVID-19 pandemic outbreak has changed the conventional method of interacting with healthcare personnel. The rapid adaptation of telemedicine facilities has commuted alternative medical facilities in emergency circumstances. The physicians, nurses, and patients all are adopting telemedicine rapidly under this COVID-19 health system pressure. The reduction of PPE usage increases in video consultations is the positive result of using telemedicine. Nevertheless, front-liners also confront some challenges of using telemedicine including proper infrastructure facilities, lack of physical examination, patient's privacy, and proper diagnosis. Telemedicine-specific legislation must be implemented to ensure patient digital security and set appropriate prices for e-health treatment. These simple e-health technologies may allow infected COVID-19 patients to communicate with one another and acquire relevant health information more readily, resulting in a higher quality of life and better mental health.
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Woodward, Christina A., Amalia Voskanyan, Todd L. Benham, Fadi S. Issa, Alexander Hart, and Gregory R. Ciottone. "Mental Health in Disaster Medical Response Teams: An Assessment of Existing Resources and Applications for Telemedicine." Prehospital and Disaster Medicine 37, S2 (November 2022): s78. http://dx.doi.org/10.1017/s1049023x22001777.
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Background/Introduction:Disaster responders operate in situations that are cognitively, emotionally, and morally distressing. The prevalence of mental health sequelae amongst disaster responders is well-documented. The World Health Organization (WHO) has published minimum standards for Emergency Medical Teams (EMTs), which requires them to assess the mental health and psychosocial support needs of their patients and staff, provide first aid, and ensure referral pathways for follow-up care are available. Specific to EMT staff and volunteers, the standards require that support services are always accessible. However, there is no requirement for EMTs to have their own mental health specialists, nor is having a mental health specialist assigned to each team and mission necessarily practical.Objectives:This study will assess the existing mental health resources of WHO EMTs and their use of telemedicine in mental health care.Method/Description:A survey will be distributed to the leadership of all WHO EMTs that are currently credentialed to capture descriptive statistics.Results/Outcomes:Data expected to be collected and analyzed by October 1, 2022.Conclusion:The absence of a mental health specialist significantly limits the availability of support services for EMT personnel. Given that the use of telemedicine in both disaster response and mental health services has been well-documented, telemedicine could be a low-resource method to link WHO EMT staff and volunteers with mental health specialists throughout the deployment cycle.
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Sorokin, M., E. Kasyanov, G. Rukavishnikov, O. Makarevich, N. Neznanov, G. Mazo, and N. Lutova. "Stigmatization attitudes of medical staff toward people with respiratory syndromes during COVID-19 pandemic." European Psychiatry 64, S1 (April 2021): S294. http://dx.doi.org/10.1192/j.eurpsy.2021.787.
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IntroductionThe health care workers have extremely high risks of adverse psychological reactions from COVID-19 pandemic. On the other hand, patients with respiratory syndromes face stigmatization due to their possible contagiousness of SARS-Cov-2.ObjectivesTo study the association of behavior, psychological distress in health care workers, and their stigmatization attitudes to the patients.MethodsThe online-survey of 1800 health care workers performed during different lockdown periods in Russia: the first week and the last (30/Mar-5/Apr/20 and 4-10/May/20). The Psychological stress scale (PSM-25), modified Perceived devaluation-discrimination scale (Cronbach’s α=0.74) were used. Dispersion analysis with p-value=0.05 and Cohen’s d, Cramer’s V calculation (ES) performed.ResultsIn the 2nd phase medical stuff more often wore masks (64% vs. 89%; χ2=98.7, p=0.000, df=1; ES=0.23) and gloves (30% vs. 57%; χ2=57.6, p=0.000, df=1; ES=0.18), continued perform hand hygiene (94-95%) and physical distancing (73-74%), but was restricted in most effective protective measure: self-isolation (49% vs. 36%; χ2=16.0, p=0.000, df=1; ES=1.0). The psychological stress levels decreased in the 2nd phase (ES=0.13), while the stigma levels (ES=0.33) increased. Physicians experienced more stress compared with nurses and paramedical personnel (ES=0.34; 0.64) but were less likely to stigmatize SARS-CoV-2 infected individuals (ES=0.43; 0.41). The highest rates of contacts with COVID-19 patients (83%) were reported by physicians (χ2=123.0; p = 0.00, df=4; ES=0.28).ConclusionsDirect contact with SARS-Cov-2 is associated with a significant increase in stress among medical personnel. However, the stigmatizing reactions are not directly associated with the risks of infection and are most prevalent among nurses and paramedical personnel.
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Asadi, Hosein, Aghil Habobi Soola, and Mahnaz Davari. "Mental Health Status of Medical Staff Working in Ardabil Prehospital Emergency During COVID-19 Pandemic." Health in Emergencies & Disasters Quarterly 7, no. 2 (January 1, 2022): 63–70. http://dx.doi.org/10.32598/hdq.7.2.377.1.
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Background: Prehospital emergency staff usually encounter patients in situations that can affect the mental health of the medical staff and cause symptoms of depression, anxiety, and stress. This study aimed to determine depression, anxiety, and stress in prehospital emergency personnel during the COVID-19 epidemic in Ardabil City, Iran, 2020. Materials and Methods: A descriptive cross-sectional study was conducted from March 2020 to April 2020 with the participation of 138 working staff in the prehospital emergency department of Ardabil City. The samples were selected by the census method. Necessary information was collected with a two-part questionnaire: a demographic questionnaire and the DASS-21 standard questionnaire. DASS-21 is a 21-item questionnaire that consists of three subscales of 7 questions: depression, anxiety, and stress. The obtained data were analyzed using descriptive statistics, including mean and standard deviation, and inferential analysis, including analysis of variance, independent t test, and multiple regression using SPSS software v. 22 statistical software. Results: The results showed that 45.7% of the staff had moderate depression, 44.9% moderate anxiety, and 77.5% normal stress. There was a significant relationship between work experience and stress level (P=0.03). There were significant associations between age with depression (P=0.04), anxiety (P=0.00) and stress (P=0.01). There was also a significant relationship between gender and variables of stress (P=0.00) and anxiety (P=0.01). Multiple regression results showed that gender and education variables are predictors of anxiety and stress, and age and education variables are predictors of depression (P<0.05). Conclusion: More than half of the staff had moderate to severe depression and anxiety. Considering that prehospital emergency personnel has a vital role in improving and promoting people’s health in the community, eliminating the underlying factors that cause emotional reactions in them is considered a health priority.
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Salyakina, Ekaterina D., Inessa A. Alentyeva, Ekaterina A. Rodina, and Maksim V. Davidenko. "AGGRESSION AND VIOLENCE AGAINST HEALTH WORKERS DURING THE COVID-19 PANDEMIC." Acta medica Eurasica, no. 1 (March 31, 2022): 44–55. http://dx.doi.org/10.47026/2413-4864-2022-1-44-55.
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The review article examines cases of violence and aggression against health workers during the COVID-19 pandemic. Violence and aggression represent a series of behaviors or actions that can lead to doing harm or causing injury to another person, regardless of whether it is a physical or verbal action, whether physical harm has been done or an intention has been expressed. The cases of violence in various countries of the world are described, general statistics on these cases is shown. First of all, these cases come from patients and relatives of patients. The pandemic and acts of violence also affect health workers, increasing the onset of anxiety disorders in them. Nurses and junior service personnel are most often subjected to violence, as they spend most of their time directly with patients. It has been confirmed that medical workers of the ambulance, emergency and intensive care units, traumatology and surgery units often face violence. Systematic reviews show that the main risk factors are long waiting times, inconsistencies between patients' expectations and services, substance abuse by the patient and mental disorders. The article gives examples of how to protect medical workers from violence and aggression, to prevent outbreaks of discontent among patients and their relatives.
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Laukkala, T., H. Haravuori, K. Tuisku, K. Junttila, T. Haapa, A. Kujala, E. Pukkala, J. Suvisaari, T. Rosenström, and P. Jylhä. "Personnel well-being and potentially traumatic COVID-19 pandemic related events (PTES) in the hus helsinki university hospital – baseline results." European Psychiatry 64, S1 (April 2021): S276. http://dx.doi.org/10.1192/j.eurpsy.2021.741.
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IntroductionA majority of the Finnish COVID-19 pandemic patients have been cared for in the HUS Helsinki University Hospital since March 2020.ObjectivesJune 2020 baseline results of an ongoing prospective cohort study are reported.MethodsAn electronic survey was created to assess potentially traumatic COVID-19 pandemic related events (PTEs) of the HUS personnel.Results The survey was sent to 25494 HUS employees, and 4804 (19%) answered. Out of the respondents, 62% were nursing staff, 9% medical doctors, and the rest special employees or other personnel. Mean age was 44 years, 88% were female. PTEs were more common in the personnel directly caring for COVID-19 patients than other personnel (p< 0.001). PTEs predicted psychological distress among all personnel (OR 5.05; 95%CI 4.26–6.00). Table. Potentially traumatic events (PTEs) among HUS personnel, June 2020. One respondent may have one or more PTEs. In direct care of COVID-19 patients PTE11 PTE22 PTE33 PTE44RespondentsYes (N; %)325 (26.6%)358 (29.3%)46 (3.8%)9 (0.7%)532No (N; %)281 (8.2%)574 (16.6%)88 (2.5%)30 (0.9%)7601Has your work with COVID-19 patients or suspected patients included exceptionally disturbing or distressing assignments? 2Have you had strong anxiety due to your own or close one’s risk of contracting serious illness for your work with COVID-19 patients or suspected patients? 3Have you or your close one contracted a hospital care requiring serious COVID-19? 4Has a close one to you died of COVID-19?ConclusionsOur data highlight the need to ensure psychosocial support services to HUS personnel with PTEs.Conflict of interestNo significant relationships.
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Dabas, Ajay. "Disease Prediction using Voice Analysis." International Journal for Research in Applied Science and Engineering Technology 9, no. VI (June 30, 2021): 3106–12. http://dx.doi.org/10.22214/ijraset.2021.35658.
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Researchers enlist Machine learning a viable solution to find vocal patterns. Our believe is voice can relay key information about personnel health and, our research proposes working towards medical diagnosis and disease risk through voice analysis. In next few years, to the advent of technology in medical science, we positively believe health conditions will be diagnosed using smartphones and another wearable technology. This paper aims to propose viable techniques to researchers that will work by recording short speech samples and analyzing for underlying diseases. For psychiatric disorders particularly, there are no blood samples and patients are often embarrassed to talk about facing mental health issues therefore, voice analysis can also be used over here to identify peculiar traits. Different countries are collecting voice analysis samples to test their tone pitch, rhythm, rate, and volume for sign of prediction like PTSD and other brain injuries and depression. Using Machine learning algorithms will help identify vocal patterns of personnel suffering diseases or any other conditions by comparing data with healthy individuals’ voice samples.
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Grebenkov, S. V., V. E. Batov, and S. M. Kuznetsov. "Assessment of the working conditions of medical personnel in military medical organizations during the pandemic of new coronavirus infection." Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations, no. 3 (September 10, 2021): 35–42. http://dx.doi.org/10.25016/2541-7487-2021-0-3-35-42.
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Relevance. During the pandemic of new coronavirus infection, healthcare professionals have increased occupational risks of exposure to the pathogen SARS-CoV-2, as well as physical and psychological stress, especially when treating Covid patients in “red zones”. Such a change in working conditions wasn’t reflected in the results of a special assessment, which requires the development of an individual scientifically based approach to its organization in conditions equated to emergency situations. Intention. Evaluate the results of a special assessment of working conditions and their compliance with actual working conditions, taking into account the health risks for healthcare professionals taking care of Covid patients.Methodology. We retrospectively conducted a comparative analysis of 295 cards for a special assessment of the working conditions of medical personnel of military medical organizations of therapeutic and infectious profile over 2015–2019, and 266 cards from the same organizations for 2020.Results and Discussion. Study of cards for special assessment of working conditions of medical personnel of military medical organizations for 2015–2020 showed the leading role of biological factors for all categories of medical personnel. Working in the “Red zone” should be assessed as 3.3 (Degree III harmful) based on biological hazard or 4 (dangerous) due to risks of acute occupational diseases and death. This should be reflected in the results of special assessment of working conditions and compensated via reduction of working hours. However, in the context of the pandemic, actual working hours of healthcare professionals exceeded the established 39 hours per week (Article 350 of the Labor Code of the Russian Federation), and the medical personnel were allowed to work with the pathogen of Group II pathogenicity without preliminary medical examinations.Conclusion. Analysis of the results of special assessment of the working conditions of medical personnel showed that they do not reflect the actual harmful (dangerous) working conditions of employees involved in providing care to patients with new coronavirus infection in these medical and preventive institutions.
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Thériault, François L., R. A. Hawes, B. G. Garber, F. Momoli, W. Gardner, M. A. Zamorski, and I. Colman. "Incidence of major depression diagnoses in the Canadian Armed Forces: longitudinal analysis of clinical and health administrative data." Social Psychiatry and Psychiatric Epidemiology 55, no. 5 (September 26, 2019): 581–88. http://dx.doi.org/10.1007/s00127-019-01754-2.
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Abstract Purpose Major depression is a leading cause of morbidity in military populations. However, due to a lack of longitudinal data, little is known about the rate at which military personnel experience the onset of new episodes of major depression. We used a new source of clinical and administrative data to estimate the incidence of major depression diagnoses in Canadian Armed Forces (CAF) personnel, and to compare incidence rates between demographic and occupational factors. Methods We extracted all data recorded in the electronic medical records of CAF Regular Force personnel, at every primary care and mental health clinical encounter since 2016. Using a 12-month lookback period, we linked data over time, and identified all patients with incident diagnoses of major depression. We then linked clinical data to CAF administrative records, and estimated incidence rates. We used multivariate Poisson regression to compare adjusted incidence rates between demographic and occupational factors. Results From January to December 2017, CAF Regular Force personnel were diagnosed with major depression at a rate of 29.2 new cases per 1000 person-years at risk. Female sex, age 30 years and older, and non-officer ranks were associated with significantly higher incidence rates. Conclusions We completed the largest study to date on diagnoses of major depression in the Canadian military, and have provided the first estimates of incidence rates in CAF personnel. Our results can inform future mental health resource allocation, and ongoing major depression prevention efforts within the Canadian Armed Forces and other military organizations.
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Ahn, Song Ii, Won Lee, and Dong Ho Song. "A Descriptive Study on the Civil Lawsuits of Medical Malpractice Occurred during Psychiatric Ward Treatment." Psychiatry Investigation 17, no. 9 (September 25, 2020): 865–70. http://dx.doi.org/10.30773/pi.2019.0350.
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Objective Medical accidents have resulted in actual harm for patients, been costly for health care system, and diminished trust for both patients and practitioners. The present study analyzed malpractice claims related to accidents in psychiatric inpatient units.Methods This study analyzed defendants, cases and plaintiffs or patients characteristics, degrees of injury, and types of accidents in 85 civil malpractice suits filed from 2005 to 2015 with a focus on the methods and locations of suicides.Results Most defendants were psychiatrists (n=43). Of the 85 cases, 56 (65.9%) were decided in favor of the plaintiff, most commonly on the grounds of negligence and violation of sound facility management principles. The most common diagnosis of patients was schizophrenia (n=31). The damages were deaths in 52 cases and injuries or other damages in the remaining 33 cases. The most common accident was suicide (n=28), followed by escape attempts (n=15). The most common suicide method was hanging (n=21), which was usually committed in the private room using objects like door handles.Conclusion To reduce medical accidents, medical staff should monitor high-risk patients closely and constantly. Sufficient numbers of well-trained personnel are required to meet this standard. Reducing environmental hazards such as removing anchor points and installing door locking systems will improve patient safety.
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Suryadi, Taufik, Cut Nonda Maracilu, and Kulsum Kulsum. "ETHICAL CHALLENGES IN CESARIAN SECTION PROCEDURES TO INDICATION OF CONTRACTED PELVIS IN COVID-19 CONFIRMED PATIENTS." Journal of Law, Public Policies, and Human Sciences 2, no. 2 (April 20, 2021): 94–103. http://dx.doi.org/10.52571/jlpphs.v02.n02.pgi.94.2021.
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The COVID-19 pandemic has posed several ethical challenges for all medical personnel. Every doctor always provides the best service to patients and follows the COVID-19 health protocol in handling patients. Ethical issues arise when doctors are faced with a dilemma in handling COVID-19 patients related to human resources, limited facilities, and infrastructure in handling patients in the regional hospital, so the patient must be referred. It was reported an obstetrics case: a 24-year-old patient presented with the first pregnancy, gestational age 39-40 weeks with heartburn complaints, and spotting from the birth canal. The patient was a referral from a regional hospital whose elective cesarean section was planned due to the diagnosis of a contracted pelvis. However, it turns out that the rapid screening test results were reactive to COVID-19 and positive in RT-PCR examination. The medical procedure taken was the immediate termination of pregnancy by a cesarean section that required mental preparation of the patient, family, and a team of doctors. The formation of a multidisciplinary team of doctors, the preparation of tools and places for postoperative care for mothers and babies, provide information to patients and families, informed consent, special needs of mothers and babies is an ethical challenge that needs to be addressed carefully. In cases of pregnancy termination in COVID-19 patients, the ethical challenge is its appeal, which should find a solution using clinical ethics theory and the basic principle of medical ethics.
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Tyrer, Peter. "The Hive System." British Journal of Psychiatry 146, no. 6 (June 1985): 571–75. http://dx.doi.org/10.1192/bjp.146.6.571.
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Psychiatry has an advantage over other medical disciplines in that its skills are ones that can be practised in almost any setting. Although this is a truism it is worth repeating as psychiatry is still strongly associated with hospital treatment in the public mind. This view is endorsed by the activities of most psychiatrists, who spend their working lives in psychiatric hospitals or in extensions of them such as out-patient clinics or day hospitals. The reasons for this are at least partly historical. The great mental hospital building programme of the 19th century was planned deliberately to set up hospitals in isolated areas away from the centre of the community they served (Scull, 1979). Many countries are still left with this legacy of mental quarantine and find it difficult to overcome its geographical handicaps. Although it is appreciated that more patients can be treated successfully outside hospital it is often easier to follow the maxim, “if in doubt don't keep them out” and admit patients who seem to need further assessment. This is understandable whilst most personnel are based within the hospital and is certainly easier than setting up alternative systems of care away from the hospital base.
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Mulyono, Mulyono, Dewi Setyowati, and Kamarudin Kamarudin. "Tanggung Jawab Hukum Atas Pasien Gangguan Jiwa Yang Melarikan Diri Dari Ruang Rawat Inap Rumah Sakit." Al-Adalah: Jurnal Hukum dan Politik Islam 3, no. 1 (July 3, 2019): 56–65. http://dx.doi.org/10.35673/ajmpi.v3i1.191.
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Health jurisdiction at this time is increasingly widespread, people are becoming increasingly aware of their rights protected by law. Juridically the hospital is responsible for all losses caused by negligence of health workers in the hospital. To minimize or eliminate losses due to negligence of medical personnel, hospitals hire employees in accordance with his profession to give direct patient health. In the background there is a legal issue in hospital services, namely legal responsibility for mentally ill patients who have escaped from the inpatient hospital. There will be legality problems and the burden of responsibility to the hospital or guard officer in the inpatient room for mental patients who escape from the hospital inpatient room. The research method used in the research is descriptive normative, using a statute approach and conceptual approach. Legal materials used are a source of primary law (criminal code, civil code, the law of the health sector, and regulations the minister of health) and secondary legal materials (textbooks, literature, the literature related to the discussion). Results of the research showed that responsibility for mental patients who escaped from the room inpatient can be grouped into three groups, namely responsible for the field of hospital, the person in charge is the head of the hospital, responsible for the medical field, the person in charge is each doctor, responsibility of the nursing field, the person in charge is each nurse. Where this is a civil case then becomes the responsibility of the home, and when the criminal case it becomes important responsibility beach offender.
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Godfrey, Marissa, Pi-Ju Liu, Aining Wang, and Stacey Wood. "Loneliness and Mental Health: Recommendations for Primary Care Intakes." Journal of Primary Care & Community Health 12 (January 2021): 215013272110271. http://dx.doi.org/10.1177/21501327211027104.
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Introduction/Objectives The healthcare intake process plays a significant role in informing medical personnel about patients’ demographic information, subjective health status, and health complaints. Intake forms can help providers personalize care to assist patients in getting proper referrals and treatment. Previous studies examined factors that could be included in intake forms independently, but this study analyzed loneliness, religiousness, household income, and social integration together to see how the combined effect influences mental and physical health status. This study aims to determine which of those 4 variables better inform patients’ mental versus physical health status. Methods One hundred and seventy-nine participants completed surveys, including the SF-12® Health Survey, measuring perceived physical and mental health, UCLA 3-item Loneliness Scale, and a demographics questionnaire with questions about household income and time spent dedicated to religious practice, if applicable. Additionally, individuals answered social integration questions about how often they contact close family and friends or volunteer in the community. Using loneliness, household income, religiousness, social integration as independent variables, and controlling for demographic variables such as age, gender, and race, 2 regression models were built with Mental and Physical Health Composite Scores from the the SF-12® Health Survey as dependent variables. Results Loneliness was associated with mental health measures ( b = −2.190, P < .001), while household income was associated with physical health measures ( b = 0.604, P = .019) above and beyond other variables in the regression models. Conclusions Integrating the 3 loneliness questions into intake forms can help approximate an individual’s mental health status. This would allow the provider to be able to assess mental health problems more effectively and provide needed resources.
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Chorna, V. V., I. V. Sergeta, and V. M. Makhnyuk. "Modern going near creation of in-hospital comfort for patients and medical personnel in psychiatric establishments of health protection." Biomedical and Biosocial Anthropology, no. 35 (May 5, 2019): 48–53. http://dx.doi.org/10.31393/bba35-2019-08.
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Today requires an important focus on providing psychological comfort both for health care professionals in preventing emotional burnout syndrome and inpatient comfort for patients in these settings. The purpose of the work is to carry out a comparative analysis of European experience on the principles of functional and aesthetic organization of interiors and decoration materials of premises of psychiatric health care institutions, to determine the characteristics of the influence of natural and artificial lighting on the psychophysiological state of the body of patients and medical professionals. The material of the study was Form № 18 of the Ministry of Health of Ukraine "Report on work on control of environmental factors affecting the state of health of the population" of the State Institution "Vinnytsia Regional Laboratory Center of the Ministry of Health of Ukraine" for the period 2016-2019. Content analysis of domestic and foreign scientific sources, as well as bibliosemantic, theoretical and analytical methods of research were used in the work. The statistical processing of the study results was performed in a licensed standardized package "Statistica 6.1 for Windows". As a result of studying the experience of European countries on the creation of in- hospital comfort for patients and medical staff of psychiatric health care institutions, the following has been established: taking into account the sanitary and hygienic requirements in the design and arrangement of facilities for mentally ill persons should correspond to the therapeutic environment and promote the establishment of security regimen, improving treatment and prevention work, preventing hospital-acquired infections and therefore being one and the same priorities reform of mental health in Ukraine. According to the results of studying foreign experience on the basis of a systematic and ergo design approach to the re-profiling and reconstruction of existing psychoneurological hospitals in Ukraine, it is determined that its main purpose is to provide comfortable conditions for patients stay and create conditions for conducting psychosocial therapy and rehabilitation of persons with mental disorders. Therefore, the adaptation of hygiene requirements during the design and arrangement of the premises of psychiatric health care facilities should be aimed at ensuring the optimal individual and psychological status of patients and the appropriate parameters of the hospital environment and its sanitary and hygienic characteristics, which must correspond to the latest technology in providing high quality medical care using a biopsychosocial approach that will facilitate the transition to European standards.
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Gumenyuk, S. A., S. S. Aleksanin, A. M. Schikota, V. I. Yarema, and I. V. Pogonchenkova. "Diagnostic ultrasound examinations during evacuation of urgent patients by ambulance helicopters: literature review." Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations, no. 2 (August 3, 2022): 42–51. http://dx.doi.org/10.25016/2541-7487-2022-0-2-42-51.
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Relevance. The use of ultrasound diagnostics at the place of providing medical care to an urgent patient is one of the promising directions in the development of emergency medicine. At the same time, of particular interest is the possibility of using diagnostic ultrasound in an ambulance helicopter, given the lack of clear algorithms and standards for its application, as well as the limited number of publications on this problem.Intention. Analysis of publications on the use of urgent ultrasound examination in an ambulance helicopter.Methodology. A search was made for scientific publications on the topic on the electronic resource PubMed, in the Google Scholar search system for the period from 2000 to 2021.Results and discussion. The main algorithms used for ultrasound diagnostics of an urgent patient in an ambulance helicopter are Focused Assessment with Sonography for Trauma (FAST), point-of-care ultrasound (POCUS), Rapid Ultrasound in SHock (RUSH), Bedside Lung Ultrasound in Emergency (BLUЕ), prehospital ultrasonography (PHUS), etc. They help exclude damage to vital organs and emergency pathology – pneumo- and hemothorax, hemoperitoneum, hemopericardium, large fractures and others that affect the tactics of treatment and patient routing; there is also the possibility of ultrasound navigation for a number of medical and diagnostic procedures. According to the results of published studies and clinical observations, prehospital ultrasound examination of urgent patients is successfully used during medical evacuation by an ambulance helicopter in emergency medical services in many countries of the world (both by doctors and other medical personnel), making it possible to diagnose a number of lifethreatening conditions with a fairly high accuracy, without loss of time and without damage to patient’s health. An important aspect of the successful application of the method during flight is the training of qualified personnel. The prospects for the development of the method are the development of more advanced ultrasound scanners and sensors adapted to flight conditions, as well as the use of telemedicine technologies for remote analysis of ultrasound images.Conclusion. The experience of using prehospital diagnostic ultrasound in an ambulance helicopter requires further data accumulation and systematic analysis, but the method is already undoubtedly useful in determining the tactics of treatment and the route of hospitalization of urgent patients with acute trauma and a number of other pathological conditions.
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Swearer, Joan M., and David A. Drachman. "Caretaker Obstreperous Behavior Rating Scale." International Psychogeriatrics 8, S3 (May 1997): 321–24. http://dx.doi.org/10.1017/s1041610297003554.
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Although Alzheimer's original description of the dementing disorder that bears his name emphasized the prominence of troublesome and disruptive behaviors, a systematic investigation of behavioral disturbances of dementia did not begin in earnest until the 1980s. At that time, as the neuropathologic identity of presenile Alzheimer's disease and late-onset “senile dementia” was recognized, the redefinition of Alzheimer's disease abruptly increased the number of patients diagnosed with this condition. Physicians and other medical personnel working with Alzheimer's disease patients recognized both the importance of abnormal behaviors in this now large patient population and the need to describe, classify, and quantify these behaviors.
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Elghazally, Noha M., and Doaa Abdeldaim. "Depression among Medical Staff during the Coronavirus Disease-19 Pandemic in Egypt: A Comparative Web-Based Cross-Sectional Study." Open Access Macedonian Journal of Medical Sciences 9, E (December 23, 2021): 1578–85. http://dx.doi.org/10.3889/oamjms.2021.7791.
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BACKGROUND: The coronavirus disease (COVID-19) outbreak had created several challenges for health care workers and public worldwide. That pandemic also leads to a significant mental health crisis across the globe. AIM: The study aimed to determine depression levels of physicians who work in isolation hospitals that treat patients with COVID-19 and those with other health facilities in Egypt during COVID-19 pandemic. Risk factors for depression were determined and interpreted to provide further psychological interventions for health care workers. MATERIALS AND METHODS: It was a cross-sectional web-based study among Egyptian physicians. The participants were divided into two groups based on their workplace; 1177 of whom worked in front line hospitals (group II) and the remaining 1154 physicians (group I) in other health facilities (second line). Depression was assessed using the Patient Health Questionnaire-9. RESULTS: In group I and II, nearly one-third had mild depressive symptoms whereas 5.1% in group I and 14.6% in group II had severe ones with a significant difference between both groups (p = 0.001). Females, younger age groups, divorced or widowed, frontline physicians, 1–5 years of work experience, specialty jobs and contact with patients with COVID-19 were more affected than others. CONCLUSIONS: Depressive symptoms are common among medical staff especially frontline health care workers. Regular evaluation of medical personnel involved in treatment and diagnosis of patients with COVID-19 must assess their stress, depression, and anxiety.
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Batov, V. E., S. M. Kuznetsov, and S. M. Logatkin. "Assessment of risk factors for COVID-19 infection in personnel of military medical organizations." Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations, no. 3 (January 5, 2023): 13–20. http://dx.doi.org/10.25016/2541-7487-2022-0-3-13-20.
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Relevance. Workers in medical organizations are at risk of developing occupational diseases, including coronavirus infection through frequent contacts with patients and colleagues in the course of their professional activities. Analysis of the causes of infection associated with the pathogen SARS-CoV-2 is the basis for development of preventive measures aimed at minimizing the risk of infection. Intention – development of the main directions for the prevention of COVID-19 morbidity among medical personnel based on a hygienic assessment of occupational risk factors. Methodology. An analysis of cases of a new coronavirus infection among employees of a military medical organization was carried out. An assessment was made of the factors that increase the risk of personnel infection, based on the study of materials from epidemiological investigations and the results of a survey. Results and Discussion. Research has identified factors that increase the risk of COVID-19. An analysis of the causes of the disease showed that in 60 % of cases, infection of personnel is associated with infection at the workplace (contacts with patients – 53.1 %, contacts personnel – 6.9 %), in 38.7 % of cases the cause was not established, in 1.3 % – contacts with sick relatives were registered. A number of specialists from certain professional groups have a higher incidence rate (traumatologists, surgeons, urologists, specialists who carry out sanitary and epidemiological surveillance). It was found that, regardless of the category of work and specialty, during the pandemic, the staff had contacts with sick patients – 78.2 %, contacts with sick colleagues – 53.7 %. Contacts with sick patients increased the risk of developing the disease (RR 1.26; 95 % CI: 1.02–1.55; p = 0.01). The required degree of personnel protection was not provided in this case, which affected the significance of the factor of violation of the rules for the use of PPE (RR 1.66; 95 % CI: 1.11–2.48; p = 0.006) in the risk of developing disease. At the same time, the involvement of personnel to the work in the “red zone” increased the likelihood of the disease (RR 2.98; 95 % CI: 1.24–7.17; p = 0.005). Conclusion. The conducted studies made it possible to establish differences in the level of potential risk for certain categories of medical specialists in non-infectious departments (traumatologists, surgeons, urologists; specialists in charge of sanitary and epidemiological surveillance) and to develop directions for preventive measures based on their analysis.
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Crișan, Cătălina, and Bianca Suciu. "Covid-19 Mental Health Impacts. Challenges for Psychiatrists." Studia Universitatis Babeş-Bolyai Bioethica 66, Special Issue (September 9, 2021): 50. http://dx.doi.org/10.24193/subbbioethica.2021.spiss.26.
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"COVID19 a new appeared virus determined a major impact worldwide on economic and social aspects and also on the mental state level. All countries are confronting with different behaviors of coping mechanism in particular buying excessive amounts of food, being more suspicious even with the family members, explained by an exacerbated surviving instinct, making stocks of unnecessary disinfectant sanitary products, even a chase for protective masks in some cases. Some of these aspects can be considered the effect of a mass psychosis, people being misinformed by television news, such as the concept of fake news having the intention of manipulation; others misinterpret the clear message, with severe consequences over the state of calm. During this crisis, all psychiatrists are facing new challenges such as sustaining the well-being of healthcare personnel, looking over the need of patient’s mental well-being, taking care of the psychological impact of quarantine, self-isolation and social stigma associated with COVID 19. An important aspect in Romania is represented by different cultural beliefs that are not usually present in other cultures but are characteristic in our population and can influence the outcome of the virus evolution. Protection from God, believing that spirituality and religiosity can become a fence in the confrontation with the virus, and these convictions could become a real impediment in understating and respecting the protocols and the rules of prevention. The ethical issue for psychiatrists is how to take into account patients’ beliefs in time of restrictive measures imposed by COVID19 pandemic? All in all, the COVID19 pandemic spread represents a real challenge for all employees in the medical system, but especially to psychiatrists, who should deal with patients whose capacity to understand the real/whole picture is deteriorated. "
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Kryzhanovskiy, S., M. Samushia, T. Berishvili, V. Shmirev, and N. Amosova. "Emotional state of healthcare workers in hospital red-zone during COVID-19 Pandemic." European Psychiatry 65, S1 (June 2022): S381. http://dx.doi.org/10.1192/j.eurpsy.2022.967.
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Introduction The COVID-19 pandemic has a significant impact on the mental state of not only quarantined citizens and patients, but also health workers. Objectives The aim of the study was to assess of the mental health of doctors involved in work in the “red zone” during the COVID-19 pandemic. Methods 77 respondents were interviewed using the HADS questionnaires and the Maslach burnout test. For statistical data processing Microsoft Office Excel 2016, IBM SPSS were used. Results An increase on the depression scales was noted in 7%, anxiety in 23%, and anxiety and depression together 27%. According to the Maslach questionnaire, 32 (41.5%) doctors noted a reaction of the type of “emotional devastation”. 10 (12.9%) doctors noted a reaction “reduction of professional achievements”. Three doctors (3.8%) had a dehumanization reaction in the form of dull emotions to colleagues and patients. Conclusions Work in the “red zone” has a significant negative impact on the mental health of doctors and medical personnel Disclosure No significant relationships.
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Skripov, V. S., K. M. Esina, O. Yu Antipina, and N. V. Semenova. "Brigade forms of providing psychiatric care to the population of the Russian Federation within the framework of primary specialized health care. Analysis of the current state." National Health Care (Russia) 2, no. 4 (October 19, 2022): 20–25. http://dx.doi.org/10.47093/2713-069x.2021.2.4.20-25.
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The aim of the study is to conduct an analysis of the activities of multi-professional teams that provide assistance to patients on an outpatient basis suffering from mental and behavioral disorders. Methods of work. The data were obtained during the processing of federal statistical observation forms No. 30 “Information about the medical organization” and No. 36 “Information about the contingents of mentally ill patients” in the Russian Federation as a whole in dynamics over 5 years (from 2016 to 2020). Both extensive and intensive values were analyzed. The calculations of the rate of increase (decrease). Results. Brigade forms of medical care for patients with mental disorders are a promising direction in the development of mental health services. Thus, the indicator of the proportion of patients suffering from chronic and protracted mental disorders with severe persistent or often exacerbating painful manifestations, covered by brigade forms of mental health care, in the total number of patients undergoing dispensary observation, was achieved in 2019, however, due to the spread of COVID-19, was not achieved in 2020. There has been a slight increase in the provision of the population with psychiatrists, medical psychologists and social work specialists. At the same time, the provision of the population with psychotherapists and social workers is decreasing. Despite the absence of regulated norms for the composition of such teams, classically all of the above specialists are part of polyprofessional teams. Conclusions. The current shortage of personnel, as well as the decline of psychotherapists and social workers, indicate the need to take measures to attract specialists to mental health services. In addition, the development of a regulatory document governing the composition of the teams is required.
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Emul, Murat, Zeynep Uzunoglu, Hacer Sevinç, Çidem Güzel, Çala Yılmaz, Dervi Erkut, and Kemal Arıkan. "The Attitudes of Preclinical and Clinical Turkish Medical Students Toward Suicide Attempters." Crisis 32, no. 3 (May 2011): 128–33. http://dx.doi.org/10.1027/0227-5910/a000065.
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Background: Interest in studies of stigma toward patients with mental disorders is growing. Research on the attitudes of medical students toward suicide attempters does not exist; although as medical personnel, they will encounter suicide attempters in emergency rooms. Aims: We aimed to investigate the attitudes of preclinical and clinical medical students toward suicide attempters and to compare their attitudes with nonmedical students. Methods: Participants were asked to fill out questionnaires those were searching the attitudes toward suicide attempters. These questionnaires used a social distance scale, skillfulness assessment scale, and dangerousness scale. Results: More than 73% of students had a negative attitude toward “renting a room of their home to a suicide attempter.” More than 90% would not want “a suicide attempter to supervise their children for few hours.” Significantly more preclinical than clinical students would not want their children to marry a suicide attempter. Conclusions: Social distance, skillfulness, and attitudes concerning the dangerousness of suicide attempters are problematic for medical students and need educational intervention.
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Knobf, M. Tish, Maureen Major-Campos, Anees Chagpar, Andrea Seigerman, and Ruth Mccorkle. "Promoting quality breast cancer care: Psychosocial distress screening." Palliative and Supportive Care 12, no. 1 (October 29, 2013): 75–80. http://dx.doi.org/10.1017/s147895151300059x.
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AbstractObjective:To evaluate the feasibility of implementing psychosocial distress screening in a breast center of a comprehensive cancer center, using a model of structure (personnel, resources), process (screening), and outcome (number of patients screened, number referred).Methods:The first step in the project was to establish administrative support, educate and engage breast center staff, identify stakeholders and persons with expertise in the conduct of evidence based initiatives. A two-phase implementation approach was agreed upon with Phase I being screening of new patients in surgical oncology and Phase II being screening women in medical oncology.Results:A total of 173 patients were screened. The new patients screened in surgical oncology reported higher average distress scores compared to patients in medical oncology (5.7 vs. 4.0). However, a greater number of patients in medical oncology reported scores >4 compared to the new patients screened in surgery (54% vs. 35%). Psychological distress was the most commonly reported distress for patients in surgery. In contrast, 60% of scores >4 in medical oncology were symptom related, managed by the nurse or physician.Significance of results:Nurse led implementation of psychosocial distress screening is feasible, addressing this important quality indicator of patient-centered care.
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Gulášová, Ivica. "Tasks of medical personnel associated with active participation in involvement of the family in treatment of patients with mental disorders." Kontakt 8, no. 2 (December 15, 2006): 229–34. http://dx.doi.org/10.32725/kont.2006.039.
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Tönnies, Justus, Mechthild Hartmann, Michel Wensing, Joachim Szecsenyi, Andrea Icks, Hans-Christoph Friederich, and Markus W. Haun. "Mental health specialist video consultations for patients with depression or anxiety disorders in primary care: protocol for a randomised controlled feasibility trial." BMJ Open 9, no. 9 (September 2019): e030003. http://dx.doi.org/10.1136/bmjopen-2019-030003.
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IntroductionMost people suffering from depression and anxiety disorders are entirely treated in primary care. Due to growing challenges in ageing societies, for example, patients’ immobility and multimorbidity, the transition to specialised care becomes increasingly difficult. Although the co-location of general practitioners and mental health specialists improves the access to psychosocial care, integrated in-person approaches are not practical for rural and single-doctor practices with limited personnel and financial resources. Treating primary care patients via internet-based video consultations by remotely located mental health specialists bears the potential to overcome structural barriers and provide low-threshold care. The aim of this randomised controlled feasibility trial is to investigate the feasibility of implementing of mental health specialist video consultations in primary care practices.Methods and analysisFifty primary care patients with significant depression and/or anxiety symptomatology will be randomised in two groups receiving either the treatment as usual as provided by their general practitioner or up to five video consultations conducted by a mental health specialist. The video consultations focus on (1) systematic diagnosis plus proactive monitoring using validated clinical rating scales, (2) the establishment of an effective working alliance and (3) a stepped-care algorithm within integrated care adjusting treatments based on clinical outcomes. We will investigate the following outcomes: effectiveness of the recruitment strategies, patient acceptance of randomisation, practicability of the technical and logistical processes related to implementing video consultations in the practices’ workflows, feasibility of the data collection and clinical parameters.Ethics and disseminationThis trial has undergone ethical scrutiny and has been approved by the Medical Faculty of the University of Heidelberg Ethics Committee (S-634/2018). The findings will be disseminated to the research community through presentations at conferences and publications in scientific journals. This feasibility trial will prepare the ground for a large-scale, fully powered randomised controlled trial.Trial registration numberDRKS00015812.
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Ghazaryan, Gayane. "Mental Condition of Health Care Providers in the Republic of Armenia and Republic of Romania Who Provided Professional Assistance to Patients with COVID-19." “Katchar” Collection of Scientific Articles International Scientific-Educational Center NAS RA, no. 1 (July 26, 2022): 38–51. http://dx.doi.org/10.54503/2579-2903-2022.1-38.
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In these difficult days, the "white army" - doctors and paramedics perform the most important, responsible work with a number of risks, fighting for the lives of people on the front line. The article represents the types of emotional temperament of medical personnel working in various medical institutions of the Republic of Armenia and Republic of Romania providing professional aid to patients infected with COVID-19. Since 2019 and then in 2020, the COVID-19 epidemic has expanded and spread even more, which continues at the same pace and claims many lives. The flow of information about the coronavirus in Armenia, which is repeatedly duplicated on all channels, forms in our society (already saturated with stress) another, new, extraordinary stress.